Dual Medicare and Medicaid coverage can give you extra benefits and better value
If you have both Medicare and Medicaid, you may be eligible for extra benefits. Kaiser Permanente Dual Complete or Dual Essential (HMO D-SNP) Plans let you keep your Medicaid benefits and get more benefits than Original Medicare.
With our Kaiser Permanente Dual Complete or Essential Plans, you can choose any available Kaiser Permanente doctor and rest easy knowing you’ll get high-quality care.
Plus, getting started is easy. We’re here to help you understand your options, and whenever you’re ready, you can speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a.m. to 8 p.m., 1-855-832-0353 (TTY 711) or you can enroll online.
| Coverage you may have today | Kaiser Permanente Dual Complete or Dual Essential Plans |
|
| Medicaid | included | included |
| Medicare Parts A & B | included | included |
| Hospital, doctor & outpatient visits | included | included |
| Part D prescription drug coverage | included | included |
|
not included | included |
| $0 copay, up to $1,500 annual allowance for preventive and comprehensive dental services [see footnote 2] | not included | included |
| Up to $720 annual allowance for over-the-counter (OTC) health and wellness items [see footnote 3] | not included | included |
| Up to a $480 annual Health Food Card allowance to purchase groceries [see footnote 4] | not included | included |
| 24 rides for nonemergency medical appointments at Kaiser Permanente medical centers and contracted facilities at no extra cost. | not included | included |
| Up to $300 eyewear allowance every 24 months for glasses or contacts at Vision Essentials by Kaiser Permanente (located in our medical centers) |
not included | included |
| $1,000 hearing aid allowance per ear, every 36 months for hearing aids purchased at Kaiser Permanente audiology centers. | not included | included |
| One Pass fitness program [see footnote 5] | not included | included |
Am I eligible to enroll?
You may be eligible to enroll in our Kaiser Permanente Dual Complete or Dual Essential Plans if you have both Medicare and Medicaid and live in Maryland service area.
You can enroll during the annual enrollment period from October 15 through December 7, or any other time if you have a qualifying life event such as being new to the area, recently lost coverage, or have had a change in your dual-eligible or LIS (Low Income Subsidy) status.
How do I enroll?
There are many easy ways to enroll:
Learn more about Medicare
Footnotes
- If you are eligible for Medicare full cost-sharing assistance under Medicaid, you pay $0. Continue at [1] annual medical deductible
- With 0% coinsurance. Dental benefits provided by LIBERTY Dental.
- Please refer to your Evidence of Coverage for details. OTC benefits may change each year on January 1. Any unused portion of the quarterly benefit limit will not carry forward to the next quarter. Any unused amounts are forfeited upon disenrollment from our plan. The cost of eligible OTC items will be covered up to the balance available on your card. If there is a remaining amount to pay, you must use another form of payment. Continue at [3] Wellness Benefits$0 copays
- The Healthy Food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, chronic kidney disease (CKD), cardiovascular disorders, chronic lung disorders, or chronic heart failure to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us. Continue at [4] Healthy Food benefit
- One Pass® is a registered trademark of One Pass Solutions, Inc. in the U.S. and other jurisdictions and is a voluntary program. The One Pass program and amenities vary by plan, area, and location. The information provided under this program is for general informational purposes only and is not intended to be nor should be construed as medical advice. One Pass is not responsible for the services or information provided by third parties. Individuals should consult an appropriate health care professional before beginning any exercise program and/or to determine what may be right for them Continue at [5] One Pass® fitness program