Dual Medicare and Medicaid coverage can give you extra benefits and better value

Older couple on couch looking at a tablet

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.

What benefits are included?

With a Kaiser Permanente Dual Complete or Dual Essential Plans, you’ll get many extra benefits, including:

  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
  • $0 copays for primary care, specialty care, labs, X-rays, and more
  • $0 monthly premium and annual medical deductible [see footnote 1]
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

  1. If you are eligible for Medicare full cost-sharing assistance under Medicaid, you pay $0. Continue at [1] annual medical deductible
  2. With 0% coinsurance. Dental benefits provided by LIBERTY Dental. 
  3. 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
  4. 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
  5. 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