Take advantage of everything your health plan offers

Explore all the low- and no-cost benefits that come with your plan.

Kaiser Permanente Medicare health plans include benefits beyond Original Medicare to help you thrive. Plus, as a Kaiser Permanente member, you have access to discounted services, programs, and resources. Whether you are new to Kaiser Permanente or have been a member for years, check out these incredible benefits available to you to support your health and well-being.

Are you a Medicare beneficiary receiving health benefits from your employer, union, or trust fund? If yes, please contact member services for your coverage and benefits information.

Looking for current year plan extras? 2024 plan extras

Take a moment to review the information below to learn more about the extras that come with 2025 Medicare health plans.

Preventive Dental Services through Delta Dental of Washington

A preventive dental care benefit provided by Delta Dental of Washington is included on all individual Medicare Advantage (HMO) plans for 2025. This benefit covers preventive and diagnostic services at no cost to you.

Covered services include:

  • Oral examination (maximum of 2 per calendar year)
  • Bitewing X-ray (maximum of 2 per calendar year)
  • Panoramic X-ray or complete series (maximum of once every 3 years)
  • Routine preventive teeth cleaning (maximum of 2 per calendar year)
  • Fluoride treatments (maximum of 2 per calendar year)

Your dentist will submit your claims to Delta Dental on your behalf. Neither you nor your dentist should send any claims to Kaiser Permanente.

Get dental coverage and usage details, preventive care reminders, treatment costs, and more by registering your MySmile® account on deltadentalwa.com.

If you have questions about your dental benefit usage and providers, call Delta Dental of Washington Customer Service at 1-877-719-4006 (TTY 711), Monday through Friday, 7 a.m. to 5 p.m.

Sign in at deltadentalwa.com, click “Find a Dentist,” and select “Delta Dental PPO Plus Premier” as your network.

If you use a dentist who is not a Delta Dental network dentist, your treatment will not be covered.

When you visit your Delta Dental network dentist, show them your Kaiser Permanente member ID card and tell them about your dental coverage with Delta Dental of Washington. Your dentist will submit your claims to Delta Dental on your behalf. Neither you nor your dentist should send any claims to Kaiser Permanente.

If you have questions about your enrollment, premium, plan documents, or appeals, call Kaiser Permanente Member Services at 1-888-901-4600 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.

This isn’t a formal coverage document. Please refer to your Evidence of Coverage for additional details.

One Pass® Fitness Program [See footnote 1]

One Pass can help you find a fitness routine that’s right for you, whether you work out at home or at a gym.

How to get started with the One Pass program

Once you're a Kaiser Permanente Medicare health plan member, follow these steps: 

  1. Visit youronepass.com
  2. Click "Get Started" to register. Enter in your First Name, Last Name, Date of Birth and Health Plan Member ID. 
  3. Once you're registered, you'll receive a Member Code. Be sure to write down your code and keep it handy. You will need to enter it each time you register for a new fitness location or other One Pass service.
  4. Start searching for gyms by clicking on the "Find a gym" page. 

You may also call One Pass toll-free at 1-877-614-0618 (TDD/TYY 711), Monday through Friday, 6 a.m. to 7 p.m. Pacific time, to receive your Member Code.

The One Pass program is available to Medicare Individual Plan members. Visit www.youronepass.com or call One Pass toll-free at 1-877-614-0618 (TDD/TYY 711), Monday through Friday, 6 a.m. to 7 p.m. Pacific time.

Fitness industry leader ClassPass makes it easier for you to work out from anywhere. ClassPass partners with 30,000 gyms and studios around the world, offering a range of classes including yoga, dance, cardio, boxing, Pilates, boot camp, and more. To learn more, visit our website.

Plan benefits

Medical, hospital, prescription, vision, hearing, chiropractic, and acupuncture benefits vary by plan.

For more information about what’s included in your plan, sign in and review your Evidence of Coverage at kpwa.memberdoc.com or call Member Services at 1-206-630-4600 or 1-888-901-4600 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.

This benefit gives you and a companion nonemergency rides within our Medicare Advantage service area to and from your doctor and dentist appointments and to in-network pharmacies. Depending on your Kaiser Permanente Medicare health plan, you can schedule at least 20 round-trip rides per year. [See footnote 2]

If you have mobility challenges, you’ll be assigned a vehicle based on your needs. Available options include van, sedan, wheelchair accessible, and Lyft and Uber vehicles.

Rides are available 24 hours a day, 7 days a week. Learn more about transportation benefits.

Scheduling a ride

Make sure to schedule your ride at least 2 business days in advance of your appointment and have the information below handy when you make the call:

  • Kaiser Permanente member ID number
  • First and last name
  • Pickup address including ZIP code
  • A mobile phone number or an alternate number that the transportation provider can call at the time of your pickup
  • Name, address, and ZIP code of the health care provider you want a ride to
  • Date and time of health care appointment
  • Special needs or requests (i.e., need ‘door-to-door’ service for sedated procedures, oversize wheelchair, no access to a mobile phone, etc.)

To schedule, call 1-877-828-4512 (TTY 711), 24 hours a day, 7 days a week. Make note of the trip number you’re given when scheduling a ride.

How to schedule a ride: Call 1-877-828-4512 (TTY 711), 24 hours a day, 7 days a week.

Make sure to schedule at least 2 business days before your ride.

Number of rides vary by plan. To find out how many round trips your plan offers, see your Evidence of Coverage (EOC) or call Kaiser Permanente Member Services at 1-888-901-4600 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.

Preparing for your ride

  • You should receive a call from the transportation provider the day before your ride. If you don’t hear from the provider by 5 p.m., please call at 1-877-828-4512 (TTY 711) to confirm a transportation provider was assigned for your ride.
  • Generally, you’ll need to be ready for your ride an hour before your scheduled health care appointment.

Specialty wellness services

Kaiser Permanente members have access to Optum’s affinity musculoskeletal program — no signup required. Enjoy 20% off chiropractor, acupuncture, and therapeutic massage services at participating providers.

Go online to learn more and explore your discounts.

*The services described above are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. These services may be discontinued at any time without notice.

You’re covered for emergency and urgent care anywhere in the world. Plus, you can get nonemergency care across the United States at:

  • Kaiser Permanente facilities and affiliated providers in Washington, California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington, D.C.
  • Members may receive all plan covered services at in-network cost-sharing if received by Banner Health in Maricopa and Pima counties. All plan authorization requirements apply.
  • Any CVS MinuteClinic® or Concentra Urgent Care in states where there aren’t any Kaiser Permanente facilities [See footnote 3]

New nationwide visitor travel program

Effective January 1, 2024, this program is available to all Kaiser Permanente Medicare Advantage Essential (HMO), Key (HMO), and Vital (HMO) members who are traveling outside of Kaiser Permanente states temporarily (up to 6 months). Kaiser Permanente states include California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, Washington, and Washington, D.C.

With the visitor/traveler program, members can:

  • Get all plan-covered services for an in-network cost share.
  • Contact Member Services for help finding a provider. 

And you can always call our 24/7 advice line at 1-206-630-2244 or 1-800-297-6877 for care and advice wherever you are.

Seek emergency care immediately. Before seeking non-emergency care outside of Washington, call Member Services at 1-206-630-4600 or 1-888-901-4600 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.

You’re just a call or a click away from having most prescriptions delivered to you. [See footnote 4]

Save money

  • For Tiers 1 and 2, get a 90-day supply of medication for $0 [See footnote 4]
  • For Tiers 3 and 4, get a 90-day supply of medication for the price of 2.5 months [See footnote 4]
  • Enjoy shipping at no extra cost

Save time

  • No driving
  • No waiting in line

Make the easy choice

  • See your prescriptions online or on your mobile app
  • View estimated costs for most prescriptions before you order

Sign in online or use the Kaiser Permanente Washington app to set up a refill and check your order status.

Automatic prescription refill program

Save time by having routine, ongoing medications shipped to you before you run out. Your refills will arrive when you need them, and you won’t need to call Kaiser Permanente or log in. We’ll send a reminder via text message before completing your refill in case you need to make changes — and if you run out of refills, we’ll contact your doctor. Some exclusions apply. Visit our website for more information.

Find resources to help you save money, be well, and thrive.

For details about your Advantage Plus benefits, visit the website or download the Advantage Plus brochure (PDF).

Get more value from your Kaiser Permanente Medicare health plan by adding Advantage Plus. You’ll get comprehensive dental benefits that go beyond your preventive dental needs. Learn more or enroll now.

Senior woman smiling

Footnotes:

1One Pass® is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions and is a voluntary program. Continue at [1]

2The services described above are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. These services may be discontinued at any time without notice. Continue at [2]

3Member cost shares may apply depending on the service accessed. Referrals and preauthorization requirements may apply. Continue at [3] where there aren’t any Kaiser Permanente facilities.

4Limitations apply. Continue at [4]

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.

The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the grievance process.

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This page was last updated: December 11, 2024 at 12 a.m. PT