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.

Take a moment to review the information below to learn more about the extras that come with 2024 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 plans for 2024. 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. (You can use this network for both the dental plan and the preventive dental benefit.)

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

Go to deltadentalwa.com and register your account. After you do, you can go online to get dental coverage details, preventive care reminders, treatment costs, and more.

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.

Silver&Fit® Healthy Aging and Exercise Program [See footnote 1]

Get and stay active with a fitness program designed for our members. You get access to an at-home fitness kit, digital workout videos, an annual membership at a participating fitness center, and much more.

To learn more, download our brochure or visit www.SilverandFit.com or call us toll-free at 1-877-750-2746 (TDD/TTY 711), Monday through Friday, 5 a.m. to 6 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.

With this benefit, you can order non-prescription, health-related products from a catalog and have them delivered to your home at no cost to you. [See footnote 3]

Products include:

  • Vitamins and minerals
  • Allergy, cough, and cold remedies
  • Antacids, laxatives, and stomach aids
  • Pain relievers and fever reducers
  • First aid kits, joint supports, and incontinence products
  • Blood pressure monitors and thermometers
  • Diabetic supplies such as compression stockings and sharps containers

You can order up to your plan’s benefit limit every quarter. See your Evidence of Coverage for limit information.

It’s easy to place an order: Visit kp.org/otc/wa. Call 1-833-238-6618 (TTY 711), Monday through Friday, 5 a.m. to 4 p.m.

To see an online catalog of products: Visit kp.org/otc/wa. To have a catalog sent to you, call 1-833-238-6618 (TTY 711), Monday through Friday, 5 a.m. to 4 p.m.

The over-the-counter benefit can only be used through the OTC catalog ordering process and cannot be used in a Kaiser Permanente or retail pharmacy.

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 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 6 round-trip rides per year. [See footnote 4]

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. You can also use the Access2Care scheduling app. Download it from your smartphone’s app store.

How to schedule a ride: Call 1-877-828-4512 (TTY 711), 24 hours a day, 7 days a week. You can also use the Access2Care scheduling app. Download it from your smartphone’s app store.

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 Access2Care at 1-877-828-4512 (TTY 711) to confirm a transportation provider was assigned for your ride. (Access2Care is available 24 hours a day, 7 days a week.)
  • Generally, you’ll need to be ready for your ride an hour before your scheduled health care appointment.

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

The ChooseHealthy® [See footnote 5] program gives you reduced rates on a variety of fitness, health, and wellness products and services, including:

Specialty wellness services

Rebalance your mind and body, relieve pain, and manage chronic conditions with acupuncture, chiropractic care, and massage therapy..
 

Activity trackers

Take advantage of special savings on activity trackers from Fitbit, Garmin, and more.
 

Workout apparel

Save on clothing and accessories from Skechers, 2XU, PRO Compression, and more.
 

Exercise equipment

Enjoy discounts on fitness equipment from TRX, Gaiam, BOSU, and more.
 

Go online to learn more and explore your discounts.

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.
  • Any CVS MinuteClinic® or Concentra Urgent Care in states where there aren’t any Kaiser Permanente facilities [See footnote 6]


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. [See footnote 2]


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 7]

Save money

  • For Tiers 1 and 2, get a 90-day supply of medication for $0 [See footnote 7]
  • For Tiers 3 and 4, get a 90-day supply of medication for the price of 2.5 months [See footnote 7]
  • 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:

1: The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a trademark of ASH and used with permission herein. New member initiation fees may apply for select fitness locations in the expanded network. Only one membership per month is allowed at the following facilities: YMCAs of Pierce, Kitsap, Thurston, or Greater Seattle; Olympic Athletic Club; and West Seattle Health Club. Continue at [1] Silver&Fit® Exercise and Healthy Aging Program

2: Not available on all Medicare health plans. Continue at [2] Over-the-Counter (OTC) Wellness Benefit Continue at [2] help finding a provider

3: The OTC quarterly benefit does not roll over to next quarter. Each order must be at least $15 and must not exceed the benefit limit. Products must be ordered from kp.org/otc/wa or by calling 1-833-238-6618 (TTY 711), Monday through Friday, 5 a.m. to 4 p.m. Limitations and restrictions may apply. Continue at [3] no cost to you

4: Number of rides varies by plan. Annual ride limits apply. Emergency transportation not included Continue at [4] at rides per year 

5: The ChooseHealthy program is provided by ChooseHealthy, Inc. The Active&Fit Direct program is provided by American Specialty Health Fitness Inc., (ASH Fitness). ChooseHealthy, Inc., and ASH Fitness are subsidiaries of American Specialty Health, Inc. (ASH). Active&Fit Direct and ChooseHealthy are trademarks of ASH and used with permission herein. Please note: The ChooseHealthy program is a discount program; it is not insurance. You can access services from any ChooseHealthy participating provider; referral from a primary care physician is not required. You’re responsible for paying the discounted fee directly to the contracted provider. The ChooseHealthy products and services are provided by entities other than Kaiser Permanente, and Kaiser Permanente disclaims any liability for them. Some Kaiser Permanente members may have coverage through their health plan for some of the same services available through ChooseHealthy. Check your Kaiser Permanente Evidence of Coverage or Membership Agreement for details or call our Member Service Contact Center before accessing the discounted services. If a problem arises with the discounted services, you may take advantage of the Kaiser Permanente grievance process by calling the Member Service Contact Center. 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 Medicare Advantage grievance process. Continue at [5] Special discounts with ChooseHealthy®

6: Member cost shares may apply depending on the service accessed. Referrals and preauthorization requirements may apply. Continue at [6] where there aren’t any Kaiser Permanente facilities

7: Limitations apply. For certain drugs, you can get prescription refills mailed to you through Kaiser Permanente mail-order pharmacy. You should receive them within 3-5 business days. If not, please call 1-800-245-7979 (TTY 711), Monday through Friday, 7:30 a.m. to 7 p.m., Saturday and Sunday, 8 a.m. to 4:30 p.m. Continue at [7] most prescriptions delivered to you. 

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: January 2, 2024 at 12 a.m. PT