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Maryland / Washington D.C. / Virginia
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Kaiser Permanente Medicare Advantage (HMO) plan

Get more control, convenience, and quality with plans that go beyond Original Medicare. Kaiser Permanente’s Medicare Advantage plan provides comprehensive care with built-in wellness programs and supportive services that help promote your total health.

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A better choice

You’ve made plans for your life.
You want to make the right choice for your health care too.

Care you can trust

Kaiser Permanente delivers quality care to over 750,000 members in Maryland, Virginia, and Washington, DC.
We stand for good health by providing you with personalized care every step of the way.

Coverage beyond Original Medicare

Kaiser Permanente Medicare Advantage (HMO) offers you all the services and benefits covered by Original Medicare all in one package, plus additional benefits such as:

• The Silver&Fit® Healthy Aging and Exercise Program1

We’ve included the following with your Kaiser Permanente Medicare health plan:

  • Fitness center membership: Reshape your life with membership at a local participating Silver&Fit fitness center. Visit SilverandFit.com to find a fitness center near you.
  • Digital Fitness Choices with Home Fitness Tools: Members may select one2 Home Fitness Kit per calendar year. Choose from wearable fitness tracker, pilates, strength, swim, and yoga kit options. This benefit also includes access to digital workout videos, The Get Started Program, Healthy Aging educational materials, newsletters, online classes, and other helpful features.

• Preventive dental care

You pay a $30 copayment for each preventive care office visit, which includes up to two oral exams, two cleanings, and two bitewing X-rays every year. Other covered dental services are provided at a reduced fee.

• Routine eye care

Your benefits include coverage for routine eye exams, glaucoma and cataract screenings, and an allowance on glasses and contact lenses. Visit kp2020.org for more information and to view our optical locations, conveniently located in many of our medical centers.

• Transportation to medical appointments

Our plan includes 24 rides3 for nonemergency medical appointments at Kaiser Permanente medical centers and contracted facilities at no cost.

• Virtual care options4

We offer flexible virtual care options to visit with your Kaiser Permanente doctor by phone or video from the comfort of home. You can also call our 24/7 Advice line and email your Kaiser Permanente doctor for nonurgent questions. Visit kp.org/getcare for more information.

• BrainHQ

Online brain health exercises to help improve cognitive function, including memory, attention, and processing speed.

• Worldwide emergency care

You’re covered for emergency and urgent care anywhere in the world, including from non-Kaiser Permanente providers and CVS MinuteClinic® and Concentra
Urgent Care in states without Kaiser Permanente. For additional information, call our 24/7 Away from Home Travel Line at 1-951-268-3900 or visit kp.org/travel. (International calls are not toll free.)

The care you need under one roof

In almost all of our medical centers, you can see your doctor, fill your prescriptions, and get your lab tests and X-rays in one trip to the same location. Almost all of our medical centers include:

• Access to a range of primary and specialty care physicians
• Laboratory
• Pharmacy
• Radiology/imaging
• Vision services (eye exams, eyeglasses, and contact lenses)

Look in our provider directory or check kp.org/facilities to learn which services are offered at the medical centers closest to you, and visit kp.org/doctor to learn about our highly qualified Kaiser Permanente physicians.

1The Silver&Fit program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used with permission herein. All programs and services are not available in all areas. Participating fitness centers and fitness chains may vary by location and are subject to change.
2Kits are subject to change and once selected cannot be exchanged.
3Twenty-four one-way rides per contract year. For nonemergency transportation only.
4 When appropriate and available.
5If you get care at a CVS MinuteClinic® or Concentra Urgent Care in states without Kaiser Permanente, you’ll be charged your standard copay or coinsurance. If you get urgent care at a CVS MinuteClinic®, Concentra Urgent Care, or any other urgent care facility in a state with Kaiser Permanente providers, you’ll be asked to pay upfront for services you receive and will need to file a claim for reimbursement.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll.

The service area for the Kaiser Permanente Medicare Advantage (HMO) plan includes:

District of Columbia

Maryland: Baltimore City; Anne Arundel, Baltimore, Carroll, Harford, Howard, Montgomery,and Prince George’s counties; and the following partial counties:

Calvert, the following ZIP codes only: 20639, 20678, 20689, 20714, 20732, 20736, 20754.

Charles, the following ZIP codes only: 20601, 20602, 20603, 20604, 20607, 20612, 20613, 20616, 20617, 20637, 20640, 20643, 20645, 20646, 20658, 20675, 20677, 20695.

Frederick, the following ZIP codes only: 20842, 20871, 21701, 21702, 21703, 21704, 21705, 21709, 21710, 21714, 21716, 21717, 21718, 21754, 21755, 21757, 21758, 21759, 21762, 21769, 21770, 21771, 21774, 21775, 21776, 21777, 21787, 21790, 21791, 21792, 21793.

Virginia: The cities of Falls Church, Fairfax, Fredericksburg, Alexandria, Manassas, and Manassas Park; Arlington, Fairfax, Prince William, Loudoun, Spotsylvania, and Stafford counties.

Kaiser Permanente Medicare Advantage (HMO) plan Downloads
Effective 1/1/2022 - 12/31/2022
Effective 1/1/2021 - 12/31/2021
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