Can I have Kaiser and Medicare at the same time?
Asked by: Johnson Maggio | Last update: May 5, 2025Score: 4.6/5 (35 votes)
How does Kaiser Senior Advantage work with Medicare?
Senior Advantage combines your Kaiser Permanente coverage with your Medicare coverage into a single plan at no additional premium. Senior Advantage gives you all the benefits of Medicare, plus more. You may also save money with Senior Advantage because you pay only copayments for services.
Is Kaiser a good option for Medicare?
Kaiser is extremely Medicare-friendly, offering their own very affordable Medicare Advantage supplement and great services for seniors. Prescription refills are incredibly easy and mailed to your home through their very competitively priced pharmacy.
What is a disadvantage of choosing Kaiser?
Limited plan types: Kaiser offers mostly HMO plans, so most members must work within Kaiser's network of medical providers. Low member experience ratings: Kaiser's member experience ratings, including customer service and getting needed care, are lower than most major providers.
What is the difference between Kaiser Senior Advantage and Senior Advantage Plus?
As a Kaiser Permanente Senior Advantage member, you enjoy the ease of combining your Medicare coverage with Kaiser Permanente coverage in a single plan. Now, with Advantage Plus, you can get valuable comprehensive dental, hearing, and vision benefits added to your plan. 1 So you get the health care coverage you need.
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Does everyone have to pay $170 a month for Medicare?
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
What is the best health insurance for seniors on Medicare?
Best Medicare Supplement: AARP/UnitedHealthcare. AARP/UnitedHealthcare is the best company for Medigap plans in 2025. For most people, the best company for Medigap coverage is AARP/UnitedHealthcare. Medicare Supplement (Medigap) plans cover many of the costs that you usually pay if you have regular Medicare.
Can you have both Medicare and health insurance at the same time?
If you have Medicare and other health insurance (like from a group health plan, retiree coverage, or Medicaid), each type of coverage is called a "payer." The "primary payer" pays up to the limits of its coverage, then sends the rest of the balance to the "secondary payer."
Can I use Kaiser with original Medicare?
If you live in a state that offers Kaiser Permanente Medicare Advantage plans, you can get full coverage that includes Original Medicare Parts A and B, prescription drug coverage (Part D), and additional optional benefits like hearing, vision, and dental care.
Does Kaiser have a grocery allowance?
The Kaiser Permanente Healthy Food Card provides a quarterly allowance [See footnote 6] for qualified members [See footnote 7] to purchase eligible healthy foods from participating retailers.
Does Kaiser Medicare Advantage cover colonoscopy?
Kaiser Permanente Medicare Advantage (Medicare Part C) plans cover up to 100% of the cost of a qualified colonoscopy. If your doctor has recommended this procedure as part of a screening, diagnostic or treatment regimen, read below to learn what you'll need to know to make sure Kaiser Medicare covers your colonoscopy.
Does Medicare cover dental?
In most cases, Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures.
Why do seniors choose Medicare Advantage?
People with Medicare are drawn to Medicare Advantage for the extra benefits. Medicare Advantage plans offer extra benefits, like reduced cost-sharing, dental coverage, gym memberships and debit cards for over-the-counter medical supplies that are not covered by traditional Medicare.
Why are people leaving Medicare Advantage plans?
Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.
What are the 6 things Medicare doesn't cover?
- Eye exams (for prescription eyeglasses)
- Long-term care.
- Cosmetic surgery.
- Massage therapy.
- Routine physical exams.
- Hearing aids and exams for fitting them.
Does Medicare cover 100% of hospital bills?
Whether you're new to Original Medicare or have been enrolled for some time, understanding the limitations of your coverage is important as you navigate decisions about your healthcare. One of the main reasons why Original Medicare doesn't cover 100% of your medical bills is because it operates on a cost-sharing model.
How much money can you have in the bank if you're on Medicare?
eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.
Why is Social Security no longer paying Medicare Part B?
There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.
Is Kaiser a good choice for Medicare?
Kaiser Permanente's Medicare Advantage health plans are highly rated, according to the Centers for Medicare & Medicaid Services (CMS) 2025 Star ratings. Every year, Medicare evaluates plans based on a 5-star rating system.
How much is Kaiser Senior Advantage per month for seniors?
Kaiser offers $0 premiums on nearly most of its Medicare Advantage plans. However, you will be required to pay your Medicare Part B, about $175 per month in 2024. Some plans may also cover this cost.
Who qualifies for Kaiser OTC benefits?
If you have questions or to learn more about the OTC health and wellness benefit, call the Member Service Contact Center at 1-800-443-0815 (TTY 711), 7 days a week, 8 a.m. to 8 p.m. Who can use this benefit? You must be a Kaiser Permanente Medicare health plan member covered under your employer group.
Why do doctors leave Kaiser?
The biggest gripe I've heard as a chief and experienced as a Kaiser physician is the lack of flexibility or the lack of autonomy. Clinic, OR, and call schedules are made 6-months in advance. The clinic template is also preset. If you want to start clinic a little bit later, that's not possible.