What is a Kaiser Senior Advantage plan?

Asked by: Cecelia Price  |  Last update: May 3, 2023
Score: 4.9/5 (38 votes)

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 Senior Advantage the same as Medicare Advantage?

This is a Medicare Advantage plan, which means that it generally replaces your Medicare coverage. You agree to let Kaiser manage your Medicare benefits. It is an HMO (health maintenance organization) with a closed network of 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 extra vision benefits added to your plan.

How much is Kaiser Permanente Senior Advantage?

For Medicare Advantage plans with a premium, the monthly consolidated premium (including Part C and Part D) ranges from $15 to $296. For Dual-Eligible Special Needs Plans, or D-SNPs, monthly premiums range from $28.90 to $33.90 [6].

What is an Advantage plan for seniors?

Medicare Advantage Plans are another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D).

The Benefit of Being a Kaiser Permanente Medicare Advantage Member

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What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What is the difference between Medicare Advantage and Medicare supplement?

Medicare Supplement plans. A Medicare Advantage plan (Medicare Part C) is structured to be an all-in-one option with low monthly premiums. Medicare Supplement plans offer additional coverage to Original Medicare with low to no out-of-pocket costs.

Is Kaiser a Medicare Advantage?

Our Kaiser Permanente Medicare Advantage plans offer a wide range of care and flexible options to help you get coverage that fits your life and budget. You get hospital care, medical services, and prescription drug coverage — all in one plan.

Does Kaiser accept AARP?

AARP in Kaiser is here to help you take on today – and every day. From sharing practical resources like job, health, and financial workshops, to holding fun activities and events, AARP is providing opportunities to connect and help build an even stronger Kaiser.

Why is Kaiser Permanente so cheap?

Kaiser Permanente opened its doors to the public in 1945 -- and offered health coverage that was considerably less expensive than conventional insurers like Blue Cross. The strategy worked because it owned and operated its own hospitals and clinics and directly employed physicians.

How do you cancel Advantage Plus?

To request a disenrollment form, please call our Member Service Contact Center toll free at 1-800-232-4404 (TTY 711 for the hearing/speech impaired), seven days a week, 8 a.m. to 8 p.m. For more details about disenrollment, see your Kaiser Permanente Senior Advantage Evidence of Coverage.

How do you get Medicare Part C?

To be eligible for a Medicare Part C (Medicare Advantage) plan:
  1. You must be enrolled in original Medicare (Medicare parts A and B).
  2. You must live in the service area of a Medicare Advantage insurance provider that's offering the coverage/price you want and that's accepting new users during your enrollment period.

What is Kaiser SNP?

Kaiser Permanente California offers this Medicare Advantage Special Needs Plan (SNP) to members in separate programs for Northern and Southern California who are eligible for Medicare and full benefits under Medicaid.

What are the advantages and disadvantages of Medicare Advantage plans?

Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.

Can I keep Kaiser with Medicare?

You won't lose Part A and Part B coverage. When you become a member, Kaiser Permanente will provide your Medicare benefits to you. Keep in mind that to sign up for a Kaiser Permanente Medicare health plan, you'll need to be enrolled in Medicare Part B.

Is United Healthcare or Kaiser better?

Choosing a carrier for your Medicare insurance coverage is highly personal and depends largely on the available selection in your area and the specific benefits you value most. In our comparison, we found UnitedHealthcare to have the advantage over Kaiser Permanente in terms of plan availability, selection and cost.

What is RX bin for Kaiser?

The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) prior to having a new ID card or showing up in the new Carrier's Rx system.

How do I become a Kaiser medical member?

Complete an application. You can go to www.coveredca.com for an application, or contact your county Health and Human Services. Check the status of your application by contacting the county where you applied. Once you are approved by the county, select your health care plan and/or provider through the State.

What are the pros and cons of Medicare Advantage VS Original Medicare?

Original Medicare doesn't cover all your medical expenses, while Advantage plans have cost-sharing requirements but then cap your out-of-pocket costs. Plus, you have low premiums and the simplicity of all-in-one coverage. But there can be hidden risks to Advantage plans, especially for those with major health issues.

Is Kaiser healthcare good?

The BBB gives Kaiser Permanente an A rating. The company has closed just seven complaints in the past three years, all related to billing issues or problems with coverage. NCQA reflects very high customer satisfaction ratings for Kaiser Permanente. All reviewed plans are rated as high-performing.

How is Kaiser Permanente different?

We serve our members using a unique business model that combines health coverage and care delivery into one coordinated experience. Unlike a traditional insurance company, we are a membership-based, prepaid, direct health care system.

Why would someone choose a Medicare Advantage plan?

Under Medicare Advantage, you will get all the services you are eligible for under original Medicare. In addition, some MA plans offer care not covered by the original option. These include some dental, vision and hearing care. Some MA plans also provide coverage for gym memberships.

Can you have Medicare and Medicare Advantage at the same time?

In most cases, yes. If you're planning to join a PPO and you want Medicare drug coverage (Part D), you must join a PPO plan that offers Medicare drug coverage. If you join a PPO plan without drug coverage, you can't join a separate Medicare drug plan.

Can you switch back from Medicare Advantage to regular Medicare?

Yes, you can elect to switch to traditional Medicare from your Medicare Advantage plan during the Medicare Open Enrollment period, which runs from October 15 to December 7 each year. Your coverage under traditional Medicare will begin January 1 of the following year.