KAISER PERMANENTE 2022
True6or6False:6Kaiser6Permanente6offers6a6Medicare6Senior6Advantage6and6Medicare6A
dvantage6plan.6Both6plans6provide6members6with6a6comprehensive6set6of6benefits.6Thes
e6plan6offerings6are6based6on6the6Kaiser6Permanente6Market6service6area.6-6ans--True
Fill6in6the6blank.6Kaiser6Permanente6Senior6Advantage6is6a6_6plan.6-6ans--MAPD
Kaiser6Permanente6Washington6and6Mid-
Atlantic6States6offer6which6Medicare6Advantage6plans?6-6ans--
Both6Medicare6Advantage6with6and6without6Prescription6Drug6coverage.
KPSA6and6MA6members6are6expected6to6obtain6their6health6care:6-6ans--
Only6at6a6Kaiser6Permanente6or6contracted6health6care6facilities6or6pharmacies6(except6f
or6certain6urgent6care6and6emergency-related6services)
To6be6eligible6for6KPSA6and6MA6,6an6individual6must:6-6ans--
Be6entitled6to6Medicare6Part6A6and6enrolled6in6Medicare6Part6B
To6be6eligible6for6KPSA6and6MA,6an6individual6must:6-6ans--
Permanently6reside6within6the6KP6Medicare6service6area.
Advantage6plus6is6an6optional6supplemental6plan6that6-
6at6an6additional6monthly6premium.6-6ans--
Provides6extra6benefits6(such6as6vision,6dental,6and/or6hearing6coverage)
In6CA,6this6plan6is6named6the6Medicare6Medi-
Cal6plan.6Senior6Advantage6Special6Needs6Plan6members6who6lose6their6Medicaid6Statu
s6can6maintain6their6KP6membership6by6submitting6an6abbreviated6election6for6for6enroll
ment6into6the6Senior6Advantage6Individual6Plan.6
The6form6must6be6submitted6within6-6days.6-6ans--120
To6be6eligible6for6the6Senior6Advantage6Special6Needs6plan,6an6individual6must6already6
have6-.6-6ans--Both6Medicare6Part6A,6Part6B,6and6Medicaid
Individuals6with6Medicare6and6Medi-
Cal6qualifies6for6a6Special6Election6Period6and6can6enroll6or6disenroll6-.6-6ans--
Once6per6quarter6during6the6first636quarters6of6the6year.
At6Kaiser6Permanente,6--6apply6to6the6MOOP6(max6out6of6pocket)6-6ans--
all6Medicare6covered6services6(Parts6A&B)
True6or6False:6Kaiser6Permanente6offers6a6Medicare6Senior6Advantage6and6Medicare6A
dvantage6plan.6Both6plans6provide6members6with6a6comprehensive6set6of6benefits.6Thes
e6plan6offerings6are6based6on6the6Kaiser6Permanente6Market6service6area.6-6ans--True
Fill6in6the6blank.6Kaiser6Permanente6Senior6Advantage6is6a6_6plan.6-6ans--MAPD
Kaiser6Permanente6Washington6and6Mid-
Atlantic6States6offer6which6Medicare6Advantage6plans?6-6ans--
Both6Medicare6Advantage6with6and6without6Prescription6Drug6coverage.
KPSA6and6MA6members6are6expected6to6obtain6their6health6care:6-6ans--
Only6at6a6Kaiser6Permanente6or6contracted6health6care6facilities6or6pharmacies6(except6f
or6certain6urgent6care6and6emergency-related6services)
To6be6eligible6for6KPSA6and6MA6,6an6individual6must:6-6ans--
Be6entitled6to6Medicare6Part6A6and6enrolled6in6Medicare6Part6B
To6be6eligible6for6KPSA6and6MA,6an6individual6must:6-6ans--
Permanently6reside6within6the6KP6Medicare6service6area.
Advantage6plus6is6an6optional6supplemental6plan6that6-
6at6an6additional6monthly6premium.6-6ans--
Provides6extra6benefits6(such6as6vision,6dental,6and/or6hearing6coverage)
In6CA,6this6plan6is6named6the6Medicare6Medi-
Cal6plan.6Senior6Advantage6Special6Needs6Plan6members6who6lose6their6Medicaid6Statu
s6can6maintain6their6KP6membership6by6submitting6an6abbreviated6election6for6for6enroll
ment6into6the6Senior6Advantage6Individual6Plan.6
The6form6must6be6submitted6within6-6days.6-6ans--120
To6be6eligible6for6the6Senior6Advantage6Special6Needs6plan,6an6individual6must6already6
have6-.6-6ans--Both6Medicare6Part6A,6Part6B,6and6Medicaid
Individuals6with6Medicare6and6Medi-
Cal6qualifies6for6a6Special6Election6Period6and6can6enroll6or6disenroll6-.6-6ans--
Once6per6quarter6during6the6first636quarters6of6the6year.
At6Kaiser6Permanente,6--6apply6to6the6MOOP6(max6out6of6pocket)6-6ans--
all6Medicare6covered6services6(Parts6A&B)
