Kaiser Permanente Medicare Advantage Plans (HMO)

Kaiser Permanente offers individual Medicare Advantage (HMO) plans to eligible Medicare members. Members can choose between plans with or without prescription drug benefits (known as Medicare Part D).

Kaiser Foundation Health Plan of Washington offers HMO plans in the following counties:

  • Grays Harbor (only in ZIP codes 98541, 98557, 98559, 98568)
  • Island
  • King
  • Kitsap
  • Lewis
  • Mason (only in ZIP codes 98524, 98528, 98546, 98548, 98555, 98560, 98584, 98588, 98592)
  • Pierce
  • San Juan
  • Skagit
  • Snohomish
  • Spokane
  • Thurston
  • Whatcom

Kaiser Permanente processes and pays for all covered Medicare managed care benefits for services rendered to eligible members.

Employer Group Plans and Medicare

Kaiser Permanente also offers Group Retiree Medicare Advantage plans to employer groups, such as federal and public employee retirees. Kaiser Permanente coordinates with Medicare for all authorized care per the employer coverage plan and Medicare benefits. For more information, refer to the "Payment for Services" section of your provider agreement.

Revised 10/07/2016

The Provider Manual is not intended for any use by any party other than as a resource for Kaiser Foundation Health Plan of Washington's contracted providers in fulfilling their obligations under provider contracts. Kaiser Permanente intends for the manual to be accurate for its intended purpose but doesn’t guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.