Switch to the region’s leading health system1 for flexible coverage with highly skilled doctors and 24/7 access. You’ll experience convenient access to care with both in-person visits and a variety of telehealth options like video visits2, 24-7 phone advice, and Mail Order Pharmacy3 that keeps you on top of your care from anywhere.
This plan offers a $1,500 allowance4 to see a licensed physician of your choosing outside of our network. You’ll also have the One Pass® fitness program that includes membership to any participating gym, on-demand workouts, digital fitness programs, and one fitness kit annually for strength, yoga, or dance. In addition to One Pass, you’ll also receive a $400 annual fitness allowance to support a fun, healthy lifestyle.
Covered items include:
• Personal training fees • Fitness class fees not covered by basic One Pass® membership (e.g., yoga, Pilates) • Additional class fees within the One Pass network that exceed the basic One Pass membership (e.g., power cycling) • Out-of-network fitness center fees (e.g., gyms, fitness studios, climbing gyms) • Racket club memberships (e.g., tennis, pickleball)
For more information, please call 1-800-824-5840 (TTY 711), 9 a.m. to 10 p.m.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
1 In the survey Best Health Insurance Companies of 2025 by Insure.com, Kaiser Permanente as a national enterprise is tied for #1 overall among 65 competitors. In the NCQA Medicare Health Plan Ratings 2025, our Medicare plan is rated 4.5 out of 5, the highest rating in the region. The Mid-Atlantic Permanente Medical Group operates in the Washington, DC, and Baltimore areas and exclusively treats Kaiser Permanente members. Permanente doctors are recognized as Top Doctors in Arlington Magazine (2025), Bethesda magazine (2025), Northern Virginia Magazine (2025), Washingtonian magazine (2024), and Baltimore magazine (2024).
2 When appropriate and available. If you travel out of state, phone appointments and video visits may not be available in select states due to licensing laws. Laws differ by state.
3 Some medications are not eligible for Mail Order Pharmacy. Mail Order Pharmacy can deliver to addresses in MD, VA, DC, and certain locations outside the service area.
4 Members are responsible for any charged amounts for covered services that exceed the annual allowance maximum of $1,500. Coverage limited to inside the United States and its territories. This benefit covers limited services. See your Evidence of Coverage for details. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
5 NCQA Medicare Health Plan Ratings 2025.
6 The physicians who practice at Kaiser Permanente are recognized as Top Doctors in Arlington Magazine (2025), Bethesda magazine (2025), Northern Virginia Magazine (2025), Washingtonian magazine (2024), and Baltimore magazine (2024).
7 With 50% coinsurance. Dental benefits are underwritten by Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., and administered by LIBERTY Dental Plan. To find an in-network dentist, call 1-888-650-1859 or visit LibertyDentalPlan.com/kaiserdentists.
8 Please refer to your Evidence of Coverage for details. OTC benefits may change each year on January 1. Any unused portion of the benefit limit will not carry forward to the next benefit period. Any unused amounts are forfeited upon disenrollment from our plan. The cost of eligible OTC items will be covered up to the balance available on your card. If there is a remaining amount to pay, you must use another form of payment.
9 Hearing aid allowance can only be used for hearing aids purchased at Kaiser Permanente audiology centers.
10 One Pass® is a registered trademark of One Pass Solutions, Inc. in the U.S. and other jurisdictions and is a voluntary program. The One Pass program and amenities vary by plan, area, and location. The information provided under this program is for general informational purposes only and is not intended to be nor should be construed as medical advice. One Pass is not responsible for the services or information provided by third parties. Individuals should consult an appropriate health care professional before beginning any exercise program and/or to determine what may be right for them.
Concerned about affording coverage? We may be able to help.
Connect with a licensed Kaiser Permanente Medicare specialist in your area, on your schedule. Simply complete the form (click or tap to open) and we’ll contact you to set up an appointment.
Find a seminar in your area to learn more about our Kaiser Permanente Medicare health plans.
Kaiser Permanente is an HMO and HMO-POS 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.
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