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New Participant Portal
You can enroll for the new Participant Portal experience. Click here for instructions on how to access the new Participant Portal.
Register for New Participant PortalRetiree Health Summary Plan Description
As of February 1, 2018
En Español (PDF)
This section modified by Amendment 11. View old language.
4.2 Kaiser Permanente HMO Plan
Medicare rules do not allow a Medicare-eligible Retiree to be enrolled in two Medicare at-risk health plans. This restriction also applies when you are covered under two health plans with the same benefit option. For example:
The Kaiser Permanente HMO features providers employed by Kaiser Permanente. Facilities are typically owned by Kaiser Permanente. To be eligible for benefits, you must utilize Kaiser Permanente providers and facilities.
The following plans are offered to Participants that choose the Kaiser Permanente HMO:
- Participant under age 65 will be covered under the Kaiser Permanente HMO with prescription drug coverage through the Kaiser Permanente HMO.
- Participants age 65 and over will be covered under the Kaiser Permanente Senior Advantage HMO with prescription drug coverage through the Kaiser Permanente Senior Advantage prescription drug plan.
To be eligible for coverage through the Kaiser Permanente HMO, the ZIP Code of your home must be within Kaiser Permanente's service area. To find out if you live in the Kaiser Permanente service area, call (800) 464-4000 or go to healthy.kaiserpermanente.org.
4.2 Kaiser Permanente HMO Plan
The Kaiser Permanente HMO features providers employed by Kaiser Permanente. Facilities are typically owned by Kaiser Permanente. To be eligible for benefits, you must utilize Kaiser Permanente providers and facilities.
The following plans are offered to Participants that choose the Kaiser Permanente HMO:
- Participants under age 65 will be covered under the Kaiser Permanente HMO with prescription drug coverage and vision benefits.
- Participants over age 65 will be covered under the Kaiser Permanente Senior Advantage HMO with prescription drug coverage, vision benefits and dental benefits.
To be eligible for coverage through the Kaiser Permanente HMO, the ZIP Code of your home must be within Kaiser Permanente's service area. To find out if you live in the Kaiser Permanente service area, call (800) 464-4000 or go to healthy.kaiserpermanente.org.
4.2.1 Kaiser Permanente Online
Kaiser Permanente Online, healthy.kaiserpermanente.org, is a confidential interactive site offering convenient services, instant information, and personal advice from health care professionals.
Some of the services available to you are:
- Schedule an appointment;
- Consult with a pharmacist;
- Join an online discussion;
- Locate Kaiser Permanente facilities;
- Research health education classes; and
- Get your own customized health assessment.