Kaiser Permanente Senior Advantage Value (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Kaiser Foundation Health Plan, Inc.
Plan ID: H9003-009-000
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
Oregon and Washington Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.
Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.
Learn more about Oregon and Washington Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.
Ground Ambulance:
Copayment for Ground Ambulance Services $250.00
Air Ambulance:
Copayment for Air Ambulance Services $250.00
Kaiser Permanente Senior Advantage Value (HMO-POS) covers a range of additional benefits. Learn more about Kaiser Permanente Senior Advantage Value (HMO-POS) benefits, some of which may not be covered by Original Medicare (Part A and Part B).
| Coverage | Details |
|---|---|
| Chiropractic services | In-Network: |
Outpatient Hospital Services:
Copayment for Medicare Covered Outpatient Hospital Services $0.00 to $210.00
Prior Authorization Required for Outpatient Hospital Services
Referral Required for Outpatient Hospital Services
Outpatient Observation Services:
Copayment for Medicare Covered Observation Services - Per stay $0.00 to $90.00
Prior Authorization Required for Outpatient Observation Services
Referral Required for Outpatient Observation Services
The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Dental care | In-Network: |
The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage
| Coverage | Details |
|---|---|
| Vision care | POS (Out-of-Network): |
The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Hearing care | In-Network: |
The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Preventive services and health/wellness education programs | In-Network: $0.00 copay for Medicare Covered Preventive Services: |
When reviewing Oregon and Washington Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.
You may be able to find plans in your part of Oregon and Washington that offer similar benefits at similar or lower prices than the plan above. Call 1-800-557-6059 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.
We represent carriers such as Humana, UnitedHealthcare ® , Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.