Why choose Medicare Advantage

Two women look at a doctor on a tablet

Now that you’ve learned about the 4 parts of Medicare and when to enroll, it’s time to consider which plan best fits your needs — Original Medicare or a Medicare Advantage plan.

Good health is essential, so finding a plan that supports your health, lifestyle, and budget is important. Consider your care needs and what your life may be like after you turn 65. You might want a plan that includes affordable prescription drug coverage and limits how much you spend out of pocket. From added benefits to more predictable costs, Medicare Advantage offers more than Original Medicare alone.

Medicare Advantage vs Original Medicare

Medicare Advantage (Part C) combines everything you get in Original Medicare (Part A and Part B) with other benefits, like prescription drug coverage. Medicare Advantage plans also have predictable costs with set copays, which can make it easier to plan your expenses.

You’ll need to enroll in Original Medicare with the federal government before you sign up for Medicare Advantage from a private health care provider. Then the private provider will become your primary insurer.

Get care designed to make your life easier — choose a Kaiser Permanente Medicare Advantage plan

With Kaiser Permanente, your doctor, specialists, and health plan all work together to make it easier for you to get care. And when you move your coverage to a Kaiser Permanente Medicare Advantage plan, you’ll get comprehensive care — at a great value.

You can count on:

  • Predictable costs and a fixed annual limit on your out-of-pocket costs
  • High-quality care from a doctor and care team that get to know you
  • The freedom to change to another available Kaiser Permanente doctor anytime
  • Convenient care options to make it easier to stay healthy

Value and affordability

Our Kaiser Permanente Medicare Advantage plans offer a wide range of care and flexible options to help you get coverage that fits your life and budget.

  • You get hospital care, medical services, and prescription drug coverage — all in one plan.
  • There’s no yearly deductible on hospital or medical services, and you’ll enjoy $0 copays for preventive care.
  • You’re covered for emergency and urgent care anywhere in the world.
  • You can get optional benefits, such as dental, hearing aids, and eyewear benefits for a small monthly fee when you add our Advantage Plus coverage.

Ease and convenience

It’s easier to stay healthy when getting care is simple. With a Kaiser Permanente Medicare Advantage plan, you can manage your health however it’s convenient for you:

  • Talk to your doctor or care team by phone or video from the comfort of home [See footnote 1].
  • See your doctor, get a lab test, and pick up prescriptions, all under one roof at most locations.
  • Order most prescription refills for home delivery.
  • Email nonurgent health questions to your doctor’s office and schedule routine appointments at kp.org and on the Kaiser Permanente app [See footnote 2].
  • View most test results and read your doctor’s notes anytime with 24/7 access to your health records [See footnote 3].

Quality and service

With high ratings from national organizations, you can feel confident in the care you'll receive as one of our members.

  • For the fifth year in a row, Kaiser Permanente is among the top-rated plans in every state we serve and the District of Columbia, according to the National Committee for Quality Assurance (NCQA). Of the 515 commercial health plans rated by the NCQA, we had 1 of only 2 plans in the nation to receive a 5 out of 5 rating — the highest possible rating for quality and service. [see footnote 4]
  • For 13 consecutive years, a Kaiser Permanente Medicare health plan has received the Pharmacy Quality Alliance’s (PQA) Excellence in Quality Award for achieving a high level of medication safety, quality, and appropriate use.* This award recognizes Medicare Advantage Drug Plans for achieving at least a 4.5-star Part D summary rating and a 5-star rating on all 5 PQA medication measures used in the 2023 Centers for Medicare & Medicaid Services Star Ratings program. [see footnote 5]
  • Kaiser Permanente took the top spot in Insure.com’s list of best health plans of 2023. The rankings are based on the National Committee for Quality Assurance’s annual health plan ratings as well as member surveys — and Kaiser Permanente was number one overall. [see footnote 6]

Insure.com also named us:

  • Best for customer satisfaction
  • Best for ease of service
  • Most likely to be recommended to others
  • Most trustworthy

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Footnotes

  1. When appropriate and available. Continue at [1] from the comfort of home
  2. When appropriate and available. Continue at [2] kp.org and on the Kaiser Permanente app
  3. These features are available when you get care from Kaiser Permanente facilities. To use the Kaiser Permanente app, you must be a member registered on kp.org. Continue at [3] 24/7 access to your health records
  4. *NCQA’s Medicare Health Insurance Plan Ratings 2023–2024, National Committee for Quality Assurance, 2023: Kaiser Foundation Health Plan of Colorado — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan of Georgia, Inc. — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan, Inc., of Hawaii — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan, Inc., of Northern California — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan of the Northwest — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan, Inc., of Southern California — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan of Washington — HMO (rated 4.5 out of 5). Continue at [4] - NCQA
  5. *“PQA Presents Quality Awards to Eight Medicare Plan Contracts for High Achievement in Medication Quality Measures,” PQAalliance.org, May 11, 2023. Continue at [5] PQA
  6. "Best Health Insurance Companies of 2023,” Insure.com, January 23, 2023. The rankings are based on the National Committee for Quality Assurance’s annual health plan ratings as well as member surveys. Continue at [6] Insure.com