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Y0043_N00006187 approved
SKU 60599618
This page was last updated: October 15, 2017 at 12 a.m. PT
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The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year, and for group members, at other times in accord with your group’s contract with us.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.
You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll.
In California, Maryland and the District of Columbia, Kaiser Permanente is an HMO plan and a Cost plan with a Medicare contract. In Hawaii, Oregon, Washington, Colorado, and Georgia, Kaiser Permanente is an HMO plan with a Medicare contract. In Virginia, Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.
At sales meetings, a sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings, call 1-877-220-3956 (toll free) or TTY 711. Calling this number will direct you to a licensed sales specialist.
†Kaiser Permanente is not responsible for the content or policies of external Internet sites.
Y0043_N00006187 approved
SKU 60599618
This page was last updated: October 15, 2017 at 12 a.m. PT
