Medicare Advantage · HMO · 2027
Kaiser Permanente Medicare Advantage Basic (HMO)
At a glance: $106 monthly premium and $0 primary care visits.
This plan does not include Part D drug coverage. Before enrolling, confirm how your prescriptions will be covered. Read before you enroll
- Monthly premium
- $106
- Part B premium separate
- Yearly limit
- $4,200
- Most you’d pay for in-network care
- Vision
- $150/yr
- Vision eyewear allowance ($30 exam copay)
- Doctor visits
- $0
- Primary care · specialists $30
Check this plan for you
Referral needed to see a specialist
Add your doctors to see if they’re in this plan’s network.
- VisionEyewear allowance ($30 exam copay)Routine eye exam: $30 copay
- $150/yr
- DentalPreventive & comprehensive dental ($0 copay)
- Included
- HearingHearing exam ($30 copay)
- Included
- Fitness$0 fitness benefit
- Included
- TransportationNon-emergency transportation benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
Enter your ZIP code to see how you can enroll
Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
Before you enroll
Prescription coverage and who this plan may fit
This plan does not include Part D drug coverage
Who this type of plan may fit
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider (not this page) must tell you whether your current drug coverage is creditable.
Before you enroll
- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Costs and copays
Deductible, yearly limit, visits, hospital stays and drug coverage
- Medical deductiblePer year
- $0
- Drug coveragePart D
- Not included
- Yearly limitIn-network care, not counting drugs
- $4,200
- Primary doctorPer visit
- $0
- SpecialistPer visit · referral needed
- $30
- Hospital stayNo limit on covered hospital days
- Days 1-3: $270/day, Days 4-90: $0/day, then $0/day
- Inpatient mental healthHospital stay
- Days 1-3: $270/day, Days 4-90: $0/day
- Outpatient surgeryPer procedure
- $225
- Emergency roomPer visit
- $150
- Urgent carePer visit
- $30
Our take
Where this plan shines, and what to know
Where this plan shines
- This plan’s out-of-pocket maximum is below the national median.
- See your primary doctor for $0.
- No separate medical deductible.
- Highly rated by CMS (4.5 stars).
Things to know before you enroll
- You’ll need to use in-network providers except in emergencies.
- Limited coverage while traveling outside the plan’s service area.
- Does not include prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE.
- Late enrollment penalty risk if you go without creditable drug coverage for 63+ days.
Similar plans
Other Medicare Advantage plans offered in Washington
Browse the full 2027 Medicare Advantage without drug coverage directory. This plan is offered in Washington. Plan availability can vary by county.
More Medicare Advantage without drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- AARP Medicare Advantage Patriot No Rx WA-MA02 (HMO-POS)UnitedHealthcare · H3805-035Offered in Washington
- AARP Medicare Advantage Patriot No RX WA-MA02 (PPO)UnitedHealthcare · H2001-148Offered in Washington
- Aetna Medicare Eagle (HMO)Aetna Medicare · H3748-019Offered in Washington
- Aetna Medicare Eagle (PPO)Aetna Medicare · H5521-330Offered in Washington
- Humana USAA Honor Giveback (PPO)Humana · H5216-427Offered in Washington
- Humana USAA Honor Giveback (PPO)Humana · H5216-455Offered in Washington
Common questions
6 answers about this plan
What does Kaiser Permanente Medicare Advantage Basic (HMO) cover?
Kaiser Permanente Medicare Advantage Basic (HMO) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental (Preventive & comprehensive dental ($0 copay)), vision ($150/yr eyewear allowance ($30 exam copay)), hearing (Hearing exam ($30 copay)), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Kaiser Permanente Medicare Advantage Basic (HMO) cost in 2027?
The published 2027 monthly plan premium for Kaiser Permanente Medicare Advantage Basic (HMO) is $106. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The in-network medical out-of-pocket maximum is $4,200; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $30. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with Kaiser Permanente Medicare Advantage Basic (HMO)?
CMS lists Kaiser Permanente Medicare Advantage Basic (HMO) as a HMO plan. The plan record says specialist referrals are required. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes Kaiser Permanente Medicare Advantage Basic (HMO) include prescription drug coverage?
Kaiser Permanente Medicare Advantage Basic (HMO) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE. Confirm how your prescriptions will be covered before enrolling.
What extra benefits does Kaiser Permanente Medicare Advantage Basic (HMO) offer beyond Original Medicare?
The current plan record for Kaiser Permanente Medicare Advantage Basic (HMO) lists dental (Preventive & comprehensive dental ($0 copay)), vision ($150/yr eyewear allowance ($30 exam copay)), hearing (Hearing exam ($30 copay)), fitness ($0 fitness benefit), and transportation (Non-emergency transportation benefit). The current data does not list over-the-counter (OTC) and meals as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in Kaiser Permanente Medicare Advantage Basic (HMO)?
Kaiser Permanente Medicare Advantage Basic (HMO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Enter your ZIP code to see how you can enroll
Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
