Enrollment materials

Click on the links below for detailed information about Kaiser Permanente’s Medicare health plans.

Medicare plan rating sheet.
Also available in Spanish† (en español)

Pre-Enrollment Checklist
Also available in Spanish†​ (en español)

Summary of Benefits (SB)

Note: If you have health care coverage through an employer or trust fund, please contact your benefits administrator for information about your group plan. ​

Evidence of Coverage (EOC)

Annual Notice of Changes (ANOC)

Enrollment form

Notices

Nondiscrimination notice† Also available in Spanish† (en español)

Multi-language interpreter service

Formularies and directories

Medicare Part D comprehensive formulary

Also available in Spanish (en español)† 

Provider directory English

Pharmacy directory English

Pharmacy directory Spanish

†You will need the free Adobe Acrobat Reader to read this file. Kaiser Permanente is not responsible for the content or policies of external Internet sites. Details.

Concerned about affording coverage? We may be able to help.

Ready to learn more?

Set up a personal appointment

Connect with a licensed Kaiser Permanente Medicare specialist in your area, on your schedule. Simply complete the form (click or tap to open)​ and we’ll contact you to set up an appointment.

Attend a seminar

Find a seminar in your area to learn more about our Kaiser Permanente Medicare health plans.

Call to learn more

Call 1-855-357-5101, (TTY 711) to speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a.m. – 8 p.m. They will walk you through your options over the phone.

Enroll online

Enrolling in our Medicare Advantage Plans online is simple. Click or tap to be taken to our enrollment site,​ answer a few questions, and you’re done.
You are leaving this website and going to the Kaiser Permanente Medicare health plan enrollment site.

After clicking “Let’s go” below, please enter your ZIP code, then click the “Search for plans” button, and then click on the plan you want to enroll in.

You are leaving this website and going to the Kaiser Permanente Medicare health plan enrollment site.

After clicking “Let’s go” below, please enter your ZIP code, then click the “Search for plans” button, and then click on the plan you want to enroll in.

Contact Information

Please fill out your contact information below

Name
Address
Best time to call

By completing this form, you are agreeing that a Kaiser Permanente sales representative may contact you to discuss Kaiser Permanente Medicare Advantage (HMO and HMO-POS) plan options for 2025. You are agreeing that a sales representative may contact you even if your telephone number or email address is on our Do Not Contact List.