Medicare Enrollment Materials Plan Documents – Medicare 2024 Special Enrollment Period (SEP)

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)

Summary of Benefits for Medicare Advantage High, Standard, and Value Balt and MD (HMO and HMO-POS).†
Also available in Spanish† (en español)

Summary of Benefits for Medicare Advantage High, Standard, and Value VA (HMO-POS).†
Also available in Spanish† (en español)

Summary of Benefits for Medicare Advantage Care Plus (HMO-POS).
Also available in Spanish† (en español)

Summary of Benefits for Medicare Advantage High, Standard, and Value DC (HMO-POS).†
Also available in Spanish† (en español)

Summary of Benefits for Medicare Advantage Liberty without Part D (HMO)†
Also available in Spanish† (en español)

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)

Maryland, Virginia, and Washington, DC

EOC for 2024 Kaiser Permanente Medicare Advantage High, Standard, and Value plans (HMO and HMO-POS) †
Also available in Spanish† (en español)

EOC for 2024 Kaiser Permanente Medicare Advantage Liberty Without Part D (HMO)†

EOC for 2024 Kaiser Permanente Medicare Advantage Care Plus plan (HMO-POS)†

Annual Notice of Changes (ANOC)

Maryland

(Anne Arundel, Calvert, Carroll, Charles, Frederick, Harford, Howard, Montgomery, and Prince George’s counties)

ANOC for 2024 Kaiser Permanente Medicare Advantage High MD (HMO-POS)†

ANOC for 2024 Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)†

ANOC for 2024 Kaiser Permanente Medicare Advantage Value MD (HMO)†

Enrollment form

Kaiser Permanente Medicare Advantage enrollment form English†—also in Spanish† (en español)

Advantage Plus 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† Provider directory updates†

Provider directory Spanish† Provider directory updates†

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.

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Attend a seminar

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Call to enroll

Call 1-866-975-7803 (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 and get you signed up right 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.

Medicare health plans

Enrollment materials

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

Summary of Benefits (SB)

Evidence of Coverage (EOC)

Maryland, Virginia, and Washington, DC

Annual Notice of Changes (ANOC)

Maryland

(Anne Arundel, Calvert, Carroll, Charles, Frederick, Harford, Howard, Montgomery, and Prince George’s counties)

Baltimore City/Baltimore County

Virginia

Washington, DC

Maryland, Virginia, and Washington, DC

Enrollment form

Notices

Formularies and directories

Ready to enroll?

Set up a personal appointment

Attend a seminar

Call to enroll

Enroll online

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