Kaiser Permanente Medicare Advantage Plans in San Diego

Kaiser Permanente has a consistent track record of providing quality care at a great price for over 25 years. Handle all of your needs with one group that manages your entire process. Kaiser has mastered this process.

Kaiser’s goal has always been to save money and pass those savings onto you, the patient. Kaiser has proven year after year that they are dedicated to providing quality care through their in-house services.

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Why Choose Kaiser Permanente for Medicare in San Diego

Read 3 top reasons to choose Kaiser Permanente for Medicare. Contact us and we will help you decide if this is the right plan for you. Don’t do it alone, we can help!

1. All of Your Care Handled by Kaiser

Kaiser has the ability to cover all of your needs without asking for any help from additional facilities or doctors. Kaiser has proven that it is easier to take care of everything instead of creating networks of doctors and confusing loopholes. Kaiser is capable of providing for you no matter your circumstances.

 

2. Minimize Your Out of Pocket Expenses

Kaiser offers just a single Medicare Advantage HMO but it is robust with benefits. You’ll spend very little on your premium and very little on the care you do receive. With Kaiser, you can be confident you can proceed with any medical treatment without worrying about your out of pocket costs.

 

3. Kaiser Makes Care Easy

Kaiser has always made getting your medical care easy and quick. Kaiser allows you to switch your doctors and book appointments the day of your needs. With facilities all over San Diego, you’ll always have access to quality care.

Additional Benefits for Kaiser Medicare Enrollees

Not all plans have these benefits but our team can help you find the right plan with the best additional benefits for you. 

Emergency Response

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When you sign up for this service, you are given a transmitter, which is usually worn around your neck or wrist. When you need urgent medical care, you activate the transmitter, and PERS automatically calls an emergency response center for help.

Dental Benefits

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Enhance your health and well–being by combining the affordable benefits of Advantage Plus with your Kaiser Permanente Senior Advantage (HMO) plan. For only a few dollars a month, you’ll have the opportunity to add a dental insurance plan.

Vision Benefits

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Kaiser offers allowance toward prescription eyeglasses or contact lenses. You’ll have no charge for Medicare-covered eyewear after a cataract surgery as well.

Hearing Aids Benefits

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Kaiser offers hearing aids benefits to help you stay on top of your hearing health. Take advantage of this benefit.

Telehealth Services

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Kaiser offers 24/7 access to medical help. You can visit a doctor on the phone or through a virtual visit on your phone or computer. Be confident you can always get the services you need when you need them.

All Needs - One Facility

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With Kaiser, you can receive your hospital care, medical services, and prescription drug coverage all within one visit to a single facility. Kaiser facilities offer robust services and you will have access to all of it.

Silver&Fit® Fitness

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The Silver&Fit® Healthy Aging and Exercise Program offers fitness memberships to a national network of 14,000+ fitness centers at no additional cost. Members can receive up to 2 home fitness kits per plan year from 35 unique options.

Bundled Prescription Drug Coverage

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Kaiser’s Medicare Advantage Plans bundle prescription drug coverage all in the same plan. Kaiser has done a wonderful job negotiating with drug companies and you’ll often receive your drugs at the best price on the market.

Medicare Plans from Kaiser Permanente

Click the tab to read more about each of these plan variations.

Kaiser Permanente Advantage Plan (HMO)

Kaiser’s Advantage HMO plan is a great solution for anyone who simply wants to visit Kaiser for their care. Kaiser is a staple here in San Diego with locations that are convenient for anyone.

Kaiser recently finished developing their new hospital on Clairemont Mesa Blvd which is centrally located for North County and those closer to downtown. Kaiser has continued to excel as a Medicare provider and you’ll have access to all your care at one low price.

You have the option to add dental, hearing aid, and eyewear benefits to your Kaiser Permanente Advantage plan. It is in fact very affordable. You get all of your health benefits in one convenient package. You can save time and money by eliminating the need to shop around for dental care, hearing aid, and eyewear benefits separately.

You’ll receive just a single bill for both your Advantage Basic or Advantage Plus coverage. It is one more way that Kaiser can help you live a more vibrant life.

Insurance carriers pay brokers like us to help you enroll in your Medicare plans.

So you can enroll with a professional free of charge!

Kaiser Permanente offers Medicare Advantage plans that deliver more value than Original Medicare

Original Medicare doesn’t cover all expenses.

Original Medicare (Parts A and B together) only covers about 80% of hospital and medical expenses. You might have to pay the remaining 20% out of pocket and purchase a stand-alone prescription drug plan. With Kaiser Permanente’s Medicare Advantage plans, you get Parts A and B, plus Part D prescription drug coverage, and additional optional benefits, such as vision, dental, and hearing.

Kaiser Permanente offers hospital care, medical services, and prescription drug coverage, all with the convenience of one plan.

Ways

 

5 ways Kaiser can simplify your Medicare health plan coverage:

1. Peace of mind: You’ll have $0 copays for preventive care and a limit on your annual out-of-pocket expenses. You will always feel comfortable getting routine care without worrying about your portion of the costs.

2. Simplicity: Hospital care, medical services, and prescription drug coverage are all included in one plan. Kaiser offers a solution for all of your medical needs under one insurance and medical provider.

3. Choice: Choose the doctor who’s right for you. All of our available doctors and specialists are welcome to Kaiser Medicare health plan members.

4. Convenience: Access care your way with doctor visits by phone, email, or video. Kaiser understands that access to care can be more important than anything because easy access to care prevents chronic illness.

5. Care: Your doctors, nurses, and specialists work together to support your total health and well-being. Kaiser as an organization has built a reputaiton for caring about each individual’s health and progress.

“We are proud to be a local Medicare business who is able to assist the people in our town when selecting Medicare plans. Ask us anything!”

Keaton & Alexa Marks

FAQS – Kaiser Medicare Plans

  • Medicare Enrollment
  • Medicare Eligibility
  • General Plan Info
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  • 1. How do I get my Medicare Number?
     

    After you enroll in Original Medicare, you'll receive your Medicare number in the mail. This can take up to 3 weeks for the Social Security Office to process your application and send you your Medicare number.

    You can also login to your social security account and view your Medicare number there.

    Enroll in Original Medicare here: https://www.ssa.gov/benefits/medicare/

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  • 2. Should I enroll in Medicare by myself or with the help of a broker?
     

    I encourage you to enroll with the help of a Medicare broker like HealthyMarks Medicare. Although you can do it alone, there are no drawbacks to working with a broker. Our expertise and experience will prove valuable to you during the enrollment process and during your ongoing coverage. The services offered by our team are free to you because insurance companies have agreed to pay commissions to brokers to help people like you enroll.

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  • 3. What’s the difference between Medicare and Medicaid?
     

    Medicare is a federal government-sponsored healthcare program for those 65 and over, and for younger people who are disabled.

    Medicaid, or Medi-Cal in California, is a healthcare program for low-income individuals who could not otherwise afford health insurance.

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  • 4. Should I stick with my Large Group Employer health insurance policy or switch to Medicare?
     

    Large Group Employers have access to health insurance plans that the rest of us do not. Many of the large group plans have what is called “Composite Rating.” Or in other words, these plans do not get more expensive when you get older. You will pay the same as a younger employee.

    Because of this, some of these large group employer plans are competitive with the Medicare plans in San Diego.

    You should evaluate both and select the better insurance plan.

    To learn more about comparing Medicare plans, click here.

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  • 5. Should I still switch to Medicare even if my family is covered by my insurance plan?
     

    Having a spouse as a dependent on your group insurance plan may impact whether or not you switch to Medicare. When you enroll in Medicare, your spouse can then enroll in his/her own individual market health insurance plan because losing insurance is a “qualifying event” to switch to a new plan. However, maybe your spouse doesn’t want to make that switch or your employer is contributing towards both you and your dependent’s insurance premiums. In this scenario, consider speaking with a HealthyMarks professional for a Plan Evaluation.

    You should evaluate both options and select the better option for you and your family.

    To learn more about the evaluation of group insurance vs Medicare, click here.

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  • 6. Should I stick with my group health insurance policy or should I switch to Medicare?
     

    Typically, Medicare pricing is much better than what is available to employees through their work. Medicare plans are generally much less expensive because the government is helping pay the monthly premium. Furthermore, these Medicare plans are very well received by the members who enroll in them. Members often experience less out of pocket expenses when on Medicare.

    You should evaluate both options and select the better insurance plan.

    To learn more about the evaluation of group insurance vs Medicare, click here.

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  • 7. Should I stick with my current Individual Health Insurance policy or switch to Medicare?
     

    Typically, Medicare pricing is much better than what is available to employees through their work or what is available on the individual market. Medicare plans are generally much less expensive because the government is helping pay the monthly premium. Furthermore, these Medicare plans are very well received by the members who enroll in them. Members often experience less out of pocket expenses when on Medicare.

    You should evaluate both and select the better insurance plan.

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  • 8. Should I switch to Medicare or Should I stay with the insurance I currently have in San Diego?
     

    Typically, Medicare pricing is much better than what is available to employees through their work or what is available on the individual market. Medicare plans are generally much less expensive because the government is helping pay the monthly premium. Furthermore, these Medicare plans are very well received by the members who enroll in them. Members often experience less out of pocket expenses when on Medicare.

    You should evaluate both and select the better insurance plan.

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  • 1. If I am Medi-Cal eligible, are there certain Medicare plans that I should look at?
     

    Yes, there are special plans for people who are both Medicare and Medi-Cal eligible. These individuals are considered "dual eligible". You can check your eligibility status here.

    For example, SCAN offers the Scripps Plus Advantage plan in San Diego. "Scripps Plus with Medicare and Full Medi-Cal Eligibility" offers the plan at a better monthly premium compared to "Scripps Plus with Medicare Only".

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  • 2. When am I eligible for Medicare?
     

    You are eligible for Original Medicare Parts A + B if you are at least 65 years old.

    … or if you are under 65 and specially qualify because of a disability.
    … and you are a U.S. Citizen or legal resident.
    … and you have been living in the United States for at least 5 years straight.

    Learn more about your eligibility for Medicare here.

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  • 3. Am I able to enroll in Medicare at any point of the year?
     

    No, there are certain times when you are eligible to enroll in Medicare

    Your Initial Enrollment Period or IEP is 7 months long. This period includes your birthday month, the 3 months prior to your birthday month, and the 3 months after. During this time you can enroll in any Medicare product.

    Open Enrollment is your other option to enroll or switch plans. The Open Enrollment Period last from October 15 to December 7 each year. You can join, switch, or drop a plan. Your coverage will begin on January 1.

    The Medicare Advantage Open Enrollment Period is from January 1 to March 31 each year. if you’re enrolled in a Medicare Advantage Plan, you can switch to a different Medicare Advantage Plan or switch to Original Medicare (and join a separate Medicare drug plan) once during this time. Note: You can only switch plans once during this period.

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  • 1. Can I get dental, vision, and hearing insurance coverage through Medicare?
     

    Yes, when you enroll in Medicare, you will have the opportunity to pair additional benefits like dental insurance, vision insurance, and hearing aids.

    Many Advantage plans offer these additional benefits at no additional cost while Supplement plans often require you to pay extra for these additional benefits.

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  • 2. Do I get access to SilverSneakers when I enroll in Medicare?
     

    In San Diego, Anthem, Aetna, Blue Shield, and SCAN all offer Silver Sneakers as a free benefit for their Medicare members.

    Some carriers offer a different fitness package. Take a look here for a detailed breakdown of each carrier's fitness offering.

    UnitedHealthcare® has their own gym and wellness package called “Renew Active.”

    Kaiser has a similar program called “Active&Fit” built for Kaiser’s Medicare members.

     

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  • 3. Should I pair my Original Medicare with a Supplement Plan or Advantage Plan?
     

    Yes. You should absolutely pair your Original Medicare Plan with additional coverage. You will have more complete coverage if you pair it with a Supplement or Advantage Plan. 

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  • 4. What is the IRMAA Extra Premium Charge for Higher Earners?
     

    IRMAA stands for income-related monthly adjustment amount and is an additional amount that some people might have to pay along with their Medicare premium.

    The Medicare Income-Related Monthly Adjustment Amount (IRMAA) is an amount you may pay in addition to your Part B or Part D premium if your income is above a certain level. If you are a higher earner, you will likely pay more for your Medicare plans.

    Click here to learn more about IRMAA and how to avoid it.

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  • 5. Do I get a free gym membership when I enroll in Medicare?
     

    Many carriers offer a fitness package to their Medicare members. Take a look here for a detailed breakdown of each carrier's fitness offering.

    In San Diego, Anthem, Aetna, Blue Shield, and SCAN all offer Silver Sneakers as a free benefit for their Medicare members.

    UnitedHealthcare® has their own gym and wellness package called “Renew Active.”

    Kaiser has a similar program called “Active&Fit” built for Kaiser’s Medicare members.

     

    More

Some of Kaiser’s Medicare Facility Locations in San Diego

Kaiser Permanente San Diego Medical Center

Kaiser Permanente Zion Medical Center

Palomar Medical Center Escondido

San Marcos Medical Offices

Insurance carriers pay brokers like us to help you enroll in your Medicare plans.

So you can enroll with a professional free of charge!