Medicare Advantage

Our Medicare Advantage (HMO) health plans combine both care and coverage. As a care provider and a health plan, we work to ensure our mutual clients have the best experience both as a plan member and a patient.

The Kaiser Permanente Medicare health plan in Washington has been highly rated for 14 consecutive years (2010–2023).1
Learn more about representing our plans.

1 Every year, Medicare evaluates plans based on a 5-Star rating system.

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Kaiser Foundation Health Plan of Washington Medicare Advantage HMO Plans

Puget Sound Region Plans and Benefits

Plans available in King, Kitsap, Lewis, Pierce, Snohomish, and Thurston counties, and parts of Grays Harbor and Mason counties.1

Medicare Advantage Vital (HMO) - $29 per month
Medicare Advantage Essential (HMO) - $99 per month
Medicare Advantage Optimal (HMO) - $296 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month

Only available in King, Kitsap, Pierce, Snohomish, and Thurston Counties

Medicare Advantage Key (HMO) – $0 per month

North Counties Plans and Benefits

Plans available in Island, Skagit, and Whatcom counties.
Medicare Advantage Harbor (HMO) - $49 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month
Medicare Advantage Anchor (HMO) - $0 per month - Whatcom and Skagit counties only
Medicare Advantage Key (HMO) - $0 per month - Island county only

Spokane County Plans and Benefits

Plans available in Spokane County.
Medicare Advantage Centennial (HMO) - $0 per month
Medicare Advantage Columbia (HMO) - $49 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month

1. Grays Harbor County service area ZIP codes: 98541, 98557, 98559, 98568. Mason County service area ZIP codes: 98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592.

Puget Sound Region Plans and Benefits Highlight Chart (PDF)

Plans available in King, Kitsap, Lewis, Pierce, Snohomish, and Thurston counties, and parts of Grays Harbor and Mason counties.1

Medicare Advantage Vital (HMO) - $29 per month
Medicare Advantage Essential (HMO) - $99 per month
Medicare Advantage Optimal (HMO) - $296 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month

Only available in King, Pierce, Snohomish, and Thurston Counties

Medicare Advantage Key (HMO) – $0 per month

Northwest Counties Plans and Benefits Highlight Chart (PDF)

Plans available in Island, Skagit, and Whatcom counties.
Medicare Advantage Harbor (HMO) - $49 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month
Medicare Advantage Anchor (HMO) - $0 per month - Whatcom and Skagit counties only
Medicare Advantage Key (HMO) - $0 per month - Island county only

Spokane County Plans and Benefits Highlight Chart (PDF)

Plans available in Spokane County.
Medicare Advantage Centennial (HMO) - $0 per month
Medicare Advantage Columbia (HMO) - $49 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month

1. Grays Harbor County service area ZIP codes: 98541, 98557, 98559, 98568. Mason County service area ZIP codes: 98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592.

Medicare Sales Producer Support

The Medicare Sales Producer Support team is available to answer questions regarding the following topics:

  • Medicare Certification and Training
  • Book of Business questions
  • Client eligibility
  • Client enrollment status
  • Plan quotes and benefits
  • Sales kit requests
  • Producer of Record changes
  • Online Quoting Tool

Medicare Sales Producer Support can be reached at 1-800-581-8252 or via email at KPWA.Medicare@kp.org.

Note: Please do not send Medicare Advantage elections forms to this email address.

Kaiser Permanente Medicare Advantage Quotes and Enrolling

Medicare Advantage enrollment can be submitted either online or via a paper Election form.

  1. Online enrollment through the Agent Quoting Tool

    This is the preferred method of submission for both timeliness and accuracy. You can either assist your clients in completing their enrollment online through our producer Quoting Tool, or by sending them your individual sales URL, where they complete their enrollment.

  2. Paper election forms

    You can submit paper elections form to KPWA 3 ways:

    1. By mail to Kaiser Permanente – Medicare Unit
      P.O. Box 23240
      San Diego, CA 92193-2400
    2. By Fax to 1-855-355-5334
    3. By email to KPMedicareEnrollments@kp.org

      Enrollment forms submitted via email must be encrypted. If you’re unable to meet this email requirement, please use one of the alternate forms of submission listed above.

Note that Election forms must be submitted to KPWA within 24 hours of receipt by the agent.

Sales Resources

Plan Documents

ANOCs, EOCs, SBs, and provider directories

Pharmacy and Prescription Drugs

Part D Formulary, Extra Help Premium Summary, MTM Program and more

Provider Network

Kaiser Permanente doctors and providers

Member Support Center

Forms and Publications

Claims reimbursement FAQ and forms

Medicare Advantage Group Retirees

For information on Group Retiree plans, contact Large Group Sales and Account Management or visit our Group Medicare page.

Certifications and Commissions

Completion of the annual Kaiser Permanente Washington Medicare certification program is required to represent our Medicare health plans.

Learn more

2023 Medicare Forms

Benefits at a Glance – North (PDF)

Benefits at a Glance – Puget Sound (PDF)

Benefits at a Glance – Spokane (PDF)

Enrollment Form (PDF)

Guide to Medicare (PDF)

Medicare Advantage HMO Optional Dental Benefits (PDF)

OTC Wellness Benefit (PDF)

Plan Summary Worksheet (PDF)

Plans and Benefits North Booklet (PDF)

Plans and Benefits Puget Sound Booklet (PDF)

Plans and Benefits Spokane Booklet (PDF)

Pre-Enrollment Checklist (PDF)

Pre-Enrollment Kit Baseline Cover Letter (PDF)

Scope of Appointment Form (PDF)

Service Area Map (PDF)

Silver and Fit Flyer (PDF)

Star Rating Flyer (PDF)

Summary of Benefits – Basic (HMO) (PDF)

Summary of Benefits – Centennial and Columbia (HMO) (PDF)

Summary of Benefits – Harbor and Anchor (HMO) (PDF)

Summary of Benefits – Key (HMO) (PDF)

Summary of Benefits – Vital, Essential, Optimal (HMO) (PDF)