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.
Our 5 Star Quality Rating for 2020 allows you to enroll eligible clients during the 5-Star Special Enrollment Period (SEP).
Learn more
Get quotes, process online enrollments and track enrollment status with our Agent Quote Tool
Get Sales Packets
E-mail us with your request and you should receive packets within 5 to 7 business days.
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 counties1.
Medicare Advantage Vital (HMO) - $28 per month
Medicare Advantage Essential (HMO) - $99 per month
Medicare Advantage Optimal (HMO) - $295 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month
Only available in King, Pierce and Thurston Counties
Medicare Advantage Key (HMO) – $0 per month
Northwest Counties Plans and Benefits
Plans available in Island, Skagit, and Whatcom counties.
Medicare Advantage Harbor (HMO) - $85 per month
Medicare Advantage Basic (HMO) No Part D - $40 per month
Spokane County Plans and Benefits
Plans available in Spokane county.
Medicare Advantage Centennial (HMO) - $0 per month
Medicare Advantage Columbia (HMO) - $99 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 Area 1 Rates and Benefits
Plans available in King, Pierce, and Thurston counties.
Medicare Advantage Key (HMO)
Medicare Advantage Vital (HMO)
Medicare Advantage Essential (HMO)
Medicare Advantage Optimal (HMO)
Medicare Advantage Basic (HMO)
Puget Sound Area 2 Rates 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)
Medicare Advantage Essential (HMO)
Medicare Advantage Optimal (HMO)
Medicare Advantage Basic (HMO)
Northwest Counties Rates and Benefits
Medicare Advantage Harbor (HMO)
Medicare Advantage Basic (HMO)
Plans available in Island, San Juan, Skagit, and Whatcom counties.
Spokane County Rates and Benefits
Medicare Advantage Centennial (HMO)
Medicare Advantage Columbia (HMO)
Medicare Advantage Basic (HMO)
Medicare Advantage HMO Dental Benefits (PDF)
HMO Service Area (PDF)
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.
Kaiser Permanente Medicare Sales support
Kaiser Permanente Medicare Sales support 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
Sales 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.
- Online enrollment through the Agent Quote 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 Quote Tool, or by sending them your individual sales URL and they complete their enrollment.
- Paper election forms
You can submit paper elections form to KPWA 3 ways:
- By mail to Kaiser Permanente Medicare Enrollment
PO Box 34255
Seattle, WA 98124-1255 - By Fax to 206-988-7543
- By encrypted email to KPWA.medicaremembership@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.
- By mail to Kaiser Permanente Medicare Enrollment
Note that Election forms must be submitted to KPWA within 24 hours of receipt by the agent.
Sales Resources
Provider Network
Kaiser Permanente doctors and providers
Formulary
Medicare Advantage (HMO) Part D drug formulary
Plan Documents
Annual Notice of Change, Evidence of Coverage, and Summary of Benefits
Medicare Advantage Group Retirees
For information on Group Retiree plans, contact Large Group Sales and Account Management.
For 2019 Medicare forms please visit our Forms and Resources page.
Certifications and Commissions
The Medicare Certification period for plan year 2020 has ended. More information on certifications or selling our Medicare Advantage plans can be found here.