MA-5-stars (1)

The Kaiser Permanente Medicare health plan in Washington has been highly rated for 13 consecutive years (2010–2022) and earned Medicare’s highest possible rating of 5 out of 5 Stars for 2022.*

Learn more about the 5-Star Special Enrollment Period (SEP).

*Every year, Medicare evaluates plans based on a 5-star rating system. Formerly Group Health Cooperative, which was acquired by Kaiser Permanente on February 1, 2017.

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Kaiser Foundation Health Plan of Washington Medicare Advantage HMO Plans

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 Enrollment
      PO Box 232407
      San Diego, CA 92193-9914
    2. By Fax to 1-855-355-5334
    3. 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.

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

Additional Plan Information

Forms, Policies, and Resources

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

2022 Medicare Forms

5 Star SEP FAQ (PDF)

2022 Plans and Benefits North Booklet (PDF)

2022 Plans and Benefits Puget Sound Booklet (PDF)

2022 Plans and Benefits Spokane Booklet (PDF)

Enrollment Form (PDF)

Guide to Medicare (PDF)

KPIF and Medicare Sales Contact Sheet (PDF)

Medicare Advantage HMO Optional Dental Benefits (PDF)

Nondiscrimination/MLI Notice (PDF)

Over-the-Counter Wellness Benefit (PDF)

Plan Summary Worksheet (PDF)

Pre-Enrollment Checklist (PDF)

Pre-Enrollment Kit Baseline Cover Letter (PDF)

Scope of Appointment Form (PDF)

Service Area Map (PDF)

Silver&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)