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  1. GA
  2. Kaiser Permanente
  3. Plan

Kaiser Permanente Senior Advantage Liberty (HMO)

Medicare Plan Details (2023 Plan)

Monthly Premium

 

by Kaiser Permanente
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 5.0
out of 5 stars

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Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

Plan Details

$0
$0
$0
$0
$6,000 In-network
No
Yes
Yes
Yes
http://kp.org/directory
http://kp.org/medicare

Medical Benefits

Doctor Services

$0 copay
$0-40 copay per visit

Tests, labs, & imaging

$0-35 copay
$0-35 copay
$0-245 copay
$0-50 copay
$110 copay per visit (always covered)
$40 copay per visit (always covered)

Hospital Services

$295 per day for days 1 through 6
$0 per day for days 7 through 90
$0 per day for days 91 and beyond
$0-275 copay per visit

Skilled nursing facility

$0 per day for days 1 through 20
$196 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$225 copay

Therapy services

$40 copay
$40 copay

Mental health services

$20 copay
$40 copay
$20 copay
$40 copay

Opioid treatment services

Covered

Other services

0-20% coinsurance per item
20% coinsurance per item
$0 copay

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

$0-47 copay or 0-20% coinsurance
$0-47 copay or 0-20% coinsurance

Extra Benefits

Hearing

$40 copay
Not covered
Not covered
Not covered
Not covered

Preventive Dental

$0 copay
$0 copay
Not covered
$0 copay

Comprehensive dental

Not covered
$0 copay
$28-580 copay
Not covered
$0-400 copay
$22 copay
$420-480 copay

Vision

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
Not covered

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage

Health Plan Star Ratings

(government star ratings are out of 5 stars)
 5
 5
 5
 4
 5
 5

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 

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