2014 Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) H0524-032 By Kaiser Permanente

Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) By Kaiser Permanente



Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Kaiser Permanente. This plan from Kaiser Permanente works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Kaiser Permanente and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.



2014 Medicare Advantage Plan Details

Plan Name:
Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
Plan ID:
H0524-032
Provider: Kaiser Permanente
Plan Year:2014
Plan Type: Local HMO
Monthly Premium C+D: $76.00
MOOP: $5,900


Coverage Area for Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)

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COMPARE AND SAVE ON MEDICARE INSURANCE




The Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) H0524-032 is available to residents in California, and has a in-network Maximum Out-of-Pocket limit of $5,900 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $5,900 This is a very nice safety net. This plan includes additional Medicare prescription drug (Part-D) coverage.

Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. You will need your PCPs okay, called a referral. Without getting a referral or services received from out-of-network providers are not typically covered by the plan.



Ratings for Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) H0524

2014 Overall Rating
Part C Summary Rating
Total Experience Rating
Complaints, Improvements
Total Customer Service Rating
Total Preventative Rating
Chronic And Long Term Care


Member Experience Rating for Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)

Total Experience Rating
Getting Needed Care
Timely Care and Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination


Member Complaints, Problems Getting Service and Improvements in Health Plans

Total Rating
Members Leaving the Plan
Complaints about Health Plan
Access to Service
Performance Problems
Health Plan Quality Improvement


Customer Service Rating for Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center


Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancel Screening
Cardiovascular Screening
Diabetes Care
Glaucoma Testing
Annual Flu Vaccine
Improving Physical
Improving Mental Health
Monitoring Physical Activity
Adult BMI Assessment


Ratings For Managing Chronic And Long Term Care

Total Rating
Medication Review
Functional Status Assessment
Pain Screening
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Diabetes Care - Cholesterol
Controlling Blood Pressure
Rheumatoid Arthritis
Improving Bladder Control
Reducing Risk of Falling
Plan - Cause Readmissions


Part-C Premium

Kaiser Permanente plan charges a $76.00 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.



Part-D Deductible and Premium

The Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) plan has a monthly drug premium of $0.00 and a $0.00 drug deductible. This Kaiser Permanente plan offers a $0.00 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Kaiser Permanente above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0.00. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.



Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%.



Part C Premium: $76.00
Part D (Drug) Premium: $0.00
Part D Supplemental Premium $0.00
Total Part D Premium: $0.00
Drug Deductible: $0.00
Tiers with No Deductible: 0
Benchmark: not below the regional benchmark
Type of Medicare Health Plan: Enhanced Alternative
Drug Benefit Type: Enhanced
Full LIS Premium: $0.00
75% LIS Premium: $0.00
50% LIS Premium: $0.00
25% LIS Premium: $0.00
Inital Coverage Limit:$2850
Gap Coverage: All Generics, Few Brands


Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plan's cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This Kaiser Permanente plan offers All Generics, Few Brands through the gap. Few means 0% to 10% of the formulary drugs are covered if your are in the gap and must also be greather then 15 "brand" products covered through the gap.



Source: CMS.

Plans as of September 3, 2013.

Star Rating as of September 27, 2013.

For More Information on Ratings Please See the CMS Tech Notes Here.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.