PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Kaiser Permanente
CMS Rating
Plan Type
AB) (Cost
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$7 copay$10 copay$7 copay
Tier 2: Non-Preferred Generic$28 copay$33 copay$28 copay
Tier 3: Preferred Brand Name$40 copay$45 copay$40 copay
Tier 4: Non-Preferred Brand Name$90 copay$95 copay$90 copay
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$21 copay$30 copay$14 copay
Tier 2: Non-Preferred Generic$84 copay$99 copay$56 copay
Tier 3: Preferred Brand Name$120 copay$135 copay$80 copay
Tier 4: Non-Preferred Brand Name$270 copay$285 copay$180 copay
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions
Not Rated

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) for District Of Columbia

/
OLIVER, JAMES
5422 1ST PL NW
WASHINGTON, DC 20011
MCGINTY, DANA
1208 CRITTENDEN ST NW
WASHINGTON, DC 20011
MYERS, LINDA
1407 RITTENHOUSE ST NW
WASHINGTON, DC 20011
PRIDDY, EUGENIA
1221 TAYLOR ST NW
WASHINGTON, DC 20011
AKHIGBE, EHIGIATOR
5413 ILLINOIS AVE NW
WASHINGTON, DC 20011
ASEFF, JOHN
102 IRVING ST NW
WASHINGTON, DC 20010
GRAHAM, AUTUMN
110 IRVING ST NW
WASHINGTON, DC 20010
BEAVERS, FREDERICK
106 IRVING ST NW
WASHINGTON, DC 20010
FRIES, MELISSA
106 IRVING ST NW STE 3800
WASHINGTON, DC 20010
ROBLES, ENRIQUE
106 IRVING ST NW
WASHINGTON, DC 20010
OCUIN, JAY
106 IRVING ST NW
WASHINGTON, DC 20010
YOCHELSON, MICHAEL
102 IRVING ST NW
WASHINGTON, DC 20010
LIU, AI-HSI
110 IRVING ST NW
WASHINGTON, DC 20010
ANDERSON, FELTON
106 IRVING ST NW
WASHINGTON, DC 20010
PAUL, BIKRAM
110 IRVING ST NW
WASHINGTON, DC 20010
JENG, JAMES
110 IRVING ST NW
WASHINGTON, DC 20010
ANTWI-DONKOR, ERIC
106 IRVING ST NW
WASHINGTON, DC 20010
KODGI, MALADY
110 IRVING ST NW
WASHINGTON, DC 20010
RHODES, LEEANN
7257 HANOVER PKWY STE B
GREENBELT, MD 20770
DOWNING, DAVID
106 IRVING ST NW
WASHINGTON, DC 20010
DEEB, ZIAD
110 IRVING ST NW
WASHINGTON, DC 20010
CHIA, STANLEY
110 IRVING ST NW
WASHINGTON, DC 20010
CHERIAN, ZACHERIA
110 IRVING ST NW
WASHINGTON, DC 20010
GHASEMIAN, SEYED
110 IRVING ST NW
WASHINGTON, DC 20010
GOMEZ-LOBO, VERONICA
110 IRVING ST NW
WASHINGTON, DC 20010
Details
JAMES OLIVER, M.D.
Phone Number
(202) 882-8866
Office Locations
5422 1ST PL NW
WASHINGTON, DC 20011
5422 1ST PL NW WASHINGTON DC, 20011

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