PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Kaiser Permanente
CMS Rating
Plan Type
HMO
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$6 copay$6 copay$6 copay
Tier 2: Non-Preferred Generic$10 copay$10 copay$10 copay
Tier 3: Preferred Brand Name$45 copay$45 copay$45 copay
Tier 4: Non-Preferred Brand Name$95 copay$95 copay$95 copay
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$18 copay$18 copay$12 copay
Tier 2: Non-Preferred Generic$30 copay$30 copay$20 copay
Tier 3: Preferred Brand Name$135 copay$135 copay$90 copay
Tier 4: Non-Preferred Brand Name$285 copay$285 copay$190 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
Care for older adults – functional status assessment
Care for older adults – Pain screening
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

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 Senior Advantage Silver (HMO) for Colorado

/
GARRETT, RAYMOND
1930 S FEDERAL BLVD
DENVER, CO 80219
DURBIN, ROY
1930 S FEDERAL BLVD
DENVER, CO 80219
AMUNDSON, JEFFREY
205 S GARRISON ST
LAKEWOOD, CO 80226
ZIOURAS, JENNIFER
2500 S HAVANA ST
AURORA, CO 80014
SHULL, HEATHER
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
LACKEY, MARGARET
9808 W CEDAR AVE
LAKEWOOD, CO 80226
KNIGHT, MIRNA
7444 W ALASKA DR
LAKEWOOD, CO 80226
WESTLEY, CHARLES
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
LANE, JOHAN
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
ADAMS, JAMES
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
GLASSER, EDWARD
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
WILSON, KAREN
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
SORRELLS, TIMOTHY
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
LEE, LI-FEN
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
LIEN, CHIA-YEN
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
COHEN, JULIE
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
RYAN-CEBULA, SHANNON
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
PANTER, NANCY
8015 W ALAMEDA AVE
LAKEWOOD, CO 80226
SCHINDEL, MICHAEL
7444 W ALASKA DR
LAKEWOOD, CO 80226
KERN, TANYA
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
BIFFL, WALTER
777 BANNOCK ST
DENVER, CO 80204
KUNG, SHIRLEY
11600 W 2ND PL
LAKEWOOD, CO 80228
KRUGER, DAVID
4231 W 16TH AVE
DENVER, CO 80204
OTT, CHRISTOPHER
11600 W 2ND PL
LAKEWOOD, CO 80228
TRIPP, GERALD
11600 W 2ND PL
LAKEWOOD, CO 80228
Details
RAYMOND GARRETT, MD
Phone Number
(303) 935-9142
Office Locations
1930 S FEDERAL BLVD
DENVER, CO 80219
1930 S FEDERAL BLVD DENVER CO, 80219

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