Enrollment Kit & Marketing Materials

Please use the below enrollment kit and marketing materials when selling our Kaiser Permanente Medicare Advantage Plans.

2021 Enrollment Kit Materials:

Below you can find a variety of Enrollment Kit materials in 5 different languages.

English Enrollment Kit Materials

Enrollment Form

Benefit Highlight Chart: Plan and benefit information with rates and copays.
Summary of Benefits: Additional information regarding plan and benefit information with rates and copays.
Added Features Brochure: Includes of overview of the over-the-counter wellness credit, transportation, virtual care, Silver&Fit, dental, vision, BrainHQ, and Thriving After 60.
Over-the-Counter Wellness Credit Flyer - Includes information on our new over-the-counter wellness credit.
Guide to Medicare: Medicare 101, how to enroll in Medicare, and Kaiser Permanente Medicare Advantage overview.
Medical Center Brochure: List of medical centers and the services offered at each location, including a medical center map.
Plan Ratings Sheet: Star rating information.
Directory/Formulary/EOC Request Notice: Information on how to request a provider directory, formulary, or EOC.
Over-the-Counter Catalog: List if items that members can order with the over-the-counter wellness credit.

Spanish Enrollment Kit Materials

Enrollment Form

Benefit Highlight Chart: Plan and benefit information with rates and copays.
Summary of Benefits: Additional information regarding plan and benefit information with rates and copays.
Added Features Brochure: Includes of overview of the over-the-counter wellness credit, transportation, virtual care, Silver&Fit, dental, vision, BrainHQ, and Thriving After 60.
Over-the-Counter Wellness Credit Flyer - Includes information on our new over-the-counter wellness credit.
Guide to Medicare: Medicare 101, how to enroll in Medicare, and Kaiser Permanente Medicare Advantage overview.
Plan Ratings Sheet: Star rating information.

Chinese Enrollment Kit Materials

Enrollment Form

Benefit Highlight Chart: Plan and benefit information with rates and copays.
Summary of Benefits: Additional information regarding plan and benefit information with rates and copays.
Added Features Brochure: Includes of overview of the over-the-counter wellness credit, transportation, virtual care, Silver&Fit, dental, vision, BrainHQ, and Thriving After 60.
Over-the-Counter Wellness Credit Flyer - Includes information on our new over-the-counter wellness credit.
Plan Ratings Sheet: Star rating information.

Korean Enrollment Kit Materials

Enrollment Form

Benefit Highlight Chart: Plan and benefit information with rates and copays.
Summary of Benefits: Additional information regarding plan and benefit information with rates and copays.
Added Features Brochure: Includes of overview of the over-the-counter wellness credit, transportation, virtual care, Silver&Fit, dental, vision, BrainHQ, and Thriving After 60.
Over-the-Counter Wellness Credit Flyer - Includes information on our new over-the-counter wellness credit.
Plan Ratings Sheet: Star rating information.

Vietnamese Enrollment Kit Materials

Enrollment Form

Benefit Highlight Chart: Plan and benefit information with rates and copays.
Summary of Benefits: Additional information regarding plan and benefit information with rates and copays.
Added Features Brochure: Includes of overview of the over-the-counter wellness credit, transportation, virtual care, Silver&Fit, dental, vision, BrainHQ, and Thriving After 60.
Over-the-Counter Wellness Credit Flyer - Includes information on our new over-the-counter wellness credit.
Plan Ratings Sheet: Star rating information.

Marketing Materials:

Broker Introduction Flyer (customizable): Kaiser Permanente branded introduction flyer that you can customize with your name, phone, and email address.
Onboarding Flyer: Learn about the easy steps to getting started with Kaiser Permanente.
$0 Premium Flyer: Kaiser Permanente branded flyer marketing our $0 premium Value plans that you can customize with your name, phone, and email address.

Forms:

Scope of Appointment: Required form for personal appointments.

Questions?

Anyone looking for additional information can email MAS-MedicareBrokerSupport@kp.org or call 833-931-0997 and a member of our Medicare Sales Team will respond as soon as possible.

Brokers

Employers

Enrollment Kit & Marketing Materials

2021 Enrollment Kit Materials:

Marketing Materials:

Forms:

Questions?