A non-government entity
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Kaiser Permanente Dual Complete North P2 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Kaiser Permanente Dual Complete North P2 (HMO D-SNP) in 2026, please refer to our full plan details page.
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) is a HMO D-SNP plan offered by Kaiser Foundation Health Plan, Inc. available for enrollment in 2025 to people living in North Plan 2. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Kaiser Permanente Dual Complete North P2 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Kaiser Permanente Dual Complete North P2 (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Kaiser Permanente Dual Complete North P2 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Kaiser Permanente Dual Complete North P2 (HMO D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Kaiser Permanente Dual Complete North P2 (HMO D-SNP) offers an enhanced alternative drug benefit with no prescription drug deductible. During the initial coverage phase, you will have no copay for preferred generic, standard generic, and specialty tier drugs at standard pharmacies. Preferred brand drugs require an 18% coinsurance, while non-preferred drugs carry a 25% coinsurance. These initial coverage costs apply until your yearly out-of-pocket drug costs reach $2,100. After reaching this limit, you enter the catastrophic coverage phase where you pay nothing for covered Part D prescription drugs. Additionally, individuals who qualify for the low-income subsidy can reduce their Part D premium to zero.
Additional Benefits
The Kaiser Permanente Dual Complete North P2 (HMO D-SNP) offers comprehensive medical coverage with no copay and no coinsurance for primary care, specialist visits, and most outpatient services. Emergency room visits require a $115 copay, which is waived if you are admitted, while urgent care services are available with no copay. For inpatient hospital stays, members pay a daily copay of $475 for acute care or $405 for psychiatric care during the first five days, with no copay required for subsequent days. Specialty benefits under this plan include unlimited routine eye exams and a $350 annual eyewear allowance with no copay, though routine dental and hearing services are generally not covered. Durable medical equipment and prosthetics feature no copay with coinsurance ranging from 0% to 20%, while diabetic supplies and home health services are fully covered with no copay. Dialysis services are also covered under the plan with no copay and a 20% coinsurance.
Inpatient Hospital See details
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) partially covers inpatient hospital services, as non-Medicare-covered stays are not covered. Acute care requires a $475 daily copay for days 1 to 5, while psychiatric care requires a $405 daily copay for days 1 to 5; both services have no copay for days 6 to 999 and require no coinsurance.
Outpatient Services See details
Outpatient services are covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with no coinsurance and no copays for outpatient hospital, ambulatory surgical center, substance abuse, and blood services. The only exception is outpatient observation services, which require a copay ranging from $0 to $115 per stay.
Partial Hospitalization See details
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) covers partial hospitalization services with no copay and no coinsurance. A doctor referral is required to access these covered benefits.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under the Kaiser Permanente Dual Complete North P2 (HMO D-SNP) plan. Ground and air ambulance services require a $400 copay and no coinsurance, while transportation services to plan-approved and other health-related locations are not covered.
Emergency Services See details
Emergency services are covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay and no coinsurance, while worldwide emergency coverage includes a $115 copay for emergency care, a $400 copay for transportation, and no copay for urgent care.
Primary Care See details
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and no coinsurance. Podiatry services are not covered, and chiropractic services are only partially covered because routine chiropractic care is excluded.
Preventive Services See details
Preventive services are partially covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, fitness programs, and health education. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, caregiver support, and home safety modifications.
Hearing Services See details
Hearing services are not covered under Kaiser Permanente Dual Complete North P2 (HMO D-SNP), as routine hearing exams, fitting and evaluations, prescription hearing aids, and over-the-counter hearing aids are all excluded from coverage.
Vision Services See details
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) partially covers vision services with no copays, no coinsurance, and no deductibles, though eyewear upgrades are not covered. Covered benefits include unlimited routine eye exams and a combined maximum allowance of $350 every year for eyewear such as contacts and eyeglasses.
Dental Services See details
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) partially covers dental services, providing Medicare-covered dental care with no copay and no coinsurance, subject to prior authorization and a doctor referral. Other dental sub-services, including restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics, are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with no copay and no coinsurance, which includes Medicare Part B insulin, chemotherapy, radiation, and other Part B drugs. Part D home infusion drugs are also provided as a bundled, mandatory supplemental benefit with no cost-sharing.
Dialysis Services See details
Dialysis Services are covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP), with prior authorization required for most services. Under this plan, durable medical equipment, medical supplies, prosthetics, and diabetic shoes carry no copay and coinsurance ranging from no coinsurance to 20%, while diabetic supplies are covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with no coinsurance, though a doctor referral is required. Members pay no copay for lab services, diagnostic tests, therapeutic radiology, and outpatient X-rays, while diagnostic radiological services require a copay of $0 to $500.
Home Health Services See details
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) covers Home Health Services with no copay and no coinsurance. A doctor referral is required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are technically covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP) with a doctor referral, meaning some services are covered, but cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered in practice. Since these services are not covered under the plan, there is no copay or coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP), requiring a doctor referral and excluding additional days beyond the Medicare-covered limit. There is no copay and no coinsurance for days 1 through 20, followed by a $214 daily copay and no coinsurance for days 21 through 100.
Other Services See details
Other Services are partially covered by Kaiser Permanente Dual Complete North P2 (HMO D-SNP), with meal benefits and highly integrated dual eligible SNP services not covered. Covered benefits include acupuncture and over-the-counter items with no copay and no coinsurance, residential substance use treatment with a $100 copay and no coinsurance, and select durable medical equipment with no copay and 0% to 20% coinsurance.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved