Kaiser Permanente Dual Complete South P6 (HMO D-SNP)

Kaiser Permanente Dual Complete South P6 (HMO D-SNP) is a HMO D-SNP plan offered by Kaiser Foundation Health Plan, Inc. available for enrollment in 2026 to people living in South Plan 6. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that Kaiser Permanente Dual Complete South P6 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Kaiser Permanente Dual Complete South P6 (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.

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:

Drug Coverage

The Kaiser Permanente Dual Complete South P6 (HMO D-SNP) offers an Enhanced Alternative drug benefit with no prescription drug deductible. During the initial coverage phase, which lasts until total drug costs reach $2,100, members pay no copay for Tier 1 preferred generic, Tier 2 standard generic, and Tier 5 specialty drugs at standard pharmacies. Additionally, those who qualify for the low-income subsidy will pay nothing for their Part D premium. For other drug tiers, you will pay an 18% coinsurance for Tier 3 preferred brand drugs and a 25% coinsurance for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. You can check the plan's formulary to see how your specific prescription medications are covered.

Additional Benefits

Kaiser Permanente Dual Complete South P6 (HMO D-SNP) offers robust coverage for essential medical care, featuring no copays and no coinsurance for primary care, specialist visits, and outpatient hospital services. For inpatient hospital stays, members pay a daily copay for the first five days—$475 for acute stays and $405 for psychiatric stays—with no copay for additional days. Emergency room visits require a $115 copay, which is waived if you are admitted within 24 hours, while urgent care and preventive services are covered with no copay. Supplemental benefits include a $400 annual eyewear allowance and a $150 over-the-counter allowance every three months, both with no copays or coinsurance. While routine dental, routine hearing, and non-emergency transportation services are not covered, Medicare-covered dental care and routine eye exams are provided with no copay. Durable medical equipment and dialysis treatments are covered with no copay and coinsurance ranging up to 20 percent.