Kaiser Permanente Dual Complete North P17 (HMO D-SNP)

Kaiser Permanente Dual Complete North P17 (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 North Plan 17. 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 P17 (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 North P17 (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 North P17 (HMO D-SNP) features an annual prescription drug deductible of $615.00 under its Enhanced Alternative drug benefit. After meeting this deductible, you enter the initial coverage phase where Tier 1 preferred generics and Tier 5 specialty drugs have no copay at standard pharmacies. For other tiers, you will pay a 20% coinsurance for Tier 2 standard generics at standard pharmacies, and a 25% coinsurance for both Tier 3 preferred brands and Tier 4 non-preferred drugs. These cost-sharing rates apply until your total drug costs reach $2,100.00, which triggers the catastrophic coverage phase. Once you reach this $2,100.00 threshold in yearly out-of-pocket costs, you will pay nothing for all covered Medicare Part D prescription drugs. Additionally, individuals who qualify for the low-income subsidy will pay zero dollars for their Part D costs.

Additional Benefits

The Kaiser Permanente Dual Complete North P17 (HMO D-SNP) plan offers robust medical coverage with no copay or coinsurance for primary care visits, telehealth, and preventive services. For hospital care, inpatient acute stays require a $450 daily copay for the first five days, while outpatient services range from no copay up to a $465 copay. Emergency room visits carry a $115 copay, which is waived if you are admitted to the hospital within 24 hours. Vision benefits feature no copay for routine exams and up to a $350 annual allowance for eyewear, while dental coverage is limited to Medicare-covered services with no copay. However, hearing care and routine transportation are not covered under this plan. Additional perks include a $75 quarterly over-the-counter allowance with no copay and home health services with no copay or coinsurance.