Kaiser Permanente Senior Advantage Plan
To enroll in Kaiser’s Senior Advantage plan, please complete the 2027 Group Medicare Election/Enrollment Form and email the form to us. When submitting your enrollment form, include one of the following:
- A scanned copy of your Medicare card showing enrollment in Part A and Part B, or
- A verification letter from the Social Security Administration confirming your Part A and Part B start dates.
Once we receive your enrollment form and required documentation, we will forward your application to Kaiser so they can update your monthly premium.
Please remember: You are still responsible for paying your Medicare Part B premium—and, if applicable, your Part A premium—directly to the Social Security Administration.
Important: The 2027 Group Medicare Election/Enrollment Form may be used now for coverage effective in either 2026 or 2027. Beginning Jan. 1, 2027, Kaiser will only accept the 2027 form. Please do not use the 2026 version for coverage effective on or after Jan. 1, 2027, as this may delay your enrollment.
For dependents: If you’re completing an enrollment form for a dependent, each dependent must enter their own personal and Medicare information rather than the retiree’s information.
Post-Employment Health Plan (PEHP): If you participate in the city’s PEHP through Nationwide, your healthcare premium may change when you transition to Kaiser Senior Advantage. Once your Senior Advantage enrollment is complete, please contact us for an updated premium verification letter reflecting your new premium amount. You can then submit the updated letter to Nationwide so your PEHP reimbursement can be adjusted accordingly.