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: Starting Jan. 1, 2027, Kaiser will only accept the 2027 Group Medicare Election/Enrollment Form. Please do not use the 2026 version after Dec. 31, 2026, as doing so may delay your enrollment. The 2027 form may be used immediately, including for coverage effective in 2026.
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.
If you need an updated letter for your post‑employment health plan, please contact us.