Kaiser Permanente Senior Advantage Choice DM (PPO)
Available to residents of Park County, CO for 2026. Contract H3138, plan 001, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $0.00 |
| Plan type | Medicare Advantage |
| Contract / plan | H3138-001-0 |
| Offered by | Kaiser Permanente |
| Parent organization | Kaiser Foundation Health Plan, Inc. |
| Formulary drugs | 3,355 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H3138 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $5.00 |
| Tier 3 | $45.00 |
| Tier 4 | $100.00 |
| Tier 5 | 33% |
| Tier 6 | $0.00 |
Also available in 10 other CO counties
Plan facts come from the CMS quarterly prescription drug plan public use files.