2024 Evidence of Coverage Table of Contents Chapter 1 — Getting started as a member .................................................................. 7 Section 1 — Introduction ..........................................................................................................7 Section 2 — What makes you eligible to be a plan member? ..................................................8 Section 3 — Important membership materials you will receive ............................................25 Section 4 — Costs ..................................................................................................................26 Section 5 — Keeping your plan membership record up-to-date ............................................26 Section 6 — How other insurance works with our plan .........................................................27 Chapter 2 — Important phone numbers and resources .......................................... 29 Section 1 — Kaiser Permanente Senior Advantage contacts (how to contact us, including how to reach Member Services) .............................................................................29 Section 2 — Medicare (how to get help and information directly from the federal Medicare program) .................................................................................................................31 Section 3 — State Health Insurance Assistance Program (free help, information, and answers to your questions about Medicare) ............................................................................32 Section 4 — Quality Improvement Organization ...................................................................33 Section 5 — Social Security ...................................................................................................34 Section 6 — Medicaid ............................................................................................................35 Section 7 — Information about programs to help people pay for their prescription drugs .......................................................................................................................................35 Section 8 — How to contact the Railroad Retirement Board .................................................36 Section 9 — Do you have group insurance or other health insurance from an employer? ...............................................................................................................................37 Chapter 3 — Using our plan for your medical services ........................................... 38 Section 1 — Things to know about getting your medical care as a member of our plan .........................................................................................................................................38 1-877-221-8221 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.