2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage 59 Chapter 4: Medical Benefits Chart (what is covered and what you pay) Services not Not covered under Covered only under specific covered by any condition conditions Medicare Transportation by car, taxi, bus, gurney van, wheelchair van, and any other type of Not covered under any transportation (other condition than a licensed ambulance), even if it is the only way to travel to a network provider Travel and lodging We may pay certain expenses that we expenses/living preauthorize in accord with our travel and expenses lodging guidelines for transplants. Your transplant coordinator can provide information about covered expenses. Services and benefits under an individual Senior Advantage plan are excluded when a member is enrolled under an employer group Senior Advantage plan. Members enrolled in a Kaiser Foundation Health Plan of the Northwest employer group Senior Advantage plan cannot be enrolled in the individual Senior Advantage Enhanced, Standard, Value or Value Lane plan at the same time. 1-877-221-8221 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.