10 2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage Medical Benefits Chart Services that are covered for you What you must pay when you get these services kp.org/SilverandFit or call Silver&Fit customer service at 1-877-750-2746 (TTY 711), Monday through Friday, 5 a.m. to 6 p.m. (PST). The Silver&Fit program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a federally registered trademark of ASH and used with permission herein. Fitness center participation may vary by location and is subject to change. Health and wellness education programs Health and wellness programs include weight management, quitting tobacco, diabetes management, life care planning, prediabetes, and more. Registered dietitians, health coaches, certified diabetes educators, and other health professionals $0 facilitate our classes. We offer in-person, online, and phone options to fit your learning style. Please see our health and wellness classes and resources catalog at kp.org/healthylivingcatalog/nw. Contact Member Services for more details or to request a copy of our catalog. Hearing services • Diagnostic hearing and balance evaluations performed by your provider to determine if you need medical treatment $35 per visit are covered as outpatient care when furnished by a physician, audiologist, or other qualified provider. • Routine hearing exams. • *Hearing aids, including evaluation and fitting. Balance after $1,400 allowance per ear is applied every 36 months. (See the Hearing Aid Rider in the EOC for additional information.) HIV screening There is no coinsurance, copayment, or For people who ask for an HIV screening test or who are at deductible for members eligible for increased risk for HIV infection, we cover: Medicare-covered preventive HIV • One screening exam after each exposure. screening. † Your provider must obtain prior authorization from our plan. * Your cost-sharing for these services or items doesn't apply toward the maximum out-of-pocket amount. kp.org