Medicare Plan Resources

The key difference between the two types of Medicare-compatible plans we offer is the way billing is handled between you, your plan, and Medicare.

Medical plan information can be found below for each Medicare-compatible Stanford plan, as well as helpful information about steps you must take when it comes to electing or changing your Medicare plan.

Plan Resources

MEDICARE ADVANTAGE PLAN	RESOURCES
Kaiser Permanente Senior Advantage	Kaiser Plan Documents
Alignment Health Retiree Options MAPD (PPO)	Alignment Plan Documents

MEDICARE SUPPLEMENT PLAN	RESOURCES
Blue Shield Retiree PPO	Blue Shield Plan Documents

Enrollment & Disenrollment Forms

If you enroll or disenroll from a Medicare Advantage plan, there is an extra form you must complete to alert the plan and Medicare that you are changing the way you’ve assigned your Medicare benefits. Depending on the elections you're making in My Benefits, a Medicare Advantage Enrollment or Disenrollment form will need to be completed. If you move from a Medicare Advantage plan to Waive, you will be required to complete a Disenrollment form. You can download the forms below. You only have to complete it once. Note: Medicare does not allow a PO Box for your physical address on your Medicare Advantage form; Stanford and Medicare both must have your physical home address.

2026:

IF YOU ...	THEN YOU MUST ...	HOW TO SUBMIT
Elect Kaiser Senior Advantage or Alignment Health for the first time OR Switch to Kaiser Permanente Senior Advantage or Alignment Health. OR Switch from Kaiser Permanente Senior Advantage Northern CA to Southern CA orvice versa.	Submit forms by the 15th of the prior month to ensure coverage will be effective on the first day of the month of your plan effective date change. If you elect Kaiser, My Benefits will prompt you to complete this form online or use the information at right; you only have to submit it once.	Kaiser Permanente Online: kp.org/MedicareGroupEnroll/CA Mail: Kaiser Permanente-Medicare Unit PO Box 232400 San Diego, CA 92193-2400 Fax: (855) 355-5334 Alignment Health Online: alignmenthealthplan.com Mail: Alignment Health Plan Attn: Membership Department P.O. Box 14010, Orange, CA 92863-9936 Fax: 562-207-4623
Switch from an Advantage plan to a Supplement plan	Each dependent covered by your plan must sign a Medicare Advantage Disenrollment form by the 15th of the month prior (e.g., If coverage starts Jan. 1, submit before Dec. 15).	Submit directly to the plan in which you are disenrolling (Kaiser).

IF YOU ...

THEN YOU MUST ...

HOW TO SUBMIT

Elect Kaiser Senior Advantage or Alignment Health for the first time

OR

Switch to Kaiser Permanente Senior Advantage or Alignment
Health.

OR

Switch from Kaiser
Permanente Senior Advantage
Northern CA to Southern CA orvice versa.

Submit forms by the 15th of the prior month to ensure coverage will be effective on the first day of the month of your plan effective date change. If you elect Kaiser, My Benefits will prompt you to complete this form online or use the information at right; you only have to submit it once.

Kaiser Permanente
Online: kp.org/MedicareGroupEnroll/CA
Mail:
Kaiser Permanente-Medicare Unit
PO Box 232400
San Diego, CA 92193-2400
Fax: (855) 355-5334

Alignment Health
Online: alignmenthealthplan.com
Mail: Alignment Health Plan Attn: Membership Department
P.O. Box 14010, Orange, CA 92863-9936
Fax: 562-207-4623

Switch from an Advantage plan to a Supplement plan

Each dependent covered by your plan must sign a Medicare Advantage Disenrollment form by the 15th of the month prior (e.g., If coverage starts Jan. 1, submit before Dec. 15).

Submit directly to the plan in which you are disenrolling (Kaiser).

Streamline the Claims Process with Medicare Crossover Billing

When you are in a Medicare Supplement plan, getting reimbursement is a two-step process. First your doctor bills Medicare and they pay their benefit. Then you submit the remainder – along with proof of Medicare’s payment to your medical plan.
To avoid this process, when you receive your retiree medical card in the mail, call the member services group of your health plan and ask to set up Medicare Crossover Billing. This allows Medicare to send your Medicare Part B claims directly to your health plan after Medicare pays their portion. After that, if any money is owed, you will be billed by your doctor’s office. To set up Medicare Crossover Billing, call your medical plan and give them two pieces of information that you can find on your Medicare Card:

Your Medicare Beneficiary Identifier (MBI) which is your Medicare Number
The effective date of your Medicare Part A and Part B

Medicare Premiums — Age 65+

Premiums for medical coverage will decrease. Prescription drug coverage will have a separate Part D premium that is based on your income.