Skip to content
  • Login
    • Broker
  • 844-294-6535 (TTY: 711)
  • Member Portal
  • Login
    • Broker
  • 844-294-6535 (TTY: 711)
  • Member Portal
Gold Kidney Health Plan logo
  • Home
  • Shop for Plans
    • Pharmacy Search & Forms
    • Covered drugs
    • Provider Directory and Search
    • Flex Card Benefits
    • How To Enroll
  • Members
    • 2025 Members
    • 2024 Members
    • Member Portal
  • Brokers
  • Providers
    • Provider Portal
  • Insights
  • About
    • Careers
  • Contact
  • Home
  • Shop for Plans
    • Pharmacy Search & Forms
    • Covered drugs
    • Provider Directory and Search
    • Flex Card Benefits
    • How To Enroll
  • Members
    • 2025 Members
    • 2024 Members
    • Member Portal
  • Brokers
  • Providers
    • Provider Portal
  • Insights
  • About
    • Careers
  • Contact
Find a Provider & Pharmacy
Gold Kidney Health Plan logo
  • Home
  • Shop For Plans

    Search for Plans

    Enter your zip code to find medical plans that suit your needs.

    Zip Code
    • Medicare Basics
    • Pharmacy Search & Forms
    • Provider Search
    • Covered Drugs, Formulary & Forms
    • Supplemental Benefits
    • 4G Smartphone Benefit
    • Medicare Advantage Plans
    • How To Enroll
    • Medicare Basics
    • Pharmacy Search & Forms
    • Provider Search
    • Covered Drugs, Formulary & Forms
    • Supplemental Benefits
    • 4G Smartphone Benefit
    • Medicare Advantage Plans
    • How To Enroll
  • Members
    • Members
    • Member Portal
    • Members
    • Member Portal
  • Brokers
  • Providers
    • Provider Portal
    • Provider Portal
  • About
    • Our Story
    • Careers
    • Insights
    • Our Story
    • Careers
    • Insights
  • Contact
Find a Provider & Pharmacy
Find a Provider & Pharmacy

2025 Member Resources & Forms

2025 Summary of Benefits

Learn More

2025 Benefits Beyond Medicare

Learn More

2025 Forms & Documents

Learn More

Evidence of Coverage

Learn about evidence of coverage for Arizona and Florida for each Gold Kidney Health Plan.

2025 Arizona Evidence of Coverage
2025 Florida Evidence of Coverage

Grievances & Coverage Decisions

Learn More

2025 Summary of Benefits​

Arizona

Gold Heart & Diabetes

For those who are Medicare-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes

Gila, Maricopa, Pima, Pinal

Cochise, Coconino, Graham, Navajo

English
Spanish
English
Spanish
Gold Dialysis

For those who are Medicare-eligible and have end-stage renal disease (ESRD), generally requiring dialysis

Gila, Maricopa, Pima, Pinal

Cochise, Coconino, Graham, Navajo

English
Spanish
English
Spanish
Gold Circle Heart & Diabetes

For those with heart and diabetes conditions who have access to other forms of coverage but want a traditional Medicare plan plus additional benefits

English
Spanish
Gold Advantage

For those Medicare eligible who do not qualify for our chronic special needs plans

English
Spanish
Gold Heart & Diabetes Complete

For those who are Medicare- and Medicaid-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes

English
Spanish
Gold Dialysis Complete

For those who are Medicare and Medicaid-eligible and have end-stage renal disease (ESRD), generally requiring dialysis

English
Spanish
Gold Circle Dialysis

For those Medicare eligible who are on dialysis and have access to other forms of coverage

English
Spanish
Gold Loyalty

For those who are Medicare-eligible and do not need prescription drug coverage

English
Spanish

Florida

Gold Heart & Diabetes

For those who are Medicare-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes

English
Spanish
Gold Dialysis

For those who are Medicare-eligible and have end-stage renal disease (ESRD), generally requiring dialysis

English
Spanish
Gold Health / Salud de Oro

For those with End-Stage Renal Disease (ESRD) requiring any mode of dialysis. 

English
Spanish
Gold Dialysis / Diálisis de Oro

For those who are Medicare-eligible and have end-stage renal disease (ESRD), generally requiring dialysis

English
Spanish
Gold Advantage

For those Medicare eligible who do not qualify for our chronic special needs plans

English
Spanish
Gold Heart & Diabetes Complete / Salud de Oro Completa

For those who are Medicare- and Medicaid-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes

English
Spanish
Gold Dialysis Complete / Diálisis de Oro Completa

For those who are Medicare- and Medicaid-eligible with end-stage renal disease (ESRD), generally requiring dialysis

English
Spanish
Gold Loyalty

For those who are Medicare-eligible and do not need prescription drug coverage

English
Spanish

2025 Annual Notice of Change

Learn More

2025 Benefits Beyond Medicare​

Gold Kidney Benefit Card
Our Medicare Advantage plans include dental, hearing, vision, and more. Members are able to choose their providers without being concerned about whether they are in or out of network.
Gold Kidney benefit card includes:
  • Dental, hearing and vision
  • Rewards and incentives
  • Special supplemental benefits for the chronically ill
  • Gold Perks and Gold Perks Plus allowances for over-the-counter (OTC) items, therapeutic massages, and more
Members receive quarterly and monthly allowances for benefits. Generally, monthly allowance balances do not roll over from month to month.
Learn More
2025 OTC Catalog
4G Smartphone* Benefit

Gain easier access to care resources with a 4G smartphone with unlimited talk, text, and data*.

Learn More
Transportation

Gold Kidney provides transportation benefits through an easy-to-use app that can be used for scheduling trips, or requesting on-demand trips.

Gold Kidney provides non-emergency transportation options for members with various mobility needs. Members can call or use an app on their phone to manage all their transportation needs, including the following services:   

  • Curb to curb  
  • Door to door   
  • Hand to hand   
  • Wheelchair  
  • Stretcher   
  • Non-emergency ambulance 

 

No prior authorization is required, and one companion is allowed to accompany our members.   

Companion Care

Our member benefits include support for everyday tasks or companionship needs. 

We help connect members and their families to individuals who can provide companionship or help with everyday chores and tasks like grocery shopping, light housekeeping or yardwork, and technology assistance. 

Fitness

Gold Kidney offers the most comprehensive exercise and healthy aging programs available in the market through Silver&Fit. 

Gold Kidney has partnered with Silver&Fit to provide members with a variety of exercise and well-being options, including:   

  • Fitness center memberships – at gyms, exercise studios, and outdoor fitness programs   
  • Virtual personal training and home fitness kits   
  • Digital well-being resources and in-person healthy aging classes 
Learn More
Meal Delivery

Gold Kidney offers meals to help those  with chronic conditions manage their conditions or those recovering from a hospital stay.

Home–delivered meals, designed by professional chefs and registered dieticians, for members who need help managing the nutritional aspects of their health conditions or who may need assistance with meals after surgery or hospital stay. Two meals per day for 14 days up to 4 times per year.  

Personal Emergency Response System

Gold Kidney provides a device for the member to be immediately connected with professionally trained operators who quickly assess the nature of a call and coordinate appropriate assistance.

  • Dispatch Center
  • Emergency Medical Services (EMS)
  • 24/7 Nurse Line
  • Case Management
  • Customer Service Support
  • Family and Caregiver Notifications
English
Spanish
Nurse Advice Line

A dedicated service staffed by qualified and experienced nurses who provide medical assistance and guidance over the phone when members need it.

Nurse Advice Lines are available 24/7 to help answer your questions or provide triage and referral services.

Remote Patient Monitoring

Gold Kidney offers remote patient monitoring services to remotely manage chronic health conditions from the comfort of our members’ homes.

Gold Kidney offers a platform that Includes an AI virtual health assistant, and clinical Insights and analytics that provide more Informed clinical decision-making, earlier Interventions, and better care. 

The monitored services can include a weight scale, blood pressure cuff, glucose monitor, and pulse oximeter.

Gold Perks and Gold Perks Plus

Gold Kidney has you covered with extra benefits to help you live life more fully.

Learn More
Transplant Services

Gold Kidney offers access to transplant Centers of Excellence.  

Through our partners, we assess a member’s condition and coordinate care with providers to ensure the best opportunities for transplant success. Learn about our transplant network.

Arizona - ENG
Arizona - SPAN
Florida - ENG
Florida - SPAN

2025 Forms & Documents

Enrollment Form

Click here to sign up for one of our Medicare Advantage plans.

Arizona - ENG
Arizona - SPAN
Florida - ENG
Florida - SPAN
Condition Verification C-SNP Form

Access forms required to qualify for Chronic Condition Special Needs Plans.

Chronic conditions including Diabetes
Download
Chronic conditions including ESRD
Download
Pre-Enrollment Checklist

Find a list of everything you will need to have on hand before enrolling.

Arizona - ENG
Arizona - SPAN
Florida - ENG
Florida - SPAN
Member Attestation Form

Certifies that you are eligible to enroll during an enrollment period.

English
Spanish
Authorized Representative Form

Authorizes representation by a third party on your behalf.

English
Spanish
Prior Authorization Form (Part C)
Download
Health Risk Assessment (HRA) Form

Answer questions to help us better meet your care needs.

English
Spanish
Premium Payment Authorization Form

Complete this form to authorize the automatic deduction of premium payments from your Social Security or Railroad Retirement Board benefit check.

Download
Member Reimbursement Form

Use this when you are seeking reimbursement for out-of-pocket expenses you’ve incurred for covered services.

Medical - ENG
Medical - SPAN
Supplemental Benefit - ENG
Supplemental Benefit - SPAN
Medication Therapy Management (MTM)

For those in a Medicare drug plan that have complex health needs.

Learn More
HMO-POS FAQs
Download
Mid-Year Change Notice
Download
2025 Formulary Drug List AZ - English
For the following plans:
Gold Heart & Diabetes
Gold Dialysis
Download English
For the following plans:
Gold Advantage
Download English
For the following plans:
Gold Heart & Diabetes Complete
Gold Dialysis Complete
Gold Circle Heart & Diabetes
Gold Circle Dialysis
Download English
2025 Formulary Drug List AZ - Spanish
For the following plans:
Gold Heart & Diabetes
Gold Dialysis
Download Spanish
For the following plans:
Gold Advantage
Download Spanish
For the following plans:
Gold Heart & Diabetes Complete
Gold Dialysis Complete
Gold Circle Heart & Diabetes
Gold Circle Dialysis
Download Spanish
2025 Formulary Drug List FL - English
For the following plans:
Gold Heart & Diabetes
Gold Dialysis / Diálisis de Oro
Gold Health / Salud de Oro
Download English
For the following plans:
Gold Advantage
Download English
For the following plans:
Gold Heart & Diabetes Complete / Salud de Oro Completa
Gold Dialysis Complete / Diálisis de Oro Completa
Download English
2025 Formulary Drug List FL - Spanish
For the following plans:
Gold Heart & Diabetes
Gold Dialysis / Diálisis de Oro
Gold Health / Salud de Oro
Download Spanish
For the following plans:
Gold Advantage
Download Spanish
For the following plans:
Gold Heart & Diabetes Complete / Salud de Oro Completa
Gold Dialysis Complete / Diálisis de Oro Completa
Download Spanish

Appeals

Learn more

Grievances & Coverage Decisions

Learn more

Low Income Subsidy Summary

Learn more

Disenrollment Rights & Responsibilities

Learn your rights and responsibilities to disenroll from Gold Kidney Health Plans.

Learn more
Contact Us

HQ Location
4600 E Washington St, #300
Phoenix, AZ 85034

Mailing Address
P.O. Box 285
Portsmouth, NH 03802

(844) 294-6535 (TTY 711)
Facebook-f Linkedin Youtube
Compliance
  • Non-Discrimination Policy
  • Terms of Use
  • Fraud, Waste, and Abuse
  • Medicare FDR Compliance
  • Code of Conduct
  • Notice of Privacy Practices
  • Disaster and Emergency Policy
  • Accessibility
Important Links
  • 2025 Member Resources & Documents
  • News & Press Releases
  • Events
  • Careers
  • Site Map
  • 2025 Member Resources & Documents
  • News & Press Releases
  • Events
  • Careers
  • Site Map
Hours of Operation

Monday through Friday 8am – 8pm local time (except holidays)

Gold Kidney Health Plan, Inc., is an HMO-POS and HMO-POS C-SNP with a Medicare contract.
Enrollment in Gold Kidney Health Plan depends on contract renewal.
Last Updated: April 17, 2025 | Y0171_GKHPWebsite_M | Copyright © 2025 Gold Kidney Health Plan
Close

For all inquiries, please call Member Services at (844) 294-6535

Close
Close
Gold Kidney icon logo

Coming Soon. Please check back!

Shop for Plan

Enter your zip code to find Medicare Advantage plans that suit your needs.

Zip Code
You are about to leave

You are about to leave the Gold Kidney Website

This action will open a new tab in your browser

Take me to site