About Kaiser Permanente Mid-Atlantic States Coverage in Stafford
Kaiser Permanente Mid-Atlantic States operates 30 distinct networks in Stafford, VA, with a combined in-network roster of 72 doctors across 24 medical specialties. Among the five largest insurers we track in Stafford, Kaiser Permanente Mid-Atlantic States ranks #6 by provider count, the leader is Aetna with 451 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Kaiser Permanente Mid-Atlantic States networks have the widest reach in Stafford, and compare coverage against other major insurers before scheduling care.
Kaiser Permanente Mid-Atlantic States publishes its Stafford directory at the network level rather than the consumer-plan level. The labels on each row below (for example KP-MAS-VA-Medallion-FAMIS) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.
Kaiser Permanente Mid-Atlantic States is a Medicare Advantage carrier in Stafford with 5 plans available to seniors, listed below with star ratings and premiums. Kaiser Permanente Mid-Atlantic States does not currently sell ACA marketplace plans in VA; commercial coverage shown above comes through employer groups.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
Kaiser Permanente Mid-Atlantic States Networks in Stafford
Kaiser Permanente Mid-Atlantic States contracts with doctors at the network level in Stafford. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
KP-MAS-VA-Medallion-FAMIS
Medicaid
65
95185VA0500001
Commercial
21
95185VA0500002
Commercial
21
95185VA0500004
Commercial
21
95185VA0500005
Commercial
21
95185VA0500006
Commercial
21
95185VA0500008
Commercial
21
95185VA0500009
Commercial
21
95185VA0500010
Commercial
21
95185VA0500011
Commercial
21
95185VA0500012
Commercial
21
95185VA0500013
Commercial
21
Kaiser Permanente Mid-Atlantic States Medicare Advantage Plans in Stafford
5 Kaiser Permanente Mid-Atlantic States Medicare Advantage plans available to seniors in Stafford. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.
Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.
Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.
Top Specialties Accepting Kaiser Permanente Mid-Atlantic States
Kaiser Permanente Mid-Atlantic States’s Stafford network spans 24 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in Stafford, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Top Hospitals Serving Kaiser Permanente Mid-Atlantic States Patients in Stafford
Hospitals with the most Kaiser Permanente Mid-Atlantic States-network physicians practicing there. Large affiliation counts indicate that Kaiser Permanente Mid-Atlantic States has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your Kaiser Permanente Mid-Atlantic States plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Mary Washington Hospital
Fredericksburg, VA
Stafford Hospital, Llc
Stafford, VA
Virginia Hospital Center
Arlington, VA
Sentara Northern Virginia Medical Center
Woodbridge, VA
Holy Cross Hospital
Silver Spring, MD
Sentara Obici Hospital
Suffolk, VA
Coverage Compared in Stafford
Side-by-side provider counts for the five largest commercial and government insurers tracked in Stafford. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If Kaiser Permanente Mid-Atlantic States’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Stafford provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with Kaiser Permanente Mid-Atlantic States Coverage
Cities closest to Stafford where Kaiser Permanente Mid-Atlantic States has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.
The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Kaiser Permanente Mid-Atlantic States network size. a small count doesn’t mean no coverage, just that your in-Stafford options are likely more plentiful.
Frequently Asked Questions
Common questions about Kaiser Permanente Mid-Atlantic States coverage in Stafford
How do I find an Kaiser Permanente Mid-Atlantic States in-network doctor in Stafford, VA?
Kaiser Permanente Mid-Atlantic States has 72 in-network providers across 24 medical specialties in Stafford. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
Does Kaiser Permanente Mid-Atlantic States offer Medicare Advantage in Stafford?
Yes. Kaiser Permanente Mid-Atlantic States offers 5 Medicare Advantage plans in Stafford for 2026, with plan types including HMO-POS, HMO. The average CMS star rating across these plans is 4.5 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.
What's the highest-rated Kaiser Permanente Mid-Atlantic States Medicare Advantage plan in Stafford?
Kaiser Permanente Medicare Advantage High VA (HMO-POS) (HMO-POS) holds Kaiser Permanente Mid-Atlantic States's top CMS star rating in Stafford at 4.5 of 5, with a $137 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.
Are there $0 premium Kaiser Permanente Mid-Atlantic States Medicare Advantage plans in Stafford?
Yes. 1 of Kaiser Permanente Mid-Atlantic States's 5 Medicare Advantage plans in Stafford carry a $0 monthly premium for 2026. Note that $0 premium plans still require you to pay the standard Medicare Part B premium each month, plus copays and deductibles when you use care. Compare each plan's MOOP (maximum out-of-pocket) limit to understand worst-case annual cost.
Which hospitals in Stafford accept Kaiser Permanente Mid-Atlantic States?
Hospitals where Kaiser Permanente Mid-Atlantic States doctors most commonly practice in Stafford include MARY WASHINGTON HOSPITAL, STAFFORD HOSPITAL, LLC, VIRGINIA HOSPITAL CENTER, SENTARA NORTHERN VIRGINIA MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Kaiser Permanente Mid-Atlantic States plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most Kaiser Permanente Mid-Atlantic States providers in Stafford?
Kaiser Permanente Mid-Atlantic States's Stafford network is largest in Urology (8), Cardiovascular Disease (cardiology) (7), Diagnostic Radiology (7). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
How does Kaiser Permanente Mid-Atlantic States compare to other insurers in Stafford?
Kaiser Permanente Mid-Atlantic States ranks #6 of 6 major insurers tracked in Stafford by provider count, with 72 doctors. Aetna leads at 451 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Stafford.
Why don't I see specific Kaiser Permanente Mid-Atlantic States plan names like Bronze or Silver?
Kaiser Permanente Mid-Atlantic States files its Stafford provider directory at the network level rather than by consumer plan name. The labels above (such as KP-MAS-VA-Medallion-FAMIS) are the network identifiers Kaiser Permanente Mid-Atlantic States uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.
How do I verify a doctor is in-network with Kaiser Permanente Mid-Atlantic States?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Kaiser Permanente Mid-Atlantic States plan, and third check Kaiser Permanente Mid-Atlantic States's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.
What if my doctor isn't listed here?
This list reflects Kaiser Permanente Mid-Atlantic States's submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Kaiser Permanente Mid-Atlantic States, then check Kaiser Permanente Mid-Atlantic States's own member portal for confirmation.
When was this Kaiser Permanente Mid-Atlantic States data last updated?
The Kaiser Permanente Mid-Atlantic States Stafford provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Stafford Kaiser Permanente Mid-Atlantic States members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly