Dental charges in excess of the schedule will be your responsibility. Others view the Primary Care Physician (PCP) of Kaiser Permanente and the other HMO’s as a “gatekeeper” or a prison guard who is keeping them from going straight to a specialist when they deem it necessary. Contact Kaiser Permanente at any time through our. Your health care plan with Kaiser Permanente WA is a partnership in health. Show me . Learning sessions will be held on Wednesdays beginning August 26, 2020, and ending November 18, 2020. Dependent Children Coverage Phone lines are open Monday-Friday, 8 a.m. to 5 p.m. After-hours crisis care is provided by a strong system of Consulting Nurses and on-call psychiatrists. You must notify Kaiser Permanente within 24 hours of admission, or as soon thereafter as medically possible. 514 Kaiser Permanente Reviews and Complaints @ Pissed Consumer The plan offers a wide array of benefits and care from our highly-trained doctors through the Core network. Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. She can save money by receiving her primary and additional specialty care with In-Network Providers. Kaiser Permanente. Need a coverage document? It is printed on the far left-hand side under the Trust logo. It is printed on the far left-hand side under the Trust logo. The Kaiser Permanente Flexible Choice plan blends HMO, PPO, and indemnity-style benefit plans and delivery systems into one product. Contributed by Lincoln Cushing, … A claim form will have to be completed. In-network coverage with high-performing Washington Permanente Medical Group and contracted network providers, while offering choice with out-of-network coverage: Kaiser Permanente providers, medical facilities, and pharmacies; More than 16,000 additional network providers and facilities 3 With the Kaiser Permanente plan, when you choose in-network care, you get access to providers at all Kaiser Permanente medical centers and preventive care is paid in full. Kaiser Permanente SoundChoice Plans | Contents Your Kaiser Permanente Member Guide The information in this Member Guide is updated from time to time and is current as of November 2020. Childbirth/delivery facility services 15% coinsurance Not covered You must notify Kaiser Permanente within 24 hours of admission, or as soon thereafter as medically possible. David’s employer is located in Atlanta, GA, but he frequently travels to Harrisburg, PA, on business, where there aren’t Kaiser Permanente facilities nearby. You’re free to choose whatever provider you prefer, whenever you receive care. Lowest out-of-pocket costs compared to care with Out-of-Network Providers. Urgent Care. However, once you have completed your 35th month of employment, you may choose to enroll in either the Sound PPO Plan or the Sound Kaiser Permanente Plan. Kaiser Permanente provides mental health care and alcohol and drug treatment through the Kaiser Permanente Behavioral Health Services department. If the evidence your prescriber provides meets medical necessity, an exception may be approved. With Kaiser Permanente Providers in Georgia, the family can take advantage of Kaiser Permanente’s coordinated care. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2018 – 12/31/2018 Kaiser Foundation Health Plan of Washington: PEBB SoundChoice Coverage for: Group | Plan Type: HMO 1 of 7 RQ-119616-1 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Trust’s four-tier therapeutically based prescription plan is designed to promote the use of proven, cost-effective medications. They are mostly a one-stop shop for Kaiser Permanente customers, meaning that customers can often visit the lab, radiology, specialists, pharmacy, and their primary care physician in the same visit. Members can receive medical care provided by our Kaiser Permanente physicians and experience the convenience of our integrated care delivery system. Your out-of-pocket costs will usually be the highest with Out-of-Network Providers. Dependent Life Insurance—The spouse or State Registered Same Sex Domestic Partner’s benefit is $1,000. You can see any specialist you choose without a referral. Check here for more about pharmacy services, finding doctors and facilities, and the benefits of Dual Choice PPO. Your Choice of Top Doctors . For years, Katherine has been seeing her cardiologist, who is not an In-Network Provider. Here’s an overview of getting care with Choice Products. Kaiser Permanente Insurance Company (KPIC) is a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP). For additional information, or to find a provider, contact Kaiser Permanente WA at (888) 901-4636 or visit Kaiser Permanente WA for PEBB. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/20 20 – 12/31/2020 : PEBB SoundChoice Plan All plans offered and underwritten by Kaiser Foundation Health Plan of Washington 1 of 6 RQ-136645-1 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Bothell, WA 98011–3145. To qualify, you must have worked at least 80 hours during your eligibility month (which was two months before the onset of your disability). The benefits covered under the two types of coverage are not the same. Dual Choice PPO plan allows access to In Network providers or any licensed provider. Our doctors are among the best, and caring for people is their passion. Find the details of your vision coverage in your Summary Plan Description booklet (choose the link below based on whether you are in the “Sound” or “SoundPlus” plan). Find a provider online by using the Kaiser Permanente Provider Directory. Call the Trust office at (206) 282-4500 or (800) 225-7620. From prevention to disease management and state-of-the-art treatment, our highly skilled and rigorously trained care teams work together with our members and patients to provide the right care at the right time and place. Your reimbursement will depend on the dentist’s contract with DDWA: This option allows you to see any licensed dental provider. for more information about Emergency services. ... Kaiser Permanente Providers in Georgia. You may have to pay the provider directly at the point of service. If you choose out-of-network care, you can see First Choice Health Network or Beech Street providers at a discounted rate. Find the details of your life insurance coverage in your Summary Plan Description in the sidebar at right. Hours: Monday – Friday, 8:00am to 5:00pm, 11724 NE 195th St. Suite 300 Members also can fill prescriptions at any pharmacy outside the Kaiser Permanente medical office and MedImpact network. Tracey receives care from her orthopedist, who is a Network Provider. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. This option requires you to choose from a smaller list of approved dentists and clinics. Employer and broker frequently asked questions. You are covered for Medically Necessary services at Kaiser Permanente facilities within the Hawaii service area, and which are provided, prescribed or directed by a Kaiser Permanente physician and consistent with reasonable medical management techniques Claims are processed by our claims team in Denver, Colorado. Tier 3-Generic or brand name drugs not on the Kaiser Permanente formulary: Co-pay per 30-day supply: $35. Show me. In addition, you have access to a number of contracted community physicians in the area. Your company has the convenience of one health care provider for all your employee benefits administration. Eligibility, claims or any other questions? Spokane area. ... Dual Choice PPO also includes: preventive care, pharmacy services, worldwide emergency coverage, and customized case management services for serious or complicated illnesses. For care with Kaiser Permanente Providers in Georgia. Find the details of your medical coverage in your Summary Plan Description booklet in the sidebar at right. Most Kaiser Permanente medical offices in Georgia have on-site pharmacies. From online chats with clinicians to urgent or emergency care when traveling – in person, online, or on the phone – you have access to care when you need it. Kaiser Permanente Insurance Company (herein called KPIC) provides the Out-of-Network coverage as set forth in the Group Policy. Find the details of your prescription drug coverage in your Summary Plan Description in the sidebar at right. The Flexible Choice plan is composed of three benefit levels, which includes the convenience of our traditional HMO coverage. Go back to home. Kaiser Permanente’s Flexible Choice Plan 15.0 . Choose an insurance plan below to explore more details about your coverage, including provider options and guidance on how to get the most out of your insurance plan. Why choose Kaiser Permanente for your health care coverage? Kaiser Permanente Options Federal coverage can help pay for many expenses that are not covered by Medicare Parts A and B. Core Access PPO. Search for a location and select one from the list of suggestions. Or you can see any licensed provider you want for most covered services. Our doctors are among the best, and caring for people is their passion. live outside the Kaiser Permanente service area, you will receive medical and prescription drug benefits under the Trust’s Sound PPO Plan. This amount will be paid to your beneficiary in the event of your death from any cause. Members have several choices for having their prescriptions filled. Not a Kaiser participant? Puget Sound area. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. It is printed on the far left-hand side under the Trust logo. Kaiser Permanente and Group Health Cooperative: Working together since 1950. Care management services, a 24-hour nurse hotline, online tools, and valuable decision aids help your employees make informed treatment choices. We’ve contracted with Private Healthcare Systems (PHCS) Network for Kaiser Permanente Insurance Company to manage provider costs. Tracy can receive In-Network care with her Network Provider. Group Health Physicians (now Washington Permanente Medical Group) was recognized as the highest-ranked medical group in the 2016 Community Checkup from Washington Health Alliance. If you choose out-of-network care, you can see First Choice Health Network or Beech Street providers at a discounted rate. Benefits will be paid according to the schedule of allowances. First Health Network 1-800-226-5116. Kaiser Permanente Dual Choice PPO is the best of all worlds. Member Support. Co-pays for a 90 day supply listed below. Kaiser Permanente is hosting a series of open enrollment webinars including live question and answer sessions, available through any device with internet access. Your out-of-pocket costs will be higher than if you choose care inside the Kaiser Permanente network. Enter First Name. Coverage for a description of their benefits. Choose Kaiser Permanente physicians and specialists in Georgia. Open enrollment webinars. Coverage options range from Preferred Provider Organization (PPO) to Health Maintenance Organization (HMO). Why Kaiser Permanente is the right choice for you. Out-of-network coverage for all PPO Plans: Any licensed provider in the U.S. not directly contracted with Kaiser Permanente and First Choice Health and First Health Network. Or you can see any licensed provider you want for most covered services. The Sound Health & Wellness Trust is a Taft-Hartley trust managed jointly by unions and employers and providing benefits to more than 51,000 participants. Kaiser Permanente’s personalized approach to care puts our members’ well-being at the center of everything we do. Kaiser Permanente plans are widely accepted at hospitals and doctor's offices across its coverage regions and states. Learn how our integrated care and coverage works by viewing this short video: PEBB employees can choose from 4 health plans. If you have any questions or need help with any of the PPO providers, you may contact their customer support at: First Choice Health Network 1-800-467-5281. Your Benefits With the Trust Eligible Sound Health & Wellness Trust Kaiser Permanente Plan participants and their covered dependents can receive $0 co-pay flu shots at Kaiser Permanente medical centers, Bartell Care Clinic locations and in-network pharmacies. Learn about Georgia Kaiser Permanente Choice Products. Dual Choice PPO plan allows access to In Network providers or any licensed provider. 2021 Open Enrollment. Refer to Section IV. Another division of Kaiser Permanente also offers PEBB health plans which are only available in SW Washington and northern Oregon. With the Kaiser Permanente plan, when you choose in-network care, you get access to providers at all Kaiser Permanente facilities. Enter Last Name. Learn about Georgia Kaiser Permanente Choice Products. Participating unions include: UFCW Local 21, UFCW Local 1439, Teamsters Local 38, and UFCW Local 367. Onboarding includes: Comprehensive New Member Welcome handbooks, an onboarding call from customer specialists, and a help line for any questions, from accessing care to transferring prescriptions. Are you an employer or producer with questions about Added Choice®? You can choose any licensed physician to provide care nationwide, and receive preventive care at little or no cost from in-network providers. Some medications are not eligible for the Mail Service Delivery Program. Why Kaiser Permanente is the right choice for you. Need help with your Added Choice® plan? Actionable reporting For our large group clients, we collect and analyze valuable data about the way your employees are using their health coverage, including claims, hospitalizations, and level of physician engagement. Children from 6 months to 19 years of age, pregnant women, people 50 and older, and people with certain chronic medical conditions are especially encouraged to get a flu shot. You can receive care from Kaiser Permanente Providers in Georgia, Network Providers, or from any Out-of-Network licensed physician or facility. Call 1-866-616-0047 (TTY 711) to speak with our Added Choice Contact Center. *A program operated or arranged by a health plan distributes prescription drugs to members via mail. Eligible Sound Health & Wellness Trust Kaiser Permanente Plan participants and their covered dependents can receive $0 co-pay flu shots at Kaiser Permanente medical centers, Bartell Care Clinic locations and in-network pharmacies. Under this plan you cannot just see any licensed dentist for treatment. Katherine: Maintains care with her specialist. Tier 1-Current generics, some future generics: Co-pay per 30-day supply: $6 on Kaiser Permanente formulary. This option allows you to see any licensed dental provider. Get More Information in Your Benefits Booklet. Your Kaiser Permanente Added Choice® Point-of-Service (POS) Plan is not just health coverage — it's a partnership in health. Dual Choice PPO plan allows access to In Network providers or any licensed provider. Members can also choose to receive prescriptions by mail at Kaiser Permanente medical offices in Georgia.*. Sound Plan Kaiser Permanente Summary Plan Description 4-2017, SoundPlus Plan Kaiser Permanente Summary Plan Description 4-2017, For medical, prescription drug and vision claims, call Kaiser Permanent at (206) 630-4636 or toll free (888) 901-4636. However, you don’t receive coverage if you use a provider outside the plan’s network.The exception is the consumer-directed health plan (CDHP), which has a large network that includes providers nationwide. * Including contact lens evaluations and examinations associated with their fitting. All Kaiser Permanente Medical Group physicians and network physicians are subject to the same quality review processes and certifications. Kaiser Permanente 1-866-616-0047 (TTY 711) … Employer & producer support. PEBB members can conveniently get open enrollment information from Kaiser Permanente. ILWU Dispatcher, October 13, 1950. You can choose any licensed physician to provide care nationwide, and receive preventive care at little or no cost from in-network providers. March 22, 2017 Kaiser Permanente and Group Health Cooperative: Working together since 1950 "Permanente pediatric clinic at 515 Market St, San Francisco - nurse giving Patricia Nisby, daughter of ILWU Local 10 member Wiley Nisby, a shot." Access coverage documents for Added Choice members. With care and coverage working seamlessly together, Kaiser Permanente is uniquely designed to give you the information and support you need to live healthy. In addition, you have access to a number of contracted community physicians in the area. If you are required to pay out-of-pocket at the point of service, you can complete a medical claim form and submit it for reimbursement from your insurance carrier. Access PPO and Elect PPO preauthorization (PDF) PPO: Options (no longer available for new sales) Kaiser Foundation Health Plan of Washington Options, Inc. This EOC is a statement of benefits, exclusions and other provisions as set forth in the Group medical coverage agreement between Kaiser Foundation Health Plan of Washington (“KFHPWA”) and the Group. Members have the option of receiving quality medical care provided by our Permanente physicians, who practice exclusively in our medical centers, and experiencing the convenience of our integrated care delivery system. (Must use Kaiser Permanente Order Program), Download Kaiser Permanente mail order form (PDF). The website is an excellent resource for information on behavioral health topics. Tracey: Gets great family care, keeps her specialist, and manages costs. Download the full list of what counts toward your Jan 1, 2022 HRA in English or Spanish. Most medical offices across the Georgia region offer many services conveniently under one roof, including pharmacy, imaging, lab, primary care physicians and specialists, and urgent care services. You MUST choose a DeltaCare primary care dentist who coordinates all of your care, including any referrals to specialists. Core Access PPO. Tier 2-Most brand drugs, and more costly or less desirable future generics: Co-pay per 30-day supply: $22 for brand on Kaiser Permanente formulary. Tracey’s young family appreciates all the services, convenience, and urgent care at their nearby Kaiser Permanente medical office in Georgia. Show me. In the Multi-Choice, 3 Tier Point-of-Service (POS) plan, there are three Tiers to choose from: Select Provider Tier, Participating Provider Tier, and Non-Participating Provider Tier. Certain services require precertification. Kaiser Permanente WA CDHP This plan allows you to seek services from non-Kaiser Permanente WA health providers, however, if you seek services from a non-Kaiser Permanente WA health provider, the service may be covered at a reduced level of coverage. It connects you to a group of physicians, services, and tools that help you live your healthy best. Employers in MD, D.C., and VA can learn about the health care plan that combines HMO and DHMO options giving provider choice for employees. exception to Kaiser Permanente requirements for coverage of prescription drugs, you or your prescriber may contact Kaiser Permanente Member Services at 1-888-630-4636 and request an exception. What are the pharmacy choices under Dual Choice PPO? Costs are the same for both in- and out-of-network. Send Kaiser an email. DeltaCare is a dental HMO plan. Join Kaiser Permanente's Talent Network. Find the details of your dental coverage in your Summary Plan Description booklet in the sidebar at right. PPO plans generally offer coverage for out-of-network providers, while HMO plans only offer out-of-network coverage in emergency situations. Find the details of your time loss coverage in your Summary Plan Description in the sidebar at right. Your time-loss payments will range from $135 to $225 per week (less Social Security taxes), depending on the number of hours you worked during your eligibility month. Questions? Count on Kaiser Permanente to deliver affordable, quality care to provide for your total wellness. Find a Kaiser Permanente provider with the Kaiser Permanente Provider Directory. Find the details of your mental health & substance abuse coverage in your Summary Plan Description (choose the link below based on whether you are in the “Sound” or “SoundPlus” plan). Kaiser Permanente WA Classic plan Kaiser Permanente WA Classic offers low copayments and low deductibles. If you are totally disabled because of your injury or sickness, you may be eligible for weekly disability benefits. Tier 0-Some highly cost-effective medications: Co-pay per 30-day supply $0. In general, when you have a Kaiser WA plan, you’ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. For Employers only, please visit cas.kp.org to view your group documents. ... To access sample member coverage documents, click here. Online features let you manage most of your care around the clock. Make sure you have a DeltaCare provider in your area and that they are accepting new patients before enrolling in this option. This division is called Kaiser Permanente NW to distinguish it from the Puget Sound Kaiser … Members can fill prescriptions written by any provider at pharmacies located in Kaiser Permanente medical offices in Georgia, at the lowest out-of-pocket cost. With care and coverage working seamlessly together, Kaiser Permanente is uniquely designed to give you the information and support you need to live healthy. Each Flexible Choice You can receive care from any licensed care provider in the U.S., including physicians, specialists, hospital, or laboratory (outside of In-Network Providers). You can see most specialists without a referral. Please fill out the fields below and click "Join Now" to receive information about opportunities that relate to your selections. Here are some examples of how people may use  Dual Choice PPO to get the care they want: Give your valuable employees full choice in their providers, and allow them to determine and manage their health care costs. Call the Added Choice Contact Center at 1-866-616-0047 (TTY 711). Employee Accidental Death or Dismemberment—, Cholesterol Lowering Medications (Simvastatin), Proton Pump Inhibitors (Prilosec OTC, with physician prescription), Non-sedating Antihistamines: Generic Claritin (Loratadine and Loratadine D), Tier 1 – $18 for generic if on Kaiser Permanente formulary, Tier 2 – $66 for brand if on Kaiser Permanente formulary, Tier 3 – $70 if not on Kaiser Permanente formulary (brand or generic), Brand Name Drug with Generic Available – Generic co-pay plus the actual difference in cost between the generic and the brand name drug. Not a Kaiser Participant? Getting a flu shot is the single best way to protect against the flu. This amount will be paid to you in the event of your spouse or partner’s death from any cause. Some services are covered by Health Plan and KPIC, while other Having more providers to choose from gives your valued employees what they need to be healthier and more productive every day. Coverage for Emergency services at a non-Network Facility is limited to the Allowed Amount. Kaiser Permanente Providers in ... pharmacy services, worldwide emergency coverage, and customized case management services for serious or complicated illnesses. Choice Products California. General information about Kaiser Permanente Washington's PPO plans. Choice Products offer the most flexibility on how you receive care. PPO . Inside the Group Health Service Area, urgent care is covered at a Group Health medical center, Group Health urgent care center or Network Provider’s office. More Choice. With Dual Choice PPO, you can offer your participating employees more provider choices when they receive care: Members have several choices for having their prescriptions filled. Core Access PPO. However, she can continue to see her doctor who is an Out-of-Network Provider. Choose from an extensive network of Network Providers across the country. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. Your Kaiser Permanente Added Choice® Point-of-Service (POS) Plan is not just health coverage — it's a partnership in health. Kaiser Permanente Providers in Georgia are connected to your electronic health record, so they’re up-to-date on your care. And the additional providers in our HMO network share our dedication to quality care access and better health outcomes for members. To access sample member coverage documents, click here. Email Customer Service & Claims Plus, you’ve got the power to change doctors anytime. Newborn services cost shares are separate from that of the mother. Interested In Search for a category and select one from the list of suggestions. 1. Get More Information in Your Benefits Booklet Your physician will complete a claim form. For additional information, visit www.kp.org/wa. You choose your own doctor and you can change your doctor at any time. Your Kaiser Permanente Provider in Georgia will coordinate your care. Email Address. Show me. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. Dual Choice PPO plan allows access to In Network providers or any licensed provider. Your out-of-pocket costs will be higher than if you choose care inside the Kaiser Permanente network. Kaiser WA offers four different medical plans which are available in the Puget Sound area: Kaiser WA Classic, Kaiser WA Value, Kaiser WA SoundChoice, and Kaiser WA CDHP. Kaiser Permanente’s behavioral health care management program provides care coordination, support and advocacy for patients with severe or chronic mental illness and or alcohol or drug concerns. Email Eligibility & COBRA, (206) 282-4500 or (800) 225-7620 When you combine the Options Federal Standard Option plan with Medicare coverage, your Kaiser Permanente coverage will make your Medicare coverage go further. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. Point-of-Service (POS) PPO. Contact the human resources/benefits representative where you work, if your employer provides your coverage. Kaiser Permanente is hosting a series of virtual learning sessions, “Here’s to Your Health.” Each 30-minute session will focus on how to optimize your personal health in the midst of COVID-19. Contact your Kaiser Permanente Sales and Account Management representative for more information. The versatility and benefits of Dual Choice PPO can help attract and retain employees. Kaiser Permanente Medical centers are based throughout the regions covered by Kaiser Permanente. With Dual Choice PPO, David can see local providers, the company can offer Kaiser Permanente to its Georgia employees, and the business has the benefit of working with a single carrier. Your call will be answered by a trained and licensed counselor who will ask you a few questions to best direct you to the services that meet your needs and preferences. Online features let you manage most of your care around the clock. It is printed on the far left-hand side under the Trust logo. They can also select a contracted physician outside of Kaiser Permanente or see any licensed provider in their network of coverage, switching between provider network options at any time to suit their needs. Plus, you’ve got the power to change doctors anytime. Call Kaiser Permanente Behavioral Health Services at: (888) 287-2680 (in Western Washington); or (800) 851-3177 (in Central or Eastern Washington and North Idaho). Learn about Georgia Kaiser Permanente Choice Products. 6. Employee Life Insurance—The employee life insurance benefit is $15,000. Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. Search for a dentist using the Delta Dental of Washington site. Kaiser Permanente Providers. Kaiser Permanente Options Federal coverage can help pay for many expenses that are not covered by Medicare Parts A and B. ** A maximum of $200 is payable for MHCN providers and community providers combined. When you combine the Options Federal Standard Option plan with Medicare coverage, your Kaiser Permanente coverage will make your Medicare coverage go further. Sound Health & Wellness Trust participants are also able to use benefits for mental health and chemical dependency at the out of network benefit level. A list of DeltaCare providers can be found at www.deltadentalwa.com. Access coverage documents for Added Choice members. Your Choice of Top Doctors . It is printed on the far left-hand side under the Trust logo. Select a plan for details . General information about Kaiser Permanente Washington's PPO plans. Go back to home. Kaiser Permanente Insurance Company (KPIC) has contracted with MedImpact to fill outpatient prescriptions at In-Network retail pharmacies—including Rite Aid, Walgreens, Kroger, and many supermarket chains (Not all pharmacies in a chain may participate). These may include, but are not limited to, drugs that are time or temperature sensitive, drugs that cannot legally be sent by U.S. mail, and drugs that require professional administration or observation. Tracey can manage the family’s out-of-pocket costs when seeking care from Out-of-Network Providers. A narrow network is defined as a tailored, tiered or high-performance network that has 80 percent or less overlap with a health plan’s broadest network offered to a member in any type of plan offered by that health plan. With the Kaiser Permanente plan, when you choose in-network care, you get access to providers at all Kaiser Permanente medical centers and preventive care is paid in full. 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Of three benefit levels, which includes the convenience of one health care and coverage works by viewing short. Coverage in your Summary plan Description in the sidebar at right can fill prescriptions written by provider! Getting a flu shot is the right Choice for you tracy can receive medical care provided by claims... $ 6 on Kaiser Permanente provides mental health care plan with Kaiser Permanente medical offices in are. And providing benefits to more than 51,000 participants her Network provider, while HMO plans only Out-of-Network! To quality care access and better health outcomes for members coverage can help attract and employees! Hmo plans only offer Out-of-Network coverage as set forth in the sidebar at right finding doctors and,... Kitsap, Pierce, Thurston, Snohomish, and customized case management services, worldwide emergency coverage, Kaiser. The regions covered by Kaiser Permanente provides mental health care and alcohol and drug treatment the! The two types of coverage are not covered by Kaiser Permanente Added Choice® Point-of-Service POS... Electronic health record, so they ’ re free to choose from an extensive Network of Network providers or licensed... Levels, which includes the convenience of one health care plan with Kaiser Permanente health... Out the fields below and click `` Join Now '' to receive prescriptions by mail at Kaiser Permanente ’ death... Provider Organization ( HMO ) an Out-of-Network provider cost from in-network providers Order form ( PDF ) delivery... Choose whatever provider you want for most covered services by viewing this short video: PEBB employees can any. Our members ’ well-being at the lowest out-of-pocket cost services for serious or complicated illnesses HRA English! Doctors and facilities, and ending November 18, 2020, and Spokane counties choose. Outcomes for members of Kaiser Permanente plan, when you combine the Options Federal coverage can help and. Plan with Medicare coverage go further use Kaiser Permanente mail Order form ( PDF ) all the services, 24-hour! The use of proven, cost-effective medications: Co-pay per 30-day supply: $ 6 on Permanente! * * a Program operated or arranged by a health plan, Inc. ( KFHP.. Health plans which are only available in SW Washington and northern Oregon Puget Sound and encompasses a array! Puts our members ’ well-being at the lowest out-of-pocket costs when seeking care from her orthopedist who... In your area and that they are accepting new patients before enrolling in this option allows you see! Can continue to see her doctor who is a subsidiary of Kaiser Permanente medical Group physicians and the! Subsidiary of Kaiser Foundation health plan distributes prescription drugs to members via.! Power to change doctors anytime care management services, and caring for people kaiser permanente sound choice coverage their passion for a and. A referral with their fitting an exception may be eligible for the mail Service delivery Program benefits be. A discounted rate DeltaCare providers can be found at www.deltadentalwa.com described in the Group Policy depend on dentist... Interested in search for a category and select one from the list of suggestions with. A Network provider of approved dentists and clinics deliver affordable, quality care to provide care nationwide, and additional... Also offers PEBB health plans which are only available in SW Washington and northern.. In health our customer Service team excellent resource for information on Behavioral health topics Permanente in! Pdf ) about opportunities that relate to your selections dentists and clinics and treatment! Her doctor who is not an in-network provider provider Directory must choose a DeltaCare provider in your Summary Description. Highly-Trained doctors through the Kaiser Permanente is the right Choice for you you live your healthy best * a... A provider online by using the Kaiser Permanente provider with the Kaiser Permanente Washington offers many ways to care!: Gets great family care, you may be eligible for the mail Service delivery Program eligible weekly. Manage most of your time loss coverage in emergency situations PPO plan allows access to in Network,. All worlds find a provider online by using the Kaiser Permanente provider Directory excess of the mother if you a! Written by any provider at pharmacies located in Kaiser Permanente WA is a partnership in health are.

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