Or for quick, high-quality care of minor illnesses or injuries, you can walk into a CareClinic by Kaiser Permanente in 15 Bartell Drugs locations across the Puget Sound area. Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. 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. CERTIFICATE OF INSURANCE . A provider’s listing in this directory does not guarantee that the provider is still in the network or accepting new patients. Newborn services cost shares are separate from that of the mother. For more recent information or other questions, please contact the number for your Kaiser Permanente Region listed below, seven days a Please make sure your provider is in the network before you visit. 7. One Kaiser Plaza . About Kaiser Permanente Home. 1134 0 obj <>/Filter/FlateDecode/ID[<1948BECA93B65643A2F092D4E8A92D34><95F63C47BAF9E64BB9862D0FC10FE59C>]/Index[1115 48]/Info 1114 0 R/Length 93/Prev 212814/Root 1116 0 R/Size 1163/Type/XRef/W[1 2 1]>>stream TITLE PAGE (Cover Page) KAISER PERMANENTE INSURANCE COMPANY. When you visit most Kaiser Permanente facilities, you can see your doctor, get lab work or X-rays done, and pick up your prescriptions — often in one trip. This is a plan with a low premium balanced with a higher deductible and out-of-pocket maximum and access to the network of doctors on our Core network, giving you flexibility to manage your health care expenses. If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers, Find a Provider For SoundChoice Subscribers, Find a Provider Medicare Advantage Retirees, © 2020 Kaiser Foundation Health Plan of WashingtonKaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 • Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 • Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 601 Union St., Suite 3100, Seattle, WA 98101 2020 HI ADDED CHOICE … Georgia’s Multi-Choice formulary as of September 9, 2020 For an updated formulary, please visit our website at members.kp.org or call 1-888-865-5813, Monday through Friday 7:00 a.m. to 7:00 p.m. TTY/TDD users should call ... Kaiser Permanente of Georgia Multi Choice Formulary . Join Kaiser Permanente and you'll be in good company — in 2019, 95% of existing Kaiser Permanente Medicare Advantage members in Washington chose to stay with us when it came time to make a health plan choice. 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. For more information on this health savings account, refer to our HSA and CDHP FAQ. KPIC Colorado Effective 10/1/2020 Page 1 of 8 Kaiser Permanente Insurance Company (KPIC) Point of Service (POS) Preferred Provider Organization (PPO) Plans You are receiving this document because you are currently enrolled in a Kaiser Permanente POS or PPO Plan. Most features are available only to members receiving care at Kaiser Permanente medical facilities. The plan offers a wide array of benefits and care from our highly-trained doctors through the Core network. Kaiser won't let me take a COVID Test despite being insured by them and experiencing loss of smell and taste. Kaiser Permanente acquired the Georgetown Community Health Plan in 1980, and began working with existing community hospitals. Kaiser Permanente Washington Options Federal. Enrollment in Kaiser Permanente depends on contract renewal. The Permanente Medical Group (TPMG), in partnership with the Nurse Scholars Academy, is pleased to announce that we are now accepting applications for the TPMG Choice Program. 2020 Comprehensive Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN . %%EOF This plan allows you to set aside pre-tax money to help pay for qualified medical expenses, such as routine office visits or seeing a specialist. 0 In general, when you have a Kaiser WA plan, you’ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. Kaiser Permanente WA Classic, Kaiser Permanente WA Value, and the Kaiser Permanente WA Consumer Directed Health Plan (CDHP) with a Health Savings Account (HSA) are available to residents in all counties we serve. Our Medicare Advantage health plan was rated 4.5 out of 5 Stars in Washington for 2021. With employee monthly premiums as low as $55 (subscriber only), low deductibles for both medical and drugs, plus a $0 copay for primary care, this plan is a great option for those interested in trying Kaiser Permanente WA. Kaiser Permanente is an HMO plan with a Medicare contract. For residents in King, Kitsap, Pierce, Thurston, Snohomish, and Spokane counties only. PEBB employees can choose from 4 health plans. Women’s Choice Award recognizes Kaiser Permanente Moanalua Medical Center for providing safe, patient-centered maternity care. This Certificate describes benefit coverage funded through a Group Insurance Policy issued to Your group by Kaiser Permanente Insurance Company. Disclaimers. About Kaiser Permanente Home. h�b```��,j�@����(��e�M{�:�Й����s �,A]7.ty';i��r,�f�4%�XCGCE�qt0�w4�h2��ί�� ��?� STANDARD COMMERCIAL DRUG FORMULARY PRIOR AUTHORIZATION GUIDELINES Drugs listed in this document does not ensure coverage. For an updated formulary, please visit our website at members.kp.org or call 1-888-865- 5813, Monday through Friday 7:00 a.m. to 7:00 p.m. TTY/TDD users should call 1-800-255-0056. Select Your Region. 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. 2020 Rates and Benefits. Get all the same valuable services as the Classic plan, while spending less on your monthly premiums, and care from the same network of doctors on our Core network. *(SRDP) State-Registered Domestic Partner. The Kaiser Permanente WA SoundChoice plan is available to residents in King, Kitsap, Pierce, Thurston, Snohomish, and Spokane counties. Northern California Southern California Colorado Georgia Hawaii Mid-Atlantic Northwest Washington. 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. KPIC-GC-3TPOS-LG-2020-CO-NGF-ACDC II 1 2020 . Most features are available only to members receiving care at Kaiser Permanente medical facilities. Learning sessions will be held on Wednesdays beginning August 26, 2020, and ending November 18, 2020. 1162 0 obj <>stream q� �{�6�j5����P`:�Sh�����c�G���U*L�d�47�m�����!� 3�f Learn how our integrated care and coverage works by viewing this short video: PEBB employees can choose from 4 health plans. You must notify Kaiser Permanente within 24 hours of admission, or as soon thereafter as medically possible. This formulary was updated on 07/01/20. Y �n,� 1115 0 obj <> endobj It's a savings account for health care. endstream endobj 1116 0 obj <. d����-{` >�h General information about Kaiser Permanente Washington's PPO plans. Kaiser Permanente members typically have coverage for medically necessary eye examinations, and some members, including those members with the pediatric vision benefit under their Affordable Care Act plan, may be able to apply a supplemental benefit to their purchases. In 1984, the region opened its first pharmacy and officially changed its name to Kaiser Foundation Health Plan of the Mid-Atlantic States. Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. Your coverage and/or copayment/coinsurance may vary Your health care plan with Kaiser Permanente WA is a partnership in health. Please read it carefully and keep it in a safe place. 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