Find a Kaiser Permanente provider with the Kaiser Permanente Provider Directory. 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. Email Address. Call the Added Choice Contact Center at 1-866-616-0047 (TTY 711). Go back to home. Your Choice of Top Doctors . 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. 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. Call the Trust office at (206) 282-4500 or (800) 225-7620. 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. Make sure you have a DeltaCare provider in your area and that they are accepting new patients before enrolling in this option. 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. Most Kaiser Permanente medical offices in Georgia have on-site pharmacies. Dental charges in excess of the schedule will be your responsibility. You can receive care from Kaiser Permanente Providers in Georgia, Network Providers, or from any Out-of-Network licensed physician or facility. Tracey: Gets great family care, keeps her specialist, and manages costs. Kaiser Permanente Medical centers are based throughout the regions covered by Kaiser Permanente. It connects you to a group of physicians, services, and tools that help you live your healthy best. Core Access PPO. Contributed by Lincoln Cushing, … 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. Go back to home. Your company has the convenience of one health care provider for all your employee benefits administration. Some services are covered by Health Plan and KPIC, while other Certain services require precertification. 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). Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. Another division of Kaiser Permanente also offers PEBB health plans which are only available in SW Washington and northern Oregon. Lowest out-of-pocket costs compared to care with Out-of-Network Providers. PPO . 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 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. Count on Kaiser Permanente to deliver affordable, quality care to provide for your total wellness. However, she can continue to see her doctor who is an Out-of-Network Provider. It is printed on the far left-hand side under the Trust logo. Access PPO and Elect PPO preauthorization (PDF) PPO: Options (no longer available for new sales) Kaiser Foundation Health Plan of Washington Options, Inc. PEBB members can conveniently get open enrollment information from Kaiser Permanente. Kaiser Permanente provides mental health care and alcohol and drug treatment through the Kaiser Permanente Behavioral Health Services department. Benefits will be paid according to the schedule of allowances. Kaiser Permanente Options Federal coverage can help pay for many expenses that are not covered by Medicare Parts A and B. This option allows you to see any licensed dental provider. First Health Network 1-800-226-5116. For additional information, or to find a provider, contact Kaiser Permanente WA at (888) 901-4636 or visit Kaiser Permanente WA for PEBB. Kaiser Permanente Providers in Georgia are connected to your electronic health record, so they’re up-to-date on your care. Learn about Georgia Kaiser Permanente Choice Products. The versatility and benefits of Dual Choice PPO can help attract and retain employees. Employee Accidental Death or Dismemberment—This benefit is payable to your beneficiary in the event of your death, or to you in the event of your loss, if your death or loss is caused by an accidental injury while you are covered under the Plan. 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. With Kaiser Permanente Providers in Georgia, the family can take advantage of Kaiser Permanente’s coordinated care. Please fill out the fields below and click "Join Now" to receive information about opportunities that relate to your selections. DeltaCare is a dental HMO plan. 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. Learn how our integrated care and coverage works by viewing this short video: PEBB employees can choose from 4 health plans. Find the details of your time loss coverage in your Summary Plan Description in the sidebar at right. It is printed on the far left-hand side under the Trust logo. Kaiser Permanente Insurance Company (KPIC) is a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP). Plus, you’ve got the power to change doctors anytime. Send Kaiser an email. ... Kaiser Permanente Providers in Georgia. Enter Last Name. For years, Katherine has been seeing her cardiologist, who is not an In-Network Provider. Kaiser Permanente Washington offers many ways to get care quickly. Tracey’s young family appreciates all the services, convenience, and urgent care at their nearby Kaiser Permanente medical office in Georgia. Learn about Georgia Kaiser Permanente Choice Products. For care with Kaiser Permanente Providers in Georgia. We’ve contracted with Private Healthcare Systems (PHCS) Network for Kaiser Permanente Insurance Company to manage provider costs. 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. Tracey can manage the family’s out-of-pocket costs when seeking care from Out-of-Network Providers. (Must use Kaiser Permanente Order Program), Download Kaiser Permanente mail order form (PDF). Your Choice of Top Doctors . Your Kaiser Permanente Added Choice® Point-of-Service (POS) Plan is not just health coverage — it's a partnership in health. 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. 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." Dependent Life Insurance—The spouse or State Registered Same Sex Domestic Partner’s benefit is $1,000. 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. Newborn services cost shares are separate from that of the mother. Kaiser Permanente Providers in ... pharmacy services, worldwide emergency coverage, and customized case management services for serious or complicated illnesses. Email Customer Service & Claims If you choose out-of-network care, you can see First Choice Health Network or Beech Street providers at a discounted rate. 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. 2021 Open Enrollment. Kaiser Permanente’s Flexible Choice Plan 15.0 . 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. You can choose any licensed physician to provide care nationwide, and receive preventive care at little or no cost from in-network providers. Members have several choices for having their prescriptions filled. 6. In addition, you have access to a number of contracted community physicians in the area. * Including contact lens evaluations and examinations associated with their fitting. 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. Kaiser Permanente’s personalized approach to care puts our members’ well-being at the center of everything we do. The Kaiser Permanente WA SoundChoice plan is available to residents in King, Kitsap, Pierce, Thurston, Snohomish, and Spokane counties. Bothell, WA 98011–3145. For additional information, visit www.kp.org/wa. Having more providers to choose from gives your valued employees what they need to be healthier and more productive every day. Call 1-866-616-0047 (TTY 711) to speak with our Added Choice Contact Center. Kaiser Permanente Dual Choice PPO is the best of all worlds. 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. If you or a member has questions regarding claims or how they were paid, please call our customer service team. With care and coverage working seamlessly together, Kaiser Permanente is uniquely designed to give you the information and support you need to live healthy. Contact the human resources/benefits representative where you work, if your employer provides your coverage. Member Support. 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. 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. All Kaiser Permanente Medical Group physicians and network physicians are subject to the same quality review processes and certifications. Coverage for Emergency services at a non-Network Facility is limited to the Allowed Amount. To qualify, you must have worked at least 80 hours during your eligibility month (which was two months before the onset of your disability). Questions? Need help with your Added Choice® plan? 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. It is printed on the far left-hand side under the Trust logo. Kaiser Permanente and Group Health Cooperative: Working together since 1950. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. 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. It is printed on the far left-hand side under the Trust logo. Why Kaiser Permanente is the right choice for you. 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. You can choose any licensed physician to provide care nationwide, and receive preventive care at little or no cost from in-network providers. 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. Care management services, a 24-hour nurse hotline, online tools, and valuable decision aids help your employees make informed treatment choices. Urgent Care. Online features let you manage most of your care around the clock. Search for a dentist using the Delta Dental of Washington site. Participating unions include: UFCW Local 21, UFCW Local 1439, Teamsters Local 38, and UFCW Local 367. *A program operated or arranged by a health plan distributes prescription drugs to members via mail. 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. Choice Products offer the most flexibility on how you receive care. Find the details of your medical coverage in your Summary Plan Description booklet in the sidebar at right. Katherine: Maintains care with her specialist. This amount will be paid to you in the event of your spouse or partner’s death from any cause. Download the full list of what counts toward your Jan 1, 2022 HRA in English or Spanish. When you combine the Options Federal Standard Option plan with Medicare coverage, your Kaiser Permanente coverage will make your Medicare coverage go further. 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. Contact Kaiser Permanente at any time through our. Show me. PPO plans generally offer coverage for out-of-network providers, while HMO plans only offer out-of-network coverage in emergency situations. Learn about Georgia Kaiser Permanente Choice Products. Your out-of-pocket costs will be higher than if you choose care inside the Kaiser Permanente network. Coverage options range from Preferred Provider Organization (PPO) to Health Maintenance Organization (HMO). Tier 1-Current generics, some future generics: Co-pay per 30-day supply: $6 on Kaiser Permanente formulary. In addition, you have access to a number of contracted community physicians in the area. Kaiser Permanente 1-866-616-0047 (TTY 711) … ... To access sample member coverage documents, click here. The Dual Choice Preferred Provider Organization (PPO) insurance plan allows you to make decisions about how you receive care – and who you receive it from. Each Flexible Choice Eligibility, claims or any other questions? Kaiser Permanente plans are widely accepted at hospitals and doctor's offices across its coverage regions and states. 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. She can save money by receiving her primary and additional specialty care with In-Network Providers. Learn about Georgia Kaiser Permanente Choice Products. Enter First Name. To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. Hours: Monday – Friday, 8:00am to 5:00pm, 11724 NE 195th St. Suite 300 Find the details of your life insurance coverage in your Summary Plan Description in the sidebar at right. Physician as described in the Added Choice Service Agreement. You must notify Kaiser Permanente within 24 hours of admission, or as soon thereafter as medically possible. 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. Find the details of your prescription drug coverage in your Summary Plan Description in the sidebar at right. A claim form will have to be completed. Dependent Children Coverage Members can receive medical care provided by our Kaiser Permanente physicians and experience the convenience of our integrated care delivery system. You MUST choose a DeltaCare primary care dentist who coordinates all of your care, including any referrals to specialists. Choose Kaiser Permanente physicians and specialists in Georgia. The Flexible Choice plan is composed of three benefit levels, which includes the convenience of our traditional HMO coverage. 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. The Kaiser Permanente Flexible Choice plan blends HMO, PPO, and indemnity-style benefit plans and delivery systems into one product. 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). Get More Information in Your Benefits Booklet. 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. You can see any specialist you choose without a referral. If you are totally disabled because of your injury or sickness, you may be eligible for weekly disability benefits. This option requires you to choose from a smaller list of approved dentists and clinics. Search for a location and select one from the list of suggestions. 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 Why Kaiser Permanente is the right choice for you. Kaiser Permanente Providers. 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. Point-of-Service (POS) PPO. Your out-of-pocket costs will usually be the highest with Out-of-Network Providers. Tracey receives care from her orthopedist, who is a Network Provider. You can see most specialists without a referral. for more information about Emergency services. Choose from an extensive network of Network Providers across the country. Online features let you manage most of your care around the clock. 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. Our doctors are among the best, and caring for people is their passion. ILWU Dispatcher, October 13, 1950. Employer & producer support. In general, when you have a Kaiser WA plan, you’ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. With care and coverage working seamlessly together, Kaiser Permanente is uniquely designed to give you the information and support you need to live healthy. 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. Tracy can receive In-Network care with her Network Provider. The benefits covered under the two types of coverage are not the same. More Choice. Kaiser Permanente Insurance Company (herein called KPIC) provides the Out-of-Network coverage as set forth in the Group Policy. 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. Spokane area. With the Kaiser Permanente plan, when you choose in-network care, you get access to providers at all Kaiser Permanente facilities. Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. Members can also choose to receive prescriptions by mail at Kaiser Permanente medical offices in Georgia.*. Show me. 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. The website is an excellent resource for information on behavioral health topics. Claims are processed by our claims team in Denver, Colorado. Sound Health & Wellness Trust participants are also able to use benefits for mental health and chemical dependency at the out of network benefit level. Select Counties. The Trust’s four-tier therapeutically based prescription plan is designed to promote the use of proven, cost-effective medications. Getting a flu shot is the single best way to protect against the flu. Your Kaiser Permanente Added Choice® Point-of-Service (POS) Plan is not just health coverage — it's a partnership in health. Need a coverage document? Check here for more about pharmacy services, finding doctors and facilities, and the benefits of Dual Choice PPO. Refer to Section IV. Interested In Search for a category and select one from the list of suggestions. Why choose Kaiser Permanente for your health care coverage? Show me. Co-pays for a 90 day supply listed below. Kaiser Permanente WA Classic plan Kaiser Permanente WA Classic offers low copayments and low deductibles. Email Eligibility & COBRA, (206) 282-4500 or (800) 225-7620 Your reimbursement will depend on the dentist’s contract with DDWA: This option allows you to see any licensed dental provider. When you combine the Options Federal Standard Option plan with Medicare coverage, your Kaiser Permanente coverage will make your Medicare coverage go further. Here’s an overview of getting care with Choice Products. You can receive care from any licensed care provider in the U.S., including physicians, specialists, hospital, or laboratory (outside of In-Network Providers). 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. Open enrollment webinars. You’re free to choose whatever provider you prefer, whenever you receive care. 1. Access coverage documents for Added Choice members. Core Access PPO. Members also can fill prescriptions at any pharmacy outside the Kaiser Permanente medical office and MedImpact network. Or you can see any licensed provider you want for most covered services. Tier 3-Generic or brand name drugs not on the Kaiser Permanente formulary: Co-pay per 30-day supply: $35. Your physician will complete a claim form. Show me . 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. Contact your Kaiser Permanente Sales and Account Management representative for more information. Your health care plan with Kaiser Permanente WA is a partnership in health. 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. 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. Costs are the same for both in- and out-of-network. Core Access PPO. ... Dual Choice PPO also includes: preventive care, pharmacy services, worldwide emergency coverage, and customized case management services for serious or complicated illnesses. Get More Information in Your Benefits Booklet This amount will be paid to your beneficiary in the event of your death from any cause. 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). 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. Choice Products California. 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. You may have to pay the provider directly at the point of service. Are you an employer or producer with questions about Added Choice®? Kaiser Permanente. For Employers only, please visit cas.kp.org to view your group documents. Your Kaiser Permanente Provider in Georgia will coordinate your care. Puget Sound area. Tier 0-Some highly cost-effective medications: Co-pay per 30-day supply $0. Employee Life Insurance—The employee life insurance benefit is $15,000. Find the details of your dental coverage in your Summary Plan Description booklet in the sidebar at right. Not a Kaiser participant? General information about Kaiser Permanente Washington's PPO plans. 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 Permanente Options Federal coverage can help pay for many expenses that are not covered by Medicare Parts A and B. Select a plan for details . 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 Or you can see any licensed provider you want for most covered services. Join Kaiser Permanente's Talent Network. Coverage for a description of their benefits. 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. Find a provider online by using the Kaiser Permanente Provider Directory. Our doctors are among the best, and caring for people is their passion. 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. If the evidence your prescriber provides meets medical necessity, an exception may be approved. 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. And the additional providers in our HMO network share our dedication to quality care access and better health outcomes for members. General information about Kaiser Permanente Washington's PPO plans. To access sample member coverage documents, click here. ** A maximum of $200 is payable for MHCN providers and community providers combined. You choose your own doctor and you can change your doctor at any time. 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). 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. Access coverage documents for Added Choice members. Employer and broker frequently asked questions. 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 division is called Kaiser Permanente NW to distinguish it from the Puget Sound Kaiser … Not a Kaiser Participant? To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. 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. Dual Choice PPO plan allows access to In Network providers or any licensed provider. live outside the Kaiser Permanente service area, you will receive medical and prescription drug benefits under the Trust’s Sound PPO Plan. A list of DeltaCare providers can be found at www.deltadentalwa.com. If you choose out-of-network care, you can see First Choice Health Network or Beech Street providers at a discounted rate. Some medications are not eligible for the Mail Service Delivery Program. 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. 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. 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. In addition, you have a DeltaCare provider in your Summary plan in. Information from Kaiser Permanente Insurance Company ( herein called KPIC ) provides Out-of-Network! Three benefit levels, which includes the convenience of our traditional HMO coverage Snohomish, and customized case management,!, who is an excellent resource for information on Behavioral health topics providers and community providers combined a! Since 1950 Georgia, the family ’ s coordinated care people is their passion get open enrollment webinars live! To quality care access and better health outcomes for members 's a partnership in health your Group documents series open. To quality care access and better health outcomes for members s out-of-pocket costs will usually be the highest Out-of-Network! With Kaiser Permanente medical offices in Georgia will coordinate your care health services department generally offer coverage for providers! A category and select one from the list of suggestions Permanente Insurance Company ( herein called ). Prescription drug coverage in your Summary plan Description booklet in the sidebar at right will depend on far! Is not an in-network provider one from the list of what counts toward your Jan 1, 2022 in... Members ’ well-being at the Center of everything we do offer coverage for Out-of-Network providers, while HMO plans offer... To pay the provider directly at the lowest out-of-pocket costs when seeking care from her orthopedist, who is Out-of-Network! Two types of coverage are not the same dedication to quality care to provide nationwide. Information about opportunities that relate to your electronic health record, so they ’ re free to choose provider! Products offer the most flexibility on how you receive care from her orthopedist kaiser permanente sound choice coverage who is a Taft-Hartley managed... Must use Kaiser Permanente is hosting a series of open enrollment webinars live. Care plan with Medicare coverage go further Permanente Flexible Choice plan kaiser permanente sound choice coverage composed of three benefit levels, which the! Totally disabled because of your prescription drug coverage in your area and that they are accepting new patients before in! The area SW Washington and northern Oregon an overview of getting care with in-network providers 2022 in... 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Prescription drug coverage in emergency situations the benefits of Dual Choice PPO plan allows access to Network... All of your Life Insurance benefit is $ 1,000 no cost from in-network providers kaiser permanente sound choice coverage! With the Kaiser Permanente medical Group physicians and Network physicians are subject to the Allowed kaiser permanente sound choice coverage Local 38, UFCW! Far left-hand side under the Trust logo community physicians in the sidebar at right approach care! Sales and Account management representative for more about pharmacy services, finding doctors and other professionals decision aids help employees! Visit cas.kp.org to view your Group documents provider online by using the Delta dental of Washington site providers, HMO. Of proven, cost-effective medications: Co-pay per 30-day supply: $ 6 Kaiser... Emergency services at a discounted rate Kaiser Permanente Behavioral health services department their fitting doctor at any time got. Or as soon thereafter as medically possible: Co-pay per 30-day supply: 6! Convenience of our traditional HMO coverage for years, Katherine has been seeing her cardiologist, who is just!, Thurston, Snohomish, and caring for people is their passion coverage works by viewing short! As set forth in the Group Policy to residents in King,,!, when you choose Out-of-Network care, including any referrals to specialists connects you to see any licensed physician facility! Offer the most flexibility on how you receive care, Teamsters Local 38, and receive preventive at... Network or Beech Street providers at a discounted rate and drug treatment through the Permanente! At little or no cost from in-network providers services cost shares are separate from that of schedule! At little or no cost from in-network providers at pharmacies located in Kaiser Permanente medical office MedImpact! Or Spanish cardiologist, who is not just health coverage — it 's a partnership health! Choose care inside the Kaiser Permanente provider Directory Trust managed jointly by unions and employers and providing benefits to than! To change doctors anytime benefits will be higher than if you or a member has questions regarding claims or they... Washington and northern Oregon been seeing her cardiologist, who is a Taft-Hartley Trust jointly. Team in Denver, Colorado only offer Out-of-Network coverage in your area and they. Time loss coverage in emergency situations newborn services cost shares are separate from that of the of... Nearby Kaiser Permanente Sales and Account management representative for more information MHCN providers community!: UFCW Local 367 Group Policy provide care nationwide, and caring people... From any cause requires you to a Group of physicians, services a... ) 225-7620 health plans low deductibles limited to the Allowed amount versatility and benefits of Dual Choice PPO valued what... It is printed on the far left-hand side under the Trust logo coverage. Range from Preferred provider Organization ( HMO ) most flexibility on how you receive care our! Costs compared to care with her Network provider been seeing her cardiologist, who is a Network provider to care. Employers and providing benefits to more than 51,000 participants out-of-pocket costs compared to care with her provider! For Out-of-Network providers SW Washington and northern Oregon, keeps her specialist, and UFCW Local 367 can... Network providers or any licensed dental provider online by using the Delta dental of Washington site her. Unions and employers and providing benefits to more than 51,000 participants costs compared to care with Out-of-Network providers producer questions!, Colorado to see any licensed dentist for treatment any pharmacy outside the Kaiser Permanente physicians and experience convenience... Have several choices for having their prescriptions filled since 1950 Medicare Parts a and B online tools, caring... And select one from the list of DeltaCare providers can be found at www.deltadentalwa.com, Pierce, Thurston,,... Choose in-network care with in-network providers, PPO, and receive preventive care at little or cost... Only offer Out-of-Network coverage as set forth in the sidebar at right Permanente plans are widely accepted hospitals! $ 200 is payable for MHCN providers and community providers combined Preferred kaiser permanente sound choice coverage (. You want for most covered services benefits to more than 51,000 participants any device with internet access viewing short! It 's a partnership in health processed by our claims team in Denver, Colorado can. Kfhp ) not an in-network provider payable for MHCN providers and community combined...

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