Drug formulary Kaiser Permanente's drug formulary is a list of medications covered by your health plan. Kaiser Permanente Medicare Advantage members should call Medicare Member Services at 1-888-901-4600 (TTY 711), 7 days a week, 8 a.m. to 8 p.m. Kaiser Permanente urgent care. While HMO and PPO plans are the 2 most common plans, especially when it comes to employer-provided health insurance, there are other plan types you should know about, including EPO and POS plans. Contact Kaiser Permanente Member Services at 206-630-4636 or toll-free 1-888-901-4636 for benefits questions. Quick links. Members also get exclusive access to Kaiser Permanente WA‘s Washington Permanente Medical Group. endobj 2 0 obj You must notify Kaiser Permanente within 24 hours if admitted to an Out-of-network provider; limited to initial emergency only. h�b```��,�@(� x��}[o9����|X,���N2y�l4z���{�3ӽm`0h�\*I��T���u�A2odd�2)m-�������1"����asq�:d?������lu�>��x�~{8lo����ǻ��_�.7�g�������_���a������>d�|����cU��"�5���n�����-�}����ׯ�}d����ׯ�iTd,E.D�E�E���4��w�]���e��[�~����?N����>���W6_���WG��!���\V�"gRg�Ӱ0�D��������_O��ӷ���>&�Ks�Wj6],%����n. First Health Network 1-800-226-5116. 1. The plans offered by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., give you choices. For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) -4636 in the Seattle area, or toll630 -free in Washington, 1-888-901-4636. Please call Member Services to speak with a representative Monday through Friday, 8 a.m. to 8 p.m.. 1-888-901-4636 (TTY 711) Staying healthy is easier with the right support. Other types of health plans. 1162 0 obj <>/Filter/FlateDecode/ID[<722FD9695C654D4CAAACE4285D728A0B><0F142A3723E9374D9975B422388118B0>]/Index[1143 48]/Info 1142 0 R/Length 94/Prev 215873/Root 1144 0 R/Size 1191/Type/XRef/W[1 2 1]>>stream When members need in-person care away from home, they should first call Member Services at 1-888-901-4636 (TTY 711) to find the closest in-network option. 2021 Kaiser Permanente Small Group Plan Documents Compare Plan Options. You can compare benefit information, networks, and monthly premiums. Find out Kaiser Permanente's list of medications covered by Individual and Family, Medicare Advantage, Small Employer Group, Large Employer Group, and FEHB plans. An Eligibility Inquiry demo is available to assist you. h�bbd``b`� ��� �~H0j�X��tK���@D%��$XA�T�W4�p�{d� �T�����2��q`����� qUh %���� Copayment waived if admitted directly to the hospital as an inpatient. Summaries of Benefits and Coverage - English ... 2021 Access PPO VisitsPlus Silver LX EO 2021 Access PPO VisitsPlus Gold LX Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) 630-4636 in the Seattle area, or toll-free in Washington, 1-888-901-4636. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Questions? Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 1 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83109-1 <> Kaiser Permanente WA Options members can choose from thousands of network providers throughout our service area and nationwide. %PDF-1.5 %���� Kaiser Permanente Washington Options Federal. �����N9�*�?��rA�Kx���Ю�V';i���U�:ᝪ���`�h`��`��`� 29::�����(�1 KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Enhanced benefit: Access PPO is the only PPO network that gives you in-network access to the quality doctors at Kaiser Permanente medical offices. Developed in collaboration with Delta Dental of Washington, our Health360 plan offers integrated dental benefits for whole body health. Emergency medical ... Kaiser Permanente WA Options Access PPO 2 … And we include incentives, such as lower cost shares, to encourage your employees to engage with Kaiser Permanente physicians and receive nationally recognized care. II. Kaiser Permanente 1-866-616-0047 (TTY 711) This card lists the member's name, ID number, and health plan network. Exclusive high performing network that includes Washington Permanente Medical Group with select medical groups and providers to provide coverage in 6 core counties at the Tier 1 level, Tier 2 are the remaining providers in the Access PPO … %PDF-1.7 1190 0 obj <>stream See doctors in your network, choose a doctor, and use the cost estimator. Access PPO and Options Federal include prescription coverage at all Kaiser Permanente Washington pharmacies and mail order, contracted pharmacies, and the OptumRx national pharmacy network. Kaiser Permanente Washington offers health insurance and medical care in Washington state. In-network care is provided by Kaiser Permanente providers and more than 16,000 contracted providers 1 within our 18-county service area and by First Choice Health network providers in Washington counties not in our service area. Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 3 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83107-1 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. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Broad physician choice, including: Kaiser Permanente providers at our medical facilities, where you can get many services under one roof; First Choice Health and First Choice networks, located in the State of Washington or throughout the United States, which allows you to keep your doctor in most cases Preventive care to Permanente or non–Kaiser Permanente hospital stream Care from a First Choice Health network provider within our 18-county service area is covered at the out-of-network benefit level. A PPO plan is also generally more expensive than an HMO plan. 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 doctors, medical centers, pharmacies, and walk-in clinics. To check member eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry . For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) 630-4636 in the Seattle area, or toll-free in Washington, 1-888-901-4636. Kaiser Foundation Health Plan of Washington Options, Inc. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Kaiser Permanente provides coverage to employer groups, government programs, individuals, and families through the Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. An extremely limited number of COVID-19 vaccine doses have started arriving at Kaiser Permanente facilities, and we are currently administering… Read More Dec 15, 2020 The Kaiser Foundation Health Plan of Washington Options, Inc. Federal PPO provides access to an expansive network of local, statewide, and nationwide participating providers. Kaiser Permanente. Our 2021 small group portfolio offers 23 plan options. Product and plan updates. First Health Network 1-800-226-5116. Documents listed here are current as of December 8th, 2020. Generally, the care you receive from preferred providers will be covered at a higher benefit level than care received by nonpreferred providers. <>/Metadata 1450 0 R/ViewerPreferences 1451 0 R>> To meet patient needs related to COVID-19, some Kaiser Permanente locations and providers are temporarily not available for in-person care. When you choose these doctors—and other select high-performing Washington providers in the major areas we serve—you'll enjoy the reduced cost shares seen in the "In network enhanced" column. Rates have increased an overall average of 2.24% on our Core HMO plans and 3.28% on our Access PPO plans. Think higher cost with greater flexibility. Our Access PPO plans include all of the features and services that are part of our award-winning HMO plans. Kaiser Permanente 1-866-616-0047 (TTY 711) <> 1 0 obj endstream endobj 1144 0 obj <. How Covered Services Work A. Accessing Care. Small group benefit changes include: Kaiser Permanente. Primary care office visits are covered at $25, or $15 when services are received at a Kaiser Permanente Washington medical facility. Compare Your Options Plan Brochure. L'��620���a�g� y�mC���eL�[�x�D�hf�2:|�c�bX�y��ہ���@�����%Hs30�s2��ź�H10�?Ҍ@!s� �;. You can choose Core HMO plans with in-network coverage featuring high-quality health care providers or Access PPO plans with broad physician choice from any licensed provider and care when needed. Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 2 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83108-1 Medical care in Washington state ‘ s Washington Permanente medical offices use the cost estimator kaiser permanente wa options access ppo 2 insurance and care! 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