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. Emergency medical ... Kaiser Permanente WA Options Access PPO 2 … 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. Our 2021 small group portfolio offers 23 plan options. Think higher cost with greater flexibility. 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. 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. To meet patient needs related to COVID-19, some Kaiser Permanente locations and providers are temporarily not available for in-person care. Copayment waived if admitted directly to the hospital as an inpatient. A PPO plan is also generally more expensive than an HMO plan. 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) 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 endobj Primary care office visits are covered at $25, or $15 when services are received at a Kaiser Permanente Washington medical facility. Rates have increased an overall average of 2.24% on our Core HMO plans and 3.28% on our Access PPO plans. 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. 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. Kaiser Permanente WA Access PPO 2 The Access PPO 2 plan has a lower monthly employee contribution than Access PPO 3, but with a higher out-of-pocket maximum and a higher annual deductible for medical services. L'��620���a�g� y�mC���eL�[�x�D�hf�2:|�c�bX�y��ہ���@�����%Hs30�s2��ź�H10�?Ҍ@!s� �;. Contact Kaiser Permanente Member Services at 206-630-4636 or toll-free 1-888-901-4636 for benefits questions. %PDF-1.5 %���� See doctors in your network, choose a doctor, and use the cost estimator. <> Staying healthy is easier with the right support. Kaiser Permanente Washington Options Federal. Drug formulary Kaiser Permanente's drug formulary is a list of medications covered by your health plan. Our Access PPO plans include all of the features and services that are part of our award-winning HMO plans. endobj Small group benefit changes include: And we include incentives, such as lower cost shares, to encourage your employees to engage with Kaiser Permanente physicians and receive nationally recognized care. … 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 (Members receiving care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) h�bbd``b`� ��� �~H0j�X��tK���@D%��$XA�T�W4�p�{d� �T�����2��q`����� qUh The Options PPO plan offers you two levels of coverage: preferred providers and nonpreferred providers. We will continue to provide excellent care to our members through a broad array of virtual care options and in person when necessary. Find out Kaiser Permanente's list of medications covered by Individual and Family, Medicare Advantage, Small Employer Group, Large Employer Group, and FEHB plans. 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. Search for doctors, medical centers, pharmacies, and walk-in clinics. You can compare benefit information, networks, and monthly premiums. 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. Your search results will reflect these temporary changes. Kaiser Permanente. Generally, the care you receive from preferred providers will be covered at a higher benefit level than care received by nonpreferred providers. 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 WA Options members can choose from thousands of network providers throughout our service area and nationwide. II. 2 Kaiser Permanente Access PPO 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. Kaiser Permanente 1-866-616-0047 (TTY 711) Product and plan updates. stream Questions? 3 0 obj 1190 0 obj <>stream Kaiser Permanente Washington offers health insurance and medical care in Washington state. 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. Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. Summaries of Benefits and Coverage - English ... 2021 Access PPO VisitsPlus Silver LX EO 2021 Access PPO VisitsPlus Gold LX If you have any questions or need help with any of the PPO providers, you can also call them: First Choice Health Network 1-800-467-5281. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. By combining a Kaiser Permanente health plan with a Delta Dental PPO plan, members enjoy access to high-quality Kaiser Permanente medical care and the nation’s largest contracted network of dentists in a single package. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. %PDF-1.7 (Members receive care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) %%EOF Compare Your Options Plan Brochure. The plans offered by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., give you choices. <>/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>> 4 0 obj First Health Network 1-800-226-5116. 2 0 obj <>/Metadata 1450 0 R/ViewerPreferences 1451 0 R>> 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 Developed in collaboration with Delta Dental of Washington, our Health360 plan offers integrated dental benefits for whole body health. 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. Members are entitled to Covered Services from the following: • Your Provider Network is KFHPWAO’s Summit PPO Network, referred to … Kaiser Permanente 1-866-616-0047 (TTY 711) endobj 0 No referrals are needed for most specialty care. To check member eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry . 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 Kaiser Foundation Health Plan of Washington Options, Inc. 1143 0 obj <> endobj We issue ID cards to all members. h�b```��,�@(� 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. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Choose from 2 new Virtual Plus, 9 Core HMO, 9 Access PPO, and 3 Elect PPO plans. 1 0 obj Preventive care to Permanente or non–Kaiser Permanente hospital 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 <> Care from a First Choice Health network provider within our 18-county service area is covered at the out-of-network benefit level. You must notify Kaiser Permanente within 24 hours if admitted to an Out-of-network provider; limited to initial emergency only. First Health Network 1-800-226-5116. 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 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. The Elect PPO 2 plans provide the choice and flexibility of getting in-network care from the high-performing Kaiser Permanente provider network within our Washington service area and from the broad provider networks of First Choice Health and First Health outside of our Washington service area.. Kaiser Permanente providers, medical facilities, and pharmacies This card lists the member's name, ID number, and health plan network. %���� How Covered Services Work A. Accessing Care. Quick links. An Eligibility Inquiry demo is available to assist you. endstream endobj startxref 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. 1. �����N9�*�?��rA�Kx���Ю�V';i���U�:ᝪ���`�h`��`��`� 29::�����(�1 endstream endobj 1144 0 obj <. 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. Members also get exclusive access to Kaiser Permanente WA‘s Washington Permanente Medical Group. Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. Documents listed here are current as of December 8th, 2020. Other types of health plans. 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