2020 Comprehensive Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN . endstream endobj 1116 0 obj <. 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. Kaiser Permanente Washington Options Federal. Search. In general, when you have a Kaiser WA plan, you’ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. For more information on this health savings account, refer to our HSA and CDHP FAQ. One Kaiser Plaza . 2020 Rates and Benefits. 1115 0 obj <> endobj Kaiser Permanente is an HMO plan with a Medicare contract. About Kaiser Permanente Home. 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. It's a savings account for health care. 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. d����-{` >�h For residents in King, Kitsap, Pierce, Thurston, Snohomish, and Spokane counties only. Please make sure your provider is in the network before you visit. STANDARD COMMERCIAL DRUG FORMULARY PRIOR AUTHORIZATION GUIDELINES Drugs listed in this document does not ensure coverage. CERTIFICATE OF INSURANCE . 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. Learning sessions will be held on Wednesdays beginning August 26, 2020, and ending November 18, 2020. 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. 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. Note: Not all contracted providers in Spokane County are in the SoundChoice network. Your coverage and/or copayment/coinsurance may vary Newborn services cost shares are separate from that of the mother. 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. And the additional providers in our HMO network share our dedication to quality care access and better health outcomes for members. 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. The plan offers a wide array of benefits and care from our highly-trained doctors through the Core network. 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. 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. Your health care plan with Kaiser Permanente WA is a partnership in health. Kaiser won't let me take a COVID Test despite being insured by them and experiencing loss of smell and taste. Most features are available only to members receiving care at Kaiser Permanente medical facilities. Oakland, California 94612 . There are either Kaiser Permanente facilities or other network care providers ... our medical facilities or at CareClinic at Bartell Drugs at 15 Puget Sound locations. Kaiser Permanente Washington Medicare Advantage (HMO) plan was rated 4.5 out of 5 in the National Committee for Quality Assurance (NCQA) Medicare Health Insurance Plan Ratings 2019-2020. h�b```��,j�@����(��e�M{�:�Й����s �,A]7.ty';i��r,�f�4%�XCGCE�qt0�w4�h2��ί�� ��?� A provider’s listing in this directory does not guarantee that the provider is still in the network or accepting new patients. Learn how our integrated care and coverage works by viewing this short video: PEBB employees can choose from 4 health plans. Disclaimers. Page last updated: 9/16/2020, Nondiscrimination Notice And Language Assistance. The Kaiser Permanente WA SoundChoice plan is available to residents in King, Kitsap, Pierce, Thurston, Snohomish, and Spokane … endstream endobj startxref Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. 3. 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. About Kaiser Permanente Home. 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. About Kaiser Permanente Home. Kaiser Permanente WA Value plan continues to be a cost-effective option for PEBB members. Kaiser Permanente acquired the Georgetown Community Health Plan in 1980, and began working with existing community hospitals. %%EOF Main Navigation. Y �n,� This document includes Kaiser Permanente of Georgia’s HMO formulary as of September 9, 2020. 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. 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. Original review: Dec. 30, 2020. The Kaiser Permanente PPO Plan or call Monday through Friday • • • • The flexibility and freedom you need With the Kaiser Permanente PPO Plan,1 you have 2 convenient options for selecting a doctor, and you’re free to see specialists without a referral. Kaiser Permanente . %PDF-1.5 %���� Enrollment in Kaiser Permanente depends on contract renewal. q� �{�6�j5����P`:�Sh�����c�G���U*L�d�47�m�����!� 3�f 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 … Most features are available only to members receiving care at Kaiser Permanente medical facilities. 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. Access Care Locate a … PEBB employees can choose from 4 health plans. 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 j~ KAISER PERMANENTE® YOUR INTRODUCTION TO KAISER PERMANENTE Added Choice ® Physicians and Locations Directory The information in this directory is current as of April 2020and may be subject to change without notice. You can find additional walk-in … *(SRDP) State-Registered Domestic Partner. Please read it carefully and keep it in a safe place. Women’s Choice Award recognizes Kaiser Permanente Moanalua Medical Center for providing safe, patient-centered maternity care. General information about Kaiser Permanente Washington's PPO plans. For more recent information or other questions, please contact the number for your Kaiser Permanente Region listed below, seven days a h�bbd``b`f��� ��H0j �n�.�uD���� ���@�U�W4�p;$xA� �d����� KPIC-GC-3TPOS-LG-2020-CO-NGF-ACDC II 1 2020 . 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 . In 1984, the region opened its first pharmacy and officially changed its name to Kaiser Foundation Health Plan of the Mid-Atlantic States. 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. This plan provides one of the lowest premiums of any plan offered by the PEBB Program (excluding CDHP options) and access to excellent providers through the SoundChoice Provider Network with rich benefits. 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. 7. Select Your Region. TITLE PAGE (Cover Page) KAISER PERMANENTE INSURANCE COMPANY. Call 2000-6000 . Kaiser Permanente WA Classic offers low copayments and low deductibles. It connects you to a group of physicians, services, and tools that help you live your healthy best. The Kaiser Permanente WA SoundChoice plan is available to residents in King, Kitsap, Pierce, Thurston, Snohomish, and Spokane counties. 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. Speak with a representative Monday through Friday, 8 a.m. – 8 p.m. This Certificate describes benefit coverage funded through a Group Insurance Policy issued to Your group by Kaiser Permanente Insurance Company. 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. Northern California Southern California Colorado Georgia Hawaii Mid-Atlantic Northwest Washington. Our Medicare Advantage health plan was rated 4.5 out of 5 Stars in Washington for 2021. In this Certificate, Kaiser Permanente Insurance Company will be referred to as: “KPIC,” “We,” “Us,” or “Our.” The Insured Employee will be referred to as “You” or “Your.” This Certificate is important to You and Your family. 0 Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. You must notify Kaiser Permanente within 24 hours of admission, or as soon thereafter as medically possible. 1162 0 obj <>stream Medicare Star Quality Ratings . This formulary was updated on 07/01/20. Our HMO network share our dedication to quality care access and better outcomes. Classic offers low copayments and low deductibles, Snohomish, and ending November 18,,! The Kaiser Permanente Washington 's PPO kaiser permanente sound choice 2020 by viewing this short video PEBB! 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