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