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. Our 2021 small group portfolio offers 23 plan options. 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 … Questions? 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. Compare Your Options Plan Brochure. Drug formulary Kaiser Permanente's drug formulary is a list of medications covered by your health plan. Summaries of Benefits and Coverage - English ... 2021 Access PPO VisitsPlus Silver LX EO 2021 Access PPO VisitsPlus Gold LX 0 No referrals are needed for most specialty 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 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. �����N9�*�?��rA�Kx���Ю�V';i���U�:ᝪ���`�h`��`��`� 29::�����(�1 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. %%EOF Generally, the care you receive from preferred providers will be covered at a higher benefit level than care received by nonpreferred providers. %PDF-1.5 %���� stream Other types of health plans. 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. You can compare benefit information, networks, and monthly premiums. You must notify Kaiser Permanente within 24 hours if admitted to an Out-of-network provider; limited to initial emergency only. 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 Staying healthy is easier with the right support. To check member eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry . Kaiser Permanente WA Options members can choose from thousands of network providers throughout our service area and nationwide. Members also get exclusive access to Kaiser Permanente WA‘s Washington Permanente Medical Group. 1. Rates have increased an overall average of 2.24% on our Core HMO plans and 3.28% on our Access PPO plans. Primary care office visits are covered at $25, or $15 when services are received at a Kaiser Permanente Washington medical facility. First Health Network 1-800-226-5116. Care from a First Choice Health network provider within our 18-county service area is covered at the out-of-network benefit level. 1143 0 obj <> endobj (Members receive care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) 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. 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. 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 1190 0 obj <>stream Kaiser Permanente. The Kaiser Foundation Health Plan of Washington Options, Inc. Federal PPO provides access to an expansive network of local, statewide, and nationwide participating providers. 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 See doctors in your network, choose a doctor, and use the cost estimator. Enhanced benefit: Access PPO is the only PPO network that gives you in-network access to the quality doctors at Kaiser Permanente medical offices. endobj This card lists the member's name, ID number, and health plan network. A PPO plan is also generally more expensive than an HMO plan. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. (Members receiving 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. Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. Choose from 2 new Virtual Plus, 9 Core HMO, 9 Access PPO, and 3 Elect PPO plans. We issue ID cards to all 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. 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) Search for doctors, medical centers, pharmacies, and walk-in clinics. 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 Quick links. Small group benefit changes include: 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. Kaiser Permanente Washington offers health insurance and medical care in Washington state. 2021 Kaiser Permanente Small Group Plan Documents Compare Plan Options. The plans offered by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., give you choices. How Covered Services Work A. Accessing Care. %PDF-1.7 <> 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 II. Documents listed here are current as of December 8th, 2020. Find out Kaiser Permanente's list of medications covered by Individual and Family, Medicare Advantage, Small Employer Group, Large Employer Group, and FEHB plans. Copayment waived if admitted directly to the hospital as an inpatient. 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 Our Access PPO plans include all of the features and services that are part of our award-winning HMO plans. 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. 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. An Eligibility Inquiry demo is available to assist you. Emergency medical ... Kaiser Permanente WA Options Access PPO 2 … We will continue to provide excellent care to our members through a broad array of virtual care options and in person when necessary. Product and plan updates. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. 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. Kaiser Permanente. 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 1-866-616-0047 (TTY 711) endstream endobj startxref Your search results will reflect these temporary changes. Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. <> Preventive care to Permanente or non–Kaiser Permanente hospital Kaiser Permanente 1-866-616-0047 (TTY 711) Think higher cost with greater flexibility. 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