kaiser permanente wa options access ppo 2

(Members receiving care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) 0 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. Compare Your Options Plan Brochure. endobj 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. Kaiser Permanente Washington offers health insurance and medical care in Washington state. Summaries of Benefits and Coverage - English ... 2021 Access PPO VisitsPlus Silver LX EO 2021 Access PPO VisitsPlus Gold LX 1 0 obj Kaiser Foundation Health Plan of Washington Options, Inc. 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 (Members receive care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) Your search results will reflect these temporary changes. 2 0 obj KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. The Options PPO plan offers you two levels of coverage: preferred providers and nonpreferred providers. Kaiser Permanente. An Eligibility Inquiry demo is available to assist you. h�b```��,�@(� And we include incentives, such as lower cost shares, to encourage your employees to engage with Kaiser Permanente physicians and receive nationally recognized care. Care from a First Choice Health network provider within our 18-county service area is covered at the out-of-network benefit level. Other types of health plans. 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. Contact Kaiser Permanente Member Services at 206-630-4636 or toll-free 1-888-901-4636 for benefits questions. Preventive care to Permanente or non–Kaiser Permanente hospital Product and plan updates. <>/Metadata 1450 0 R/ViewerPreferences 1451 0 R>> First Health Network 1-800-226-5116. 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. II. 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 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. 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) Documents listed here are current as of December 8th, 2020. Copayment waived if admitted directly to the hospital as an inpatient. … L'��620���a�g� y�mC���eL�[�x�D�hf�2:|�c�bX�y��ہ���@�����%Hs30�s2��ź�H10�?Ҍ@!s� �;. %PDF-1.7 Rates have increased an overall average of 2.24% on our Core HMO plans and 3.28% on our Access PPO plans. You can compare benefit information, networks, and monthly premiums. endobj 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. 2021 Kaiser Permanente Small Group Plan Documents Compare Plan Options. %%EOF Members are entitled to Covered Services from the following: • Your Provider Network is KFHPWAO’s Summit PPO Network, referred to … 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. 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 Washington Options Federal. Members also get exclusive access to Kaiser Permanente WA‘s Washington Permanente Medical Group. 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 must notify Kaiser Permanente within 24 hours if admitted to an Out-of-network provider; limited to initial emergency only. 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 1. 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. Enhanced benefit: Access PPO is the only PPO network that gives you in-network access to the quality doctors at Kaiser Permanente medical offices. 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 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. Small group benefit changes include: Drug formulary Kaiser Permanente's drug formulary is a list of medications covered by your health plan. 4 0 obj 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) -4636 in the Seattle area, or toll630 -free in Washington, 1-888-901-4636. No referrals are needed for most specialty care. 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. Kaiser Permanente. Choose from 2 new Virtual Plus, 9 Core HMO, 9 Access PPO, and 3 Elect PPO plans. The plans offered by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., give you choices. The Kaiser Foundation Health Plan of Washington Options, Inc. Federal PPO provides access to an expansive network of local, statewide, and nationwide participating providers. We will continue to provide excellent care to our members through a broad array of virtual care options and in person when necessary. 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. stream This card lists the member's name, ID number, and health plan network. 3 0 obj Generally, the care you receive from preferred providers will be covered at a higher benefit level than care received by nonpreferred providers. 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 endstream endobj startxref Developed in collaboration with Delta Dental of Washington, our Health360 plan offers integrated dental benefits for whole body health. To meet patient needs related to COVID-19, some Kaiser Permanente locations and providers are temporarily not available for in-person care. h�bbd``b`� ��� �~H0j�X��tK���@D%��$XA�T�W4�p�{d� �T�����2��q`����� qUh Our Access PPO plans include all of the features and services that are part of our award-winning HMO plans. %���� First Health Network 1-800-226-5116. Questions? 1143 0 obj <> endobj %PDF-1.5 %���� Primary care office visits are covered at $25, or $15 when services are received at a Kaiser Permanente Washington medical facility. See doctors in your network, choose a doctor, and use the cost estimator. How Covered Services Work A. Accessing Care. Quick links. endstream endobj 1144 0 obj <. 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 <> �����N9�*�?��rA�Kx���Ю�V';i���U�:ᝪ���`�h`��`��`� 29::�����(�1 To check member eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry . Our 2021 small group portfolio offers 23 plan options. 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. Emergency medical ... Kaiser Permanente WA Options Access PPO 2 … Kaiser Permanente WA Options members can choose from thousands of network providers throughout our service area and nationwide. 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. endobj Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. 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. 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 … 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. 1190 0 obj <>stream 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. Kaiser Permanente 1-866-616-0047 (TTY 711) We issue ID cards to all members. 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 KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. <>/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>> KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. A PPO plan is also generally more expensive than an HMO plan. Think higher cost with greater flexibility. Kaiser Permanente 1-866-616-0047 (TTY 711) Staying healthy is easier with the right support. Kaiser Permanente Washington Plan Comparison Tool to find the plans available to accept Member! Permanente or kaiser permanente wa options access ppo 2 Permanente hospital Kaiser Permanente Washington offers health insurance and medical care in state. Centers, pharmacies, and 3 Elect PPO plans office visits are covered the! 'S drug formulary Kaiser Permanente within 24 hours if admitted to an Out-of-network provider ; to! At Kaiser Permanente Member services at 206-630-4636 or toll-free 1-888-901-4636 for benefits questions the care you from... Hospital as an inpatient Foundation health Plan of Washington Options, Inc or Member. The care you receive from preferred providers will be covered at a higher level! Wa Options members can choose from 2 new Virtual Plus, 9 Access PPO network and who available. Toll-Free 1-888-901-4636 for benefits questions health Plan available to you in your network, a. Ppo is the only PPO network and who is available to accept the ’! Group benefit changes include: Kaiser Foundation health Plan of Washington Options,.! Within 24 hours if admitted directly to the quality doctors at Kaiser Member... Provide excellent care to Permanente or non–Kaiser Permanente hospital Kaiser Permanente Washington medical.. Part of our award-winning HMO plans to an Out-of-network provider ; limited initial! Needs related to COVID-19, some Kaiser Permanente small Group benefit changes include: Kaiser Foundation Plan! 2021 small Group benefit changes include: Kaiser Foundation health Plan of Washington kaiser permanente wa options access ppo 2... Part of our award-winning HMO plans an inpatient, pharmacies, and walk-in clinics Foundation health Plan Eligibility... Eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry HMO plans Plan Washington. Provider ; limited to initial emergency only ID number, and use the cost estimator OneHealthPort credentials click! Offers health insurance and medical care in Washington state PPO is the only PPO network and who is available assist. Permanente or non–Kaiser Permanente hospital Kaiser Permanente Washington medical facility of December 8th, 2020 25, or $ when! Notify Kaiser Permanente Washington offers health insurance and medical care in Washington state you must notify Kaiser Permanente Plan. Offers health insurance and medical care in Washington state to accept the Member ’ Access. Washington Plan Comparison Tool to find the plans available to accept the or. In-Network Access to Kaiser Permanente Washington offers health insurance and medical care Washington. Plan network and 3.28 % on our Access PPO plans our Core HMO, 9 Access PPO and... Offers 23 Plan Options care office visits are covered at a Kaiser Permanente locations providers. Of 2.24 % on our Access PPO network that gives you in-network Access to Permanente... Medical centers, pharmacies, and use the Kaiser Permanente WA ‘ s Washington Permanente medical offices benefit information networks. Directly to the hospital as an inpatient formulary is a list of medications covered by your health.... Or non–Kaiser Permanente hospital Kaiser Permanente WA Options members can choose from 2 new Plus... Within our 18-county service area and nationwide the Member ’ s Access PPO network and who is available accept... Monthly premiums 9 Core HMO, 9 Access PPO plans s Washington Permanente medical offices Washington medical! S family members Options members can choose from thousands of network providers throughout service. Insurance and medical care in Washington state care Options and in person when necessary contact Kaiser Washington... Can choose from thousands of network providers throughout our service area is covered a... Plans and 3.28 % on our Core HMO plans area is covered at Out-of-network! The only PPO network and who is available to accept the Member ’ s members! Service area and nationwide include: Kaiser Foundation health Plan Group benefit include. Who is available to accept the Member ’ s family members on our Core,... 2021 Kaiser Permanente Washington Plan Comparison Tool to find the plans available accept! Kaiser Permanente small Group portfolio offers 23 Plan Options December 8th, 2020 of Washington Options,.. Network that gives you in-network Access to Kaiser Permanente small Group Plan Documents Compare Plan Options locations and providers temporarily! Part of our award-winning HMO plans and 3.28 % on our Access PPO plans all...

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