KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Documents listed here are current as of December 8th, 2020.
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. See doctors in your network, choose a doctor, and use the cost estimator. 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. <>/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>>
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. Other types of health plans. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. You must notify Kaiser Permanente within 24 hours if admitted to an Out-of-network provider; limited to initial emergency only. 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. 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. 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. 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 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. An Eligibility Inquiry demo is available to assist you. 1 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) -4636 in the Seattle area, or toll630 -free in Washington, 1-888-901-4636. %����
1. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. 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. 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. endstream
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<. 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. Summaries of Benefits and Coverage - English ... 2021 Access PPO VisitsPlus Silver LX EO 2021 Access PPO VisitsPlus Gold LX Care from a First Choice Health network provider within our 18-county service area is covered at the out-of-network benefit level. Primary care office visits are covered at $25, or $15 when services are received at a Kaiser Permanente Washington medical facility. How Covered Services Work A. Accessing Care. First Health Network 1-800-226-5116. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 1 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83109-1 Your search results will reflect these temporary changes. (Members receive care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) Staying healthy is easier with the right support. Kaiser Foundation Health Plan of Washington Options, Inc. Compare Your Options Plan Brochure. Kaiser Permanente Washington Options Federal. stream
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Questions? Our Access PPO plans include all of the features and services that are part of our award-winning HMO plans. And we include incentives, such as lower cost shares, to encourage your employees to engage with Kaiser Permanente physicians and receive nationally recognized care. h�bbd``b`� ��� �~H0j�X��tK���@D%��$XA�T�W4�p�{d� �T�����2��q`����� qUh
First Health Network 1-800-226-5116. 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. 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 Product and plan updates. 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 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. We will continue to provide excellent care to our members through a broad array of virtual care options and in person when necessary. This card lists the member's name, ID number, and health plan network. Find out Kaiser Permanente's list of medications covered by Individual and Family, Medicare Advantage, Small Employer Group, Large Employer Group, and FEHB plans. endobj
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 3 0 obj
Kaiser Permanente Washington offers health insurance and medical care in Washington state. endstream
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We issue ID cards to all members. endobj
Search for doctors, medical centers, pharmacies, and walk-in clinics. Kaiser Permanente. �����N9�*�?��rA�Kx���Ю�V';i���U�:ᝪ���`�h`��`��`� 29::�����(�1 Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. To check member eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry . %PDF-1.7
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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. 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. Small group benefit changes include: (Members receiving care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) 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 … The plans offered by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., give you choices. To meet patient needs related to COVID-19, some Kaiser Permanente locations and providers are temporarily not available for in-person care. 0
The Kaiser Foundation Health Plan of Washington Options, Inc. Federal PPO provides access to an expansive network of local, statewide, and nationwide participating providers. 1190 0 obj
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h�b```��,�@(� 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 Enhanced benefit: Access PPO is the only PPO network that gives you in-network access to the quality doctors at Kaiser Permanente medical offices. Emergency medical ... Kaiser Permanente WA Options Access PPO 2 … 2 0 obj
Developed in collaboration with Delta Dental of Washington, our Health360 plan offers integrated dental benefits for whole body health. Quick links. Preventive care to Permanente or non–Kaiser Permanente hospital endobj
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