Please read it carefully and keep it in a safe place. Disclaimers. For more information on this health savings account, refer to our HSA and CDHP FAQ. This Certificate describes benefit coverage funded through a Group Insurance Policy issued to Your group by Kaiser Permanente Insurance Company. 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. Kaiser won't let me take a COVID Test despite being insured by them and experiencing loss of smell and taste. 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. Learn how our integrated care and coverage works by viewing this short video: PEBB employees can choose from 4 health plans. 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. Note: Not all contracted providers in Spokane County are in the SoundChoice network. Call Main Navigation. 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. Your health care plan with Kaiser Permanente WA is a partnership in health. Medicare Star Quality Ratings . This formulary was updated on 07/01/20. CERTIFICATE OF INSURANCE . 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. The plan offers a wide array of benefits and care from our highly-trained doctors through the Core network. Kaiser Permanente is an HMO plan with a Medicare contract. Kaiser Permanente WA Classic offers low copayments and low deductibles. 2000-6000 . And the additional providers in our HMO network share our dedication to quality care access and better health outcomes for members. %PDF-1.5 %���� Page last updated: 9/16/2020, Nondiscrimination Notice And Language Assistance. Your coverage and/or copayment/coinsurance may vary 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. 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. You must notify Kaiser Permanente within 24 hours of admission, or as soon thereafter as medically possible. Kaiser Permanente WA Value plan continues to be a cost-effective option for PEBB members. %%EOF 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. 2020 Comprehensive Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN . Most features are available only to members receiving care at Kaiser Permanente medical facilities. About Kaiser Permanente Home. Enrollment in Kaiser Permanente depends on contract renewal. 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. It connects you to a group of physicians, services, and tools that help you live your healthy best. h�bbd``b`f��� ��H0j �n�.�uD���� ���@�U�W4�p;$xA� �d����� 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. 1162 0 obj <>stream 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. Y �n,� Select Your Region. 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. 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