In general, when you have a Kaiser WA plan, you’ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. Kaiser Permanente WA Consumer Directed Health Plan (CDHP) Benefits Summary - 2020 (PDF) | 2021 (PDF) Get a side-by-side comparison of common medical benefits and costs by utilizing the Medical Benefits Comparison Tool. Ask your provider if the services you need are preventive. You may have to pay for services that aren’t preventive. 2 0 obj In most cases, you must live in a medical plan’s service area to join the plan. 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. <>/Metadata 1463 0 R/ViewerPreferences 1464 0 R>> You may have to pay for services that aren’t preventive. Columbia Kaiser Permanente WA Classic 2. Kaiser Permanente well-care schedule. WSU offers comprehensive employer/employee paid medical insurance. would be responsible for the other costs of these EXAMPLE covered services. 3. For lab directors and pathologists, this is […] This spring, Kaiser Permanente has two developments under way: a new Beaverton Medical and Dental Office and an expansion of Sunset Dental Office in Tanasbourne (Hillsboro). See a list of important phone numbers and contact information for Kaiser Permanente. Washington Permanente Medical Group is one of the highest-ranked medical groups in … The origins of Kaiser Permanente’s presence in this region began when we established a health care system to serve workers at the Kaiser shipyards in Vancouver, Washington and Portland, Oregon during World War II. Willamette Dental Group of Washington, Inc. 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Then check what your plan will pay for. Kaiser Permanente WA CDHP 10% 10% 10% 10% 10% 10% 10% 10% Kaiser Permanente WA SoundChoice $500/admission 15% $0 15% 15% 15% 15% 15% Kaiser Permanente WA Value $250/day up to $1,250 maximum/ admission $200 $30 $30 $50 $30 $50 $50 Uniform Medical Plan (UMP)3 UMP Classic $200/day up to %���� King Skagit Kaiser Permanente well-care schedule. Certificate of Coverage Public Employees Benefits Program (PEBB) 2018 Medical Benefits Non-Medicare Retirees - Consumer-Directed Health . Do I live in the medical plan's service area? How much money can I contribute to my HSA? %PDF-1.7 stream <>/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>> These are the same benefits you have as an employee however the monthly premiums you pay are different. 1. Whatcom Kaiser Permanente WA CDHP If you have a test Diagnostic test (x-ray, blood work) 10% coinsurance Not covered None Imaging (CT/PET scans, MRIs) 10% coinsurance Not covered Kaiser Permanente has taken the radical step of introducing a new suite of consumer-driven products called Custom Care. The . Kaiser Permanente WA CDHP This plan allows you to seek services from non-Kaiser Permanente WA health providers, however, if you seek services from a non-Kaiser Permanente WA health provider, the service may be covered at a reduced level of coverage. If you enrolled in a CDHP, you will be enrolled in an Health Savings Account (HSA) administered by HealthEquity. 2018 Plan Information for Washington Choose a Location, Employee Type, & Payment Period Certificate of Coverage. }� : PEBB CDHP All plans offered and underwritten by Kaiser Foundation Health Plan of Washington The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. 3 0 obj Staying healthy is easier with the right support. Kaiser Permanente WA Sound Choice Find a Provider. Kaiser Permanente uses the same quality, member experience, or cost-related measures to select practitioners and facilities in Marketplace Silver-tier plans as it does for all other Kaiser Foundation Health Plan (KFHP) products and lines of business, and uses the same geographic distribution consideration to select hospitals in Marketplace plans as it does for all other Kaiser … Your options are limited to the plans available in your county. Kaiser Permanente WA Value Learn more about the plans. endobj They are mostly a one-stop shop for Kaiser Permanente customers, meaning that customers can often visit the lab, radiology, specialists, pharmacy, and their primary care physician in … Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. Use the tables below to make sure you live in the plan's service area. Kaiser Permanente Washington offers health insurance and medical care in Washington state. Spokane, Thurston All Kaiser Permanente health plans cover the medical benefits you and your family need, with an emphasis on preventive care and your overall wellness. <> For retirees who are not yet Medicare eligible, you can remain on the Kaiser Permanente WA CDHP, Classic, SoundChoice, or Value plans. Plus, every plan includes access to high-quality virtual care with Kaiser Permanente doctors and clinicians. 2019 Plan Information for Washington Choose a Location, Employee Type, & Payment Period Franklin Employees have the option between ten plans, including Preferred Provider Plans, Managed Care Plans, Consumer Directed Health Plans (CDHP) and Accountable Care Plans. The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. Kaiser Permanente Washington Medicare Advantage (HMO) plan was rated 4.5 out of 5 in the National Committee for Quality Assurance (NCQA) Medicare Health Insurance Plan Ratings 2019-2020. Kittitas, Lewis The Northwest Region of the United States is a land of considerable geographic, social, economic, and human vitality and beauty. Your options are limited to the plans available in your county. Is there a quick way to see benefits and costs? This is the first time, since its founding more than 60 years ago, that Kaiser Permenante is offering a health insurance plan that is not based on its staff-model HMO. Our plans give you access to more than 7,000 providers, including nationally recognized physicians. In general, you may choose from the plans listed below. If you move out of your plan's service area, you may need to change plans. From our members and colleagues to our families and communities, we provide high-quality, affordable, and industry-leading medical care and health plan coverage to more than 700,000 members from Spokane to Seattle to Silverdale. Learn more about your customer service options. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. When you enroll in a CDHP… Visit one of Kaiser Permanente WA's online provider directories. At Kaiser Permanente, you'll get high-quality care and coverage to help you live life to its fullest. 4 0 obj Whitman In 2021, the maximum annual contribution limits set by the IRS for an individual account is $3,600 and the maximum contribution for family coverage is $7,200. Description DELT Delta Dental GHC Kaiser WA Classic GHCD Kaiser WA CDHP GHCV Kaiser WA Value GHSC Kaiser WA SoundChoice KACD Kaiser Permanente NW CDHP KAIS endobj Kaiser Permanente WA SoundChoice 4. Snohomish Portland, Oregon . In general, you may choose from the plans listed below. ��b*�v����X��p��ü�xe�}���~,͗?G�Q^��Q3��F��Q`�0��1�S���q�w�\yM,�描M�~��2�D!S^��[,f�"�1Ϋ6*/1ɂ�����5Q[�^�������F;�����m���C�O7��ri��\���.�#R��2����͛%�1��D R��n�xL��'���B){K����hH��|�b�����Y����=�@ �3���胣��ŗaS�E*��(�$��a���2Ճ��SM�مh�O>���o��%�j>�]�'�L�9�[��?���G-'���~Z�y���dϋ�(���㷻��qy��{s��&9VG��b�x�rNa������7�K ��)%K �ȓTZG�@��Ƞ�jOKI!A��J�T���y�?SBo>�aQSG��F���L��G��[(cA�b藿�uO�t�ʉ{�`���Y�����oZ/G��D�'4Z��cX��_j��v�X�`������[��;����29Y�WGk`����f�{����q��,(e��ɳ֌����k-P��E�5��}b� These plans are currently offered through Kaiser Permanente WA, Kaiser Permanente NW, and Uniform Medical. Website feedback: Tell us how we’re doing. For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan? www.insurance.wa.gov; 6 of 6. Mason Disclaimers. Kaiser Permanente is an HMO plan with a Medicare contract. Seattle, WA 01/05/2021; Associate Research III Seattle, WA 01/04/2021; Associate Research II Seattle, WA 01/04/2021; Medical Assistant - Primary Care Float Pool/COVID Testing (32 hours Kent) Kent, WA 01/04/2021; LPN- Urgent Care (20 hours) Longview/Kelso Longview, WA 01/04/2021; Pharmacy Technician Renton, WA 01/04/2021 1 0 obj Kaiser Permanente WA: Classic, Value, CDHP Kaiser Permanente WA: Classic, Value, CDHP, SoundChoice 2021 Kaiser Permanente WA: Service Areas by Plan Public Employees (PEBB) - Non-Medicare Plans Whatcom Skagit Snohomish King Pierce Thurston Lewis Spokane Mason Kittitas Yakima Benton Franklin Walla Walla Whitman Kitsap Summary of Benefits & Coverage. K�?��g����՚��m#}&. Walla Walla For a summary of benefits and costs, see Is there a quick way to see benefits and costs? Put your talent and passion to work improving the health and well-being of others. The PEBB Program offers consumer-directed health plans (CDHPs) with health savings accounts (HSAs) to eligible members through Kaiser Permanente WA (formerly Group Health, Kaiser Permanente NW*, and Uniform Medical Plan. Then check what your plan will pay for. Island The SBC shows you how you and the plan would share the cost for covered health care services. endobj Pierce Enrollment in Kaiser Permanente depends on contract renewal. Kaiser Permanente Senior Advantage (HMO) plans are not currently offered in Lane County. Due to COVID-19, HCA’s lobby is closed. Plan With your Kaiser Permanente WA CDHP, you can invest in pre-selected mutual funds after you reach a $2,000 balance in your account. Kaiser Permanente WA Consumer-Directed Health Plan (CDHP) 3. Benton PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic Yakima, Kaiser Foundation Health Plan of Washington Online: Kaiser Permanente WA for PEBB Phone: 1-866-648-1928TTY: 711 or 1-800-833-6388, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 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