Before making a final decision, please read the plans federal brochure 73012. The plan is available to eligible retirees who reside outside of the southern california kaiser permanente service area but reside in another kaiser permanente service area i. These summary changes are listed as a reference only. Proudly serving the northwest for 70 years, kaiser permanente offers comprehensive care thats convenient, connected, and designed to provide the prevention, wellness, and healthcare resources you need to live. With kaiser permanente, you get more than a health plan in oregon. Kaiser permanente participates in the oregon health plan in several counties. The following kaiser permanente plans offer medicare advantage prescription drug plan coverage to oregon residents. See what complementary and alternative medicine services require prior authorization. Kaiser permanente employee benefits and perks glassdoor. This brochure describes the benefits of kaiser foundation health plan of the northwest. Kaiser permanente is a cost plan with a medicare contract.
Federal employee health benefits fehb kaiser permanente. Kaiser permanente difference to be healthy, you need quality care thats simple, personalized, and hasslefree. Washington small group business health plans kaiser. Your kaiser foundation health plan of washington options, inc. Guide to health plans for federal employees, 2020 fehb open. Kaiser permanente washingtons online tools help you quickly check patient eligibility, referral and claims status, member coverage and benefits, and more. You agree to let kaiser manage your medicare benefits. Benefits and coverage by plan washington state health care. Well give you a clean, bright smile and the power to thrive with preventive dental care that connects to your overall health and wellness plan. The summary of benefits and coverage documents are listed under washington healthplanfinder, or kaiser foundation health plan of washington. Kaiser permanente digital metrics, 20 annual report, kaiser permanente internet services group, march 24, 2014. We offer three main types of health plans in oregon, with a range of deductibles, premiums, and copayment choices, plus optional dental coverage. The certificates of coverage cocs, also called benefits booklets, are produced by the health plans to provide detailed information about plan benefits and what is and is not covered.
Information about what you can do if you are denied eligibility, coverage, or services including the failure to provide an interpreter when needed under the oregon health plan ohp. You get personalized health care that centers around you. Kaiser permanente for individuals and families enrollment guide. Kaiser permanente 18666160047 tty 711 features and benefits of our plan.
In the event you become disabled from a non workrelated injury or sickness, disability income benefits are provided as a source of income. Highquality care that keeps retirees healthier our integrated care system and connected team of caregivers support older members by helping them keep their oftencomplex medical histories, prescriptions, and appointments. The following kaiser permanente plans offer medicare advantage prescription drug plan coverage to. Pension contact information for 5000 pensions in the us. The department of veterans affairs most popular publication, the federal benefits for veterans, dependents and survivors booklet provides brief descriptions of va programs and benefits, including compensation and pension benefits, health care, memorial and burial benefits, facility phone numbers and addresses, and more. Learn about kaiser permanente, including insurance benefits, retirement benefits, and vacation policy. Member services call center 18004644000 toll free 711 tollfree tty for the hearingspeech impaired 18007880616. Benefits information above is provided anonymously by current and former kaiser permanente employees, and may include a summary provided by the employer. Glassdoor is your resource for information about kaiser permanente benefits and perks. The summary of benefits and coverage documents for kaiser foundation health plan of the northwest are outside of the washington region.
The benefits were approved by the group who contracts with kfhpwao for health care coverage. Hawaii kaiser permanente member services toll free 18008052739 tty 711 7 days a week, 8 a. Sample text provides fulltime employees with short and longterm disability income benefits, andpays the full cost of this coverage. Mar 15, 2016 when people retire from federal government jobs, they can keep their federal plan as primary coverage but may face penalties for late medicare signups later on. If you are divorced from a federal employee, or annuitant, you may not. At kaiser permanente, care and coverage come together so you get everything you need to stay on top of your health in one easytouse package. If you are enrolled in one of the kaiser permanente plans, these pdfs help explain your plan and access to care. Benefits for annually renewed contracted employees linn. Eligible employees may choose from medical insurances plans offered by the college through oregon educators benefits board including moda and kaiser. Before making a final decision, please read the plans federal brochure 73003. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. If you would like to determine if your zip code is eligible for enrollment or if you would like a kaiser permanente member handbook, call employee benefits and services division at 909. Lets get started a stressfree path to switch plans 3. Kaiser permanente northwest oregonwashington for retirees care and coverage together to keep northwest well.
Kaiser permanente medicare advantage plans with part d. Health net federal services is the managed care support contractor for the tricare north region. In addition, member services assists members with information on the dispute resolution process and evidence of coverage booklets. To choose medicaid with kaiser permanente, you must qualify for the oregon health plan and be assigned to one of the coordinated care organizations ccos in our service area. Choosing the best surgeon can reduce your chances of death, complications, or other bad outcomes. Kaiser permanente medicare advantage prescription drug plans.
Benefits open enrollment oregon educators benefit board guide. All federal employees, regardless of what medical coverage they have, can choose kaiser permanente dental coverage. Learn more about your defined benefit plan under the form 5500. Help may be available for monthly premiums or outofpocket costs, such as copays, coinsurance, or deductibles. If you have any questions or need help with any of the ppo providers, you may contact their customer support at. The benefits were approved by the group who contracts with kfhpwa for health care coverage. Contact the colleges benefit specialist at 541 9174426 for assistance. Before making your final enrollment decision, always refer to the individual fehb brochures. Oregon educators benefit board 201819 plan year benefits open enrollment guide. It is an hmo health maintenance organization with a closed network of providers. If you qualify, the federal government will pay any federal financial assistance to kaiser permanente on your behalf.
Your kaiser foundation health plan of washington benefits. Summary of benefits and coverage sbc documents summarize important information about health coverage options in a standard format developed by health and human services. Kaiser permanente washington defined benefit plan pdf your right to free language assistance for your medical benefits pdf thank you for submitting. This benefits booklet is a statement of benefits, exclusions and other provisions as set forth in the group medical coverage agreement between kaiser foundation health plan of washington kfhpwa and the group. The annual outofpocket limit is the most you pay in a calendar year for covered benefits. Oebb 201718 plan year open enrollment guide 6 the a,b,cs of key benefit terms here is a list of key oebb benefit terms for you to use.
See you may qualify for federal financial assistance on page 14 for more information. Benefits, formulary, pharmacy network, premiums, and copaymentscoinsurance may change on january 1 of each year. At kaiser permanente, federal employees and retirees get more than just a. Check out the ohp handbook to learn about how to use your benefits. Southern california permanente medical group benefits. Federal benefits for veterans, dependents and survivors. The oregon health plan ohp provides health care coverage for oregonians from all walks of life. Kaiser permanente senior advantage essential hmo and kaiser permanente senior advantage essential plus hmo kaiser foundation health plan, inc. This brochure describes the benefits of kaiser foundation health plan of washington options, inc. Network personal physicians, please call kaiser permanente member services at. Only hsa chiropractic optional supplemental benefits may be paired with high deductible health plans and health savings accounts.
Oregon law center and legal aid services of oregon read this in. At kaiser permanente we know that a healthy lifestyle is important to our northwest communities and thats why we provide highquality care and coverage together to help you stay healthy, live longer, and thrive. The benefit information provided is a brief summary, not a complete description of benefits. Below these 100 pension plans and links are pension administrator contact phone numbers for an additional 5000 private pension plans. Learn about medicare plans for group, state, and federal employees if you are becoming eligible for medicare and your employer offers a group medicare advantage health plan through kaiser permanente washington, call us at 18005818252 or tty wa relay 711, from 8 a. Summaries of benefits and coverage sbcs are required under the federal affordable care act to help members.
If your kaiser permanente membership is through the federal employees health benefit. If you decide to enroll, change health plans or plan options. The information contained in this comparison tool is not the official statement of benefits. This includes working families, children, pregnant women, single adults and seniors. Sbcs allow you to check plan benefits and coverage. Aca maximum cost share this is the maximum amount you will pay outofpocket for in. Based on analyses of more than five million surgeries done in hospital by more than 50,000 surgeons, we show you which surgeons patients had the lowest or highest rates of deaths, prolonged lengths of stay indicating likely complications, or need to be. Learn more about your federal health care and the many benefits included at. Find all the information and resources you need for enrollment, benefits. Compare medical plans washington state health care authority. Before making a final decision, please read the plans federal brochure 73004. Federal employees fehb 2020 rates and benefits summary for. Sbcs allow you to easily compare benefits and coverage offered by kaiser permanente and other carriers. Kaiser permanente senior advantage basic stanis hmo and kaiser permanente senior advantage enhanced stanis hmo stanislaus county basic and enhanced plans.
You can also easily compare kaiser permanente plan benefits and coverage with other carriers. There are no significant changes to the kaiser benefits for this years renewal. Midatlantic kaiser permanente member services toll free 18887775536 tty 711 7 days a week, 8 a. Summary of benefits and coverage documents summarize important information about health coverage options in a standard format developed by health and human services. Kaiser permanente is an hmo plan with a medicare contract. Kaiser permanente northwest for retirees kaiser benefits. Your kaiser foundation health plan of washington options.
We preauthorize and coordinate mental health and chemical dependency care for our patients. Once you have paid this amount, the plans pay 100 percent of allowed charges for most covered benefits for the rest of. This benefits booklet is a statement of benefits, exclusions and other provisions as set forth in the group medical coverage agreement between kaiser foundation health plan of washington options, inc. Your kaiser foundation health plan of washington benefits booklet. Each plans fehb brochure is the official statement of benefits. Federal employees fehb 2020 rates and benefits summary. Oregon health plan if you are denied services or have a complaint. This is a summary of the features of the kaiser permanente health plan. Kaiser foundation health plan of the northwest opm. Each plan is designed to be flexible and affordable.
The 100 largest pension funds are listed below, in alphabetical order, with links to helpful information on how to calculate benefits. At kaiser permanente, you have a wide network of doctors and specialists to choose from. Summary of benefits and coverage kaiser permanente. Health plan booklets member guide kaiser permanente. Choosing a state below will take you to a list of all plans available in that state, as well as links to the plan brochures, changes for each plan from the previous year, information on plan patient safety programs. You can sign up within 60 days of when you get your cobra. Benefits under this benefits booklet will not be denied for any health care. In some areas of colorado, oregon, and washington, the county is able to offer kaiser nonmedicare and medicare plans. Choosing a state below will take you to a list of all plans available in that state, as well as links to the plan brochures, changes for each plan from the previous year, information on plan patient safety programs, and links to the plan provider directories. Kaiser permanente 2016 enrollment guide ehealthinsurance. Ump classic, and kaiser permanente wa classic, value, and soundchoice plans have a separate outofpocket limit for prescription drugs.