Call Customer Service at 1-85 (TTY 711), Monday through Friday, 7 a.m.Contact the human resources/benefits officer where you work, if your employer provides your coverage.Refer to your Certificate of Insurance (COI).See your Choice Products POS Member Resource Guide.To find out more about what is covered under the Out-of-Network Provider Tier. Pharmacy services. Learn about your pharmacy benefits in the Out-of-Network Provider Tier.You can request your Out-of-Network Provider send labs, X-rays, and special procedures (MRIs, CT scans, PET scans, nuclear medicine), to a Kaiser Permanente facility, In-Network Provider, any time you choose, and you will likely pay less. Maternity care. You can choose any licensed provider for obstetric care.*.Urgent care. You can visit any licensed Out-of-Network urgent care facility.Emergency care is covered at the In-Network Provider Tier benefit level, and you will be responsible only for the In-Network cost share, regardless of where you seek care. You can visit any licensed Out-of-Network emergency care facility. Hospital care. You can receive inpatient hospitalization services from licensed or accredited hospitals and facilities not in the In-Network Provider Tier.*.Behavioral health. You can receive care from any licensed behavioral health or chemical dependency professional for mental illness, emotional disorders, and drug or alcohol abuse.*.Using Out-of-Network Providers generally means higher out-of-pocket costs. Your out-of-pocket costs will generally be the highest when you choose to receive care from an Out-of-Network Provider or facility.Provider choice, care anywhere. Your Out-of-Network Provider Tier benefits cover care you receive from any licensed provider (who’s not in the In-Network Provider Tier).Out-of-Network Provider Tier Any other licensed provider or physician Features and benefits of receiving covered care from any licensed provider. Check with your doctor’s office to find out if video visits are available to you. You must be 18 or older to schedule a video visit. **Video visits are available for members who receive care at Kaiser Permanente medical offices. *These contracted hospitals are independently owned and operated and are not affiliated entities of Kaiser Permanente. To find out more about what is covered under the In-Network Provider Tier, see your Evidence of Coverage (EOC) or call Customer Service at 1-85 (TTY 711). Your user name and password can also be used on our mobile app.Find care options and urgent care locations near you.Schedule or cancel routine appointments.Use the convenient features of kp.org to manage your health.** Be aware that costs may apply for some visits.** Chat with a Kaiser Permanente doctor, email, or schedule a phone or video visit. Choose from telehealth options that fit into your schedule.That includes routine physicals, well-child visits, and certain screenings and tests (such as mammograms). With your plan, you pay $0 for preventive care. Your results from tests done in Kaiser Permanente medical offices can be read (for most results) online soon after the lab completes your tests, sometimes the same day. You can get advice by calling the number on the back of your ID Card. When you call for medical advice you will be connected with a professional that can help advise and make appointments with one of our providers. Kaiser Permanente carefully selects hospitals to partner with us in taking great care of you.* Call the number on the back of your ID card to confirm locations and hours of operations. Urgent care is available at Kaiser Permanente medical offices. The emergency care copay will be waived if you are directly admitted to a hospital as a result of an emergency. Emergency care. You are covered for emergency care worldwide.Kaiser Permanente’s state-of-the-art medical offices are located throughout the region, with doctors, specialists, imaging, and in most locations, pharmacy and lab, all in one place. Your primary care physician can coordinate your referral to a specialist, and can even schedule your appointment. And because they are all connected through your electronic medical record, everyone in the network gets up-to-the-minute information on your health for a better care experience. Your primary care physician works closely with specialists, pharmacists, lab technicians, therapists, and many other professionals. With this Tier, you’ll usually pay the least out of pocket, with no or a lower deductible. Log on to kp.org In-Network Provider Tier Kaiser Permanente Providers Features and benefits of our plan.
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