A better choice for good health - Federal Health Insurance: Kaiser

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Federal Employees and Annuitants
2015 Rates and Benefits
This is an advertisement
A better choice
for good health
a wide range of specialists
test results online
convenient facilities near you
I can choose and change
my doctor anytime
better care for healthier tomorrows
I can email my doctor
I’m part of
the decision
free to focus on you
Not a member yet?
For more information, visit kp.org/feds or call 1-855-366-8994,
Monday through Friday, 8 a.m. to 5 p.m. Open Season hours:
7 days a week, 5 a.m. to 7 p.m.
Statements above relate to Kaiser Permanente physicians and services only.
kp.org/feds
Discover the Kaiser Permanente difference
With care and coverage working seamlessly together, Kaiser Permanente
is uniquely designed to be your partner in health so you can feel your
best — in mind, body, and spirit.
your choice of
top doctors
online access
anytime, anywhere
everything under
one roof
You can choose and change
your doctor anytime, for any
reason. Our doctors are among
the best. They love caring for
people and aren’t weighed
down by a lot of paperwork,
so they can focus on you.
It’s easy to stay involved in your
care. Use your computer or mobile
device to email your doctor’s office,
schedule routine appointments,
view most lab test results, refill
most prescriptions, and more.
You can do more and drive less
because most of our locations
include pharmacy, lab, X-ray
services, and more.
healthier tomorrows
healthy rewards
Stay at your best with resources
like wellness classes, and — new
this year — cash rewards for
taking healthy steps.
personalized care
and attention
You’re at the center of your care.
Your doctors, nurses, and specialists,
all connected by your electronic
health record, work together to
help you manage your health.
Every decision starts with what’s
best for you. That’s why our highquality care for conditions like
cancer, heart disease, and diabetes
leads to better outcomes and
healthier tomorrows.
kp.org/feds
Note: Many features discussed in this book are available only to members receiving care at Kaiser Permanente
medical facilities.
Kaiser Permanente A better choice for good health
Your partner in good health
Nationwide, over 9 million people turn to us as their trusted partner in total health.
Take a look, and you’ll see why Kaiser Permanente is a better choice.
The power to choose...............................................................2
Excellent care..........................................................................3
Your health. Your way..............................................................4
Healthy extras .........................................................................5
NEW
Rewards benefit...............................................................6
Choose the plan that’s right for you........................................7
Your 2015 benefits summary....................................................8
Benefit highlights.....................................................................9
Kaiser Permanente Senior Advantage (HMO)
for Federal Members.............................................................10
How to enroll.........................................................................11
Our locations.........................................................................12
Prefer to see this information online? Go to kp.org/feds.
Already a member?
If you’re currently a member and have questions, please call
our Member Service Contact Center at 1-800-464-4000,
24 hours a day, 7 days a week (closed holidays). For TTY for
the hearing/speech impaired, call 1-800-777-1370.
To learn more about Kaiser Permanente, visit kp.org.
1
The power to choose
Stay in charge of your health. It’s simple to make smart choices when you have
great doctors and convenient facilities.
Your choice of
top doctors
Under-one-roof access
You have a wide selection of
skilled doctors that you can
choose from and change
anytime, for any reason.
Save time and avoid driving all
over town for care. You’ll have
many locations to choose from,
and most of them offer multiple
services under one roof. You
can see your doctor, get a lab
test or an X-ray, and pick up
your medications — all without
leaving the building. And when
you get care with fewer delays,
you can get better faster too.
Our doctors:
Come from many of the top
medical schools in the country
Work hand in hand with your
entire care team, who are all
connected by your electronic
health record
Don’t have excessive
paperwork so they can focus
on delivering the care you need
Care about their patients and
love what they do
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Time-saving features1
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E
mail your doctor’s office
with routine questions.
G
et same-day, after-hours,
and weekend services at
most locations.
D
octors and staff who speak
more than one language,
providing personalized care.
R
efill most prescriptions online
with free shipping.
M
ake routine appointments
with a call or click.
V
iew recent office visits and
most test results online.
C
all an advice nurse with
access to your health
information, 24/7.
T
ravel freely; you’re covered
for emergency care worldwide.
Hear examples of how Kaiser Permanente has helped different members at kp.org/carestories.
Your electronic
health record brings
it all together
2
Your doctor’s office
Pharmacy, lab, X-ray
Your record gets
updated with each visit
to a Kaiser Permanente
facility, so it’s current.
No need for paperwork
when you get services at
our facilities — your doctor’s
orders are already there.
Excellent care
Kaiser Permanente has one of the largest multispecialty medical groups in the
country, which includes cardiologists, cardiac surgeons, and others.
Personalized care
and attention
Top specialty care for
healthier tomorrows
Leaders in prevention
A care team that’s informed
and focused on you can lead
to better health. From your
doctor and caregivers — who
are all connected to your
electronic health record and
keep up-to-date on how you’re
doing — to our free online
programs and Wellness
Coaching by Phone service,
your care is not one-size-fits-all.
It’s personalized to your needs
and schedule.
Our doctors, nurses, and other
caregivers use an advanced
care delivery system that Kaiser
Permanente pioneered. It’s had
a measurable impact on the
prevention, detection,
and treatment of conditions
like cancer, heart disease,
stroke, and diabetes. We
were also rated in the top
10 percent among cholesterol
management programs for
patients with cardiovascular
conditions.2
We’ve been committed to
preventive care and overall
wellness for over 65 years. As
a result, we’re:
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#
1 in screenings for breast
cancer in all our regions.
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ated in the top 10 percent
for cervical and colon
cancer screenings.
Plus, 86 percent of our
members who were diagnosed
with high blood pressure now
have their blood pressure
under control, compared to
50 percent nationally.2,3
Learn more about the doctors available in your area at kp.org/doctorsandlocations.
Specialty care
At home or on the go
Your specialists are
up to speed and ready
to take care of you.
Get your health information
on your computer or mobile
device to stay informed and
in charge.
3
Your health. Your way.
We’re always here when you need us, however you need us. You get many services
under one roof at most of our locations and can call an advice nurse 24/7. Online or
through mobile, you can manage your family’s health needs anytime, anywhere.
It’s easy to stay
connected
A website full
of healthy ideas
Good health on the go
Members registered on kp.org
have secure access to My
Health Manager, the online tool
that helps you manage your
family’s health care anytime,
anywhere.
Get informed and inspired on
our award-winning website,
kp.org. Take charge of your
health with articles, wellness
topics, and health calculators.
Our music channels, podcasts,
fitness videos, and recipes from
world-class chefs can help you
find new and interesting ways
to live well and thrive.
Manage your care at home,
work, or play with our mobile
app, which puts all the
convenient features of My
Health Manager right in the
palm of your hand. You can
download the free Kaiser
Permanente app from the
App StoreSM or Google Play ®.
With My Health Manager,
you can:
Email your doctor’s office
with routine questions.
Refill most prescriptions.
View most lab test results.
Schedule or cancel routine
appointments.
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App Store is a service mark of
Apple, Inc., and Google Play
is a trademark of Google, Inc.
For a guided tour of My Health Manager, visit kp.org/experience.
Top reasons to join
Kaiser Permanente
4
You can choose
Excellent care
and change your doctor
anytime, for any reason.
for conditions like cancer,
heart disease, and diabetes,
leads to healthier tomorrows.
Healthy extras
Good health starts with helpful information and resources. That’s why you get lots
of healthy extras that can help you stay educated on ways to live healthier in body,
mind, and spirit.
Learn something new
Help to quit smoking
Maximize your health
Fit wellness into your schedule,
no matter how busy you are.
With the many health classes
offered at our facilities, there’s
something for everyone. Try
classes on yoga, eating well,
baby care, ongoing health
conditions, and much more.
Classes vary by location and
some may require a fee.
If you’re ready to quit, we’ll
make it easier. As a FEHB
member, you pay nothing for
tobacco-cessation programs
and prescriptions, including
prescribed over-the-counter
tobacco-cessation drugs
approved by the FDA to
treat tobacco dependence.
Talk to your physician about
your treatment options. For
more information about your
coverage, refer to your Federal
Brochure (RI 73-822).
Our personalized online
wellness programs can help
you lose weight, stay active,
reduce stress, sleep better,
and much more. You can also
download the free Every Body
Walk! app for your smartphone
or mobile device from the
App Store or Google Play. It’s
a fun, interactive tool to help
you create and maintain a daily
walking routine.
Find tools, tips, and information for living well at kp.org/livehealthy.
Under-one-roof
convenience
and care online or by phone
means you can manage
your health needs anytime,
anywhere.
Healthy extras
like on-site classes*
and farmers markets
help you stay well.
*Some classes may require
a fee.
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NEW
Rewards benefit
With cash rewards for taking healthy steps, you’ve got a plan that can help you
feel your best. You can get reward cards worth up to $75 for taking steps to
improve your health.
Challenge yourself and earn up to $75:
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$50
for completing a Total Health Assessment
This online questionnaire gives you a picture of your overall
health, plus an action plan that’s based on your answers.
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$25
for completing an online healthy lifestyle program
Get help to reduce stress, quit smoking, lose weight, and more. You
can take a program when it’s convenient for you, at your own pace.
Starting January 1, 2015, visit kp.org/feds to get started. There
you’ll find information and links to the Total Health Assessment
and healthy lifestyle programs.
The rewards program runs from January 1, 2015, through
December 31, 2015, and is open to all Kaiser Permanente FEHB
subscribers and their enrolled spouses who are 18 and older. You
can take the Total Health Assessment as often as you’d like and
as many healthy lifestyle programs as you’d like, but you can only
earn rewards for them once during the reward period. You must
complete the activities during the calendar year. Rewards will be
issued 4 to 6 weeks after you complete your activity.
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Choose the plan that’s right for you
Select either the High Option or the Standard Option. With each, you’ll get a
wide range of services and resources to help you stay healthy.
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High Option
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Standard Option
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Included with both
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Y
ou pay higher premiums, but lower copays for most services
and prescription drugs.
I f you expect to get care often, this may be the right choice.
Y
ou’ll get a 25 percent discount on eyeglasses and contact lenses
at Vision Essentials by Kaiser Permanente optical centers.4
Y
ou pay lower premiums but higher copays for most services
and prescription drugs.
I f you are in good overall health, this might be the right choice.
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o copays for most preventive care services.
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o deductible.
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o paperwork to fill out or bills for the services you get from
Kaiser Permanente practitioners.
Your supplemental dental options
You can also choose from 2 dental plans to supplement your health coverage.4
Kaiser Permanente Insurance Company
(KPIC) Dental Insurance Plan
DeltaCare USA
This plan gives you the freedom to see any
licensed dentist you choose, with no deductible
for preventive and diagnostic services. When you
visit a participating Delta dentist in California,
all claims paperwork will be handled for you.
With this dental HMO plan, you’ll select a dentist
from the DeltaCare USA network. There are no
claim forms to fill out and no deductibles. Most
preventive and diagnostic services are available at
little or no cost to you. For other covered services,
you’ll pay a simple copay.
2015 Dental Rates
KPIC
DeltaCare USA
Monthly
Monthly
Quarterly
Self Only
$31.42
$12.83
$38.49
Self + 1
$55.68
$21.48
$64.44
Self + 2 or more
$83.70
$32.56
$97.68
If you’re a new member and want more information, call 1-800-933-9312. Current members, call KPIC
Dental Insurance Plan, 1-800-835-2244 (group number 9874) or DeltaCare USA, 1-800-422-4234 (group
number 1114). You can also view Kaiser Permanente’s dental plans and enrollment materials at kp.org/feds.
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Your 2015 benefits summary
High Option
Standard Option
$0
$0
$15/$25
$30/$40
Most X-rays
$0
$10
Most lab tests
$0
$10
MRI, CT, PET
$0
$50
Outpatient surgery
$50
$200
Chiropractic services (up to 20 visits per year)5
$15
$15
Benefits and services
Preventive care
Routine physical exam
Outpatient services (per visit or procedure)
Primary/specialty care office visit
Inpatient hospital care
Room and board, surgery, anesthesia, X-rays,
lab tests, medications
$250 per admission
$500 per admission
Maternity
Routine prenatal care visit, first postpartum visit
Delivery
$0
$0
$250 per admission
$500 per admission
Emergency and urgent care (per visit or trip)
Emergency care
$100
$150
Urgent care
$15
$30
Ambulance
$50
$150
Generic/Brand
Generic/Brand
At Plan pharmacy – up to a 30-day supply
$10/$30
$15/$35
Mail-order service – up to a 100-day supply
$20/$60
$30/$70
Per person
$1,500
$2,000
Maximum per family
$3,000
$4,000
Most prescription drugs Maximum out-of-pocket
Enrollment
Code
Your premium share*
Non-Postal
Self Only
Self and
Family
Enrollment
Code
$66.59
Biweekly
Monthly
High
Option
621
$144.29
$43.20
624
$93.60
Postal 1
Biweekly
Postal 2
Biweekly
$66.59
$43.20
Biweekly
$167.08
$99.85
Non-Postal
Monthly
Postal 1
Biweekly
Postal 2
Biweekly
622
$52.61
Standard
Option
$362.01
$135.93
$167.08
625
$34.13
$216.34
$78.88
$99.85
*These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to
your special Guide to Federal Benefits or contact the agency or Tribal Employer which maintains your
health benefits enrollment.
8
Benefit highlights
With care anywhere you go, prescription drugs savings, and chiropractic care
without a referral, you’ll have a plan that gives you more.
Worldwide coverage
Save on
prescription drugs
Chiropractic without
a referral
Wherever life takes you, we’ve
got you covered. As a Kaiser
Permanente Federal Employees
Health Benefits (FEHB) member,
your benefit goes even further
than your home service area.
Save time and money by
ordering prescription refills
online, on your smartphone,
or by calling the phone number
on your prescription label.
You can visit any American
Specialty Health Plans of
California, Inc. (ASH) participating
provider with no referral.
Chiropractic services are covered
if they’re needed to diagnose
or treat neuromusculoskeletal
disorders, as prescribed and
provided by an ASH Plans
participating provider.
You’ll get:
Coverage for emergency
care worldwide at emergency
departments and urgent care
centers.
Care from any Kaiser
Permanente facility in another
region through the Visiting
Member Program.
Coverage for certain outpatient
follow-up care and outpatient
continuing care outside of
Kaiser Permanente service areas
through the FEHB travel benefit.
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Prescription refills can be
mailed to your home at no
extra charge. And when you
order refills by mail order, you
get a 100-day supply and pay
only twice the 30-day supply
Plan pharmacy copay.
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Find a participating provider
by calling 1-800-678-9133,
Monday through Friday from
5 a.m. to 6 p.m. For TTY for
the hearing/speech impaired,
call 1-877-710-2746.
Improvements to your benefits:
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You
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have the chance to earn up to $75 in rewards for participating in healthy living activities.
More
services, like prescription drugs, now apply to your out-of-pocket maximum.
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Kaiser Permanente Senior Advantage (HMO) for Federal Members
If you’re eligible for Medicare, you have an option to choose Kaiser Permanente
Senior Advantage (HMO) for Federal Members.
If you decide to enroll in Senior Advantage (HMO) for Federal
Members, you’ll get richer benefits than with your FEHB coverage
alone. You’ll get all of your FEHB benefits, plus:
L ower copays for office visits and for most other services,
such as inpatient hospital admissions and most prescription drugs.
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p to a 100-day supply of prescription drugs at Plan pharmacies
for one copay (High Option only).
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xtra credit toward the purchase of eyeglasses and
contact lenses.
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xtra coverage for preventive dental care through
DeltaCare® USA with no additional premium.
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Added benefits
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Get more information
Download our free brochure, Your Guide to Choosing a
Kaiser Permanente Medicare Health Plan, at kp.org/feds.
You may also have one sent to you by calling our licensed sales
specialists at 1-855-366-9014, 8 a.m. to 8 p.m., 7 days a week.
For TTY for the hearing/speech impaired, call 711.
Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends
on contract renewal. To join a Kaiser Permanente Medicare Health Plan, you must reside in the Kaiser
Permanente Senior Advantage service area in which you enroll. Benefits, formulary, pharmacy network,
provider network, premium and/or copayments/coinsurance may change on January 1 of each year and
at other times in accord with your group’s contract with us. The benefit information provided is a brief
summary, not a complete description of benefits. For more information contact the plan. Limitations,
copayments, and restrictions may apply. You must pay the Medicare Part B premium to join a Kaiser
Permanente Medicare health plan. Enrolling in Senior Advantage for Federal Members will not affect
the benefits you receive through the Federal Employees Health Benefits (FEHB) Program, although the
network and other rules of Medicare may apply.
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How to enroll
Becoming a member is easy. Just follow the 3 simple steps below.
1. Choose an option
2. S
elect the type of
enrollment you want
3. Enroll in
Kaiser Permanente
Select our High or Standard
Option.
Select “Self Only” or “Self
and Family.”
Self Only enrollment provides
benefits for you.
Self and Family enrollment
provides benefits for you and
your eligible family members.
Find your enrollment code in
the chart below.
Brief descriptions of these
options are on page 7. Find
details about benefits and
rates on page 8.
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Most employees and annuitants
can enroll online. Visit opm.gov
or contact your employing
agency or retirement office for
FEHB enrollment procedures
and other information.
Annuitants can contact the
Retirement Information
Center at 1-888-767-6738
or for TTY, 1-855-887-4957,
or [email protected].
If you’re eligible for Medicare, or will be soon, see page 10 for additional information.
Enrollment Code
High Option
Standard Option
Self Only
621
624
Self and Family
622
625
This brochure summarizes the features of the Kaiser Permanente health plan. Before making a final
decision, please read the Plan’s Federal brochure (RI 73-822). All benefits are subject to the definitions,
limitations, and exclusions set forth in the Federal brochure.
This page contains highlights of the FEHB enrollment process. Please refer directly to opm.gov and
your employing agency or retirement office for FEHB coverage effective dates, enrollment procedures
and deadlines, and other information. To add an eligible family member to your Kaiser Permanente
Self and Family enrollment, complete and return an Enrollment Change Form to us. These forms can
be obtained at kp.org/feds or by calling Member Services.
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Our locations
What’s new in Southern California:
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erritos: You can get a broad
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range of services at our new
50,000-square-foot Cerritos
Medical Offices, including
primary care, pediatrics,
obstetrics-gynecology, lab,
radiology, and pharmacy.
Tehachapi
Mountains
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orth County San Diego:
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Our new medical offices are
now open in Oceanside and
Carmel Valley, bringing more
convenience and flexibility to
our North County members.
Sierra Nevada
Mountains
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orth Hollywood Medical
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Offices: Located near the
Red and Orange Metro lines,
the offices feature primary
care, obstetrics-gynecology,
pediatrics, diagnostic imaging,
lab services, and pharmacy —
all at a single location.
China Lake
Naval Weapons Center
Kern County area
Edwards Air Force Base
San Bernardino
National Forest
San Bernardino
Mountains
Cleveland
National Forest
San Jacinto
Mountains
San Bernardino
National Forest
Santa Rosa
Mountains
Anza-Borrego Desert
State Park
Cleveland
National Forest
nKaiser Permanente medical centers (hospital and medical offices)
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
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Maps not to scale
Our locations
City
Facility
Address
Aliso Viejo
Anaheim
● Aliso Viejo Medical Offices
n Orange County–Anaheim
24502 Pacific Park Drive
3440 E. La Palma Ave.
●
5475 E. La Palma Ave.
3460 E. La Palma Ave., Building 1
3430 E. La Palma Ave., Building 2
1188 N. Euclid St.
411 N. Lakeview Ave.
3733 San Dimas St.
2531 Chester Ave.
4801 Coffee Road
1200 Discovery Drive
3700 Mall View Road
8800 Ming Ave.
3501 Stockdale Hwy.
2615 Chester Ave.
●
●
●
Bakersfield
●
●
●
●
●
●
●
Baldwin Park
Bellflower
n
●
●
Medical Center
Anaheim Hills Medical Offices
Anaheim Kraemer
Medical Offices
Euclid Medical Offices
Lakeview Medical Offices
Central Medical Offices
Chester Avenue Medical Offices
Coffee Road Medical Offices
Discovery Plaza Medical Offices
East Hills Medical Offices
Ming Medical Offices
Stockdale Medical Offices
San Joaquin Community
Hospital – Emergency services*
Baldwin Park Medical Center
Bellflower Medical Offices
Rosecrans Medical Offices
Bonita Medical Offices
Brea Medical Offices
Camarillo Medical Offices
Carlsbad Medical Offices
Carson Medical Offices
Cerritos Medical Offices
Chino Medical Offices
Crossroads Medical Offices
Indian Hill Medical Offices
Colton Medical Offices
Corona Medical Offices
Cudahy Medical Offices
Playa Vista Medical Offices
Kern County mobile health vehicle
Bonita
Brea
Camarillo
Carlsbad
Carson
Cerritos
Chino
City of Industry
Claremont
Colton
Corona
Cudahy
Culver City
Delano
●
Diamond Bar
● Diamond Bar Medical Offices
●
●
●
●
●
●
●
●
●
●
●
●
nKaiser Permanente medical centers (hospital
and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
1011 Baldwin Park Blvd.
9400 E. Rosecrans Ave.
9333 E. Rosecrans Ave.
3955 Bonita Road
1900 E. Lambert Road
2620 E. Las Posas Road
6860 Avenida Encinas
18600 South Figuero St.
10820 E. 183rd St.
11911 Central Ave.
12801 Crossroads Pkwy. S.
250 W. San Jose St.
789 E. Cooley Drive
2055 Kellogg Ave.
7825 Atlantic Ave.
5620 Mesmer Ave.
1420 Cecil Ave.
601 Woollomes Ave.
1336 Bridgegate Drive
Affiliated plan hospitals
Affiliated medical offices
Kaiser Permanente mobile health vehicle
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Our locations
City
Facility
Downey
n Downey Medical Center
●
●
El Cajon
●
Escondido
●
●
Foothill Ranch
Fontana
Garden Grove
Gardena
Glendale
●
Harbor City
Huntington Beach
Indio
n
Inglewood
Irvine
●
n
●
●
●
●
●
n
9333 E. Imperial Hwy.
Garden Medical Offices
9353 E. Imperial Hwy.
Orchard Medical Offices
9449 E. Imperial Hwy.
Bostonia Medical Offices
1630 E. Main St.
El Cajon Medical Offices
250 Travelodge Drive
Escondido Medical Offices
732 N. Broadway
Palomar Health Downtown Campus 555 E. Valley Pkwy.
Palomar Medical Center –
2185 W. Citracado Pkwy.
Emergency services*
Foothill Ranch Medical Offices
26882 Towne Centre Drive
Fontana Medical Center
9961 Sierra Ave.
Garden Grove Medical Offices
12100 Euclid St.
Gardena Medical Offices
15446 S. Western Ave.
Glendale Orange Street
501 N. Orange St.
Medical Offices
South Bay Medical Center
25825 S. Vermont Ave.
Huntington Beach Medical Offices 18081 Beach Blvd.
Kaiser Permanente Indio
46-900 Monroe St.
Medical Offices
John F. Kennedy Memorial
47111 Monroe St.
Hospital – Emergency services*
Inglewood Medical Offices
110 N. La Brea Ave.
Orange County–Irvine
6640 Alton Pkwy.
Medical Center
● Alton/Sand Canyon
Medical Offices
● Barranca Medical Offices
Joshua Tree
La Mesa
●
●
La Palma
Lancaster
●
●
●
Long Beach
Los Angeles
●
n
n
●
●
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Address
Hi-Desert Medical Center –
Emergency services*
La Mesa Medical Offices
Rancho San Diego Medical Offices
La Palma Medical Offices
Lancaster Medical Offices
Women’s Health Office (Ob-Gyn)
Antelope Valley Hospital –
Emergency services*
Long Beach Medical Offices
Los Angeles Medical Center
West Los Angeles Medical Center
Culver Marina Medical Offices
East Los Angeles Medical Offices
South Los Angeles Medical Offices
6650 Alton Pkwy.
6670 Alton Pkwy.
6 Willard
6601 White Feather Road
8080 Parkway Drive
3875 Avocado Blvd.
5 Centerpointe Drive
43112 N. 15th St. W
44105 15th St. W
1600 W. Avenue J
3900 E. Pacific Coast Hwy.
4867 W. Sunset Blvd.
6041 Cadillac Ave.
12001 W. Washington Blvd.
5119 E. Pomona Blvd.
1550 W. Manchester Ave.
Our locations
City
Facility
Lynwood
Mission Hills
Mission Viejo
Montebello
Moreno Valley
●
●
●
●
●
Lynwood Medical Offices
Mission Hills Medical Offices
Mission Viejo Medical Offices
Montebello Medical Offices
Moreno Valley Medical Center –
Medical Office Building 2
Heacock Medical Offices
Iris Medical Offices
Rancho Springs Medical Center
North Hollywood Medical Offices
Norwalk Medical Offices
Oceanside Medical Offices
Ontario Medical Center
Oxnard Medical Offices
Address
3830 Martin Luther King Jr. Blvd.
11001 Sepulveda Blvd.
23781 Maquina Ave.
1550 Town Center Drive
27200 Iris Ave.
Palm Desert
● Kaiser Permanente
12815 Heacock St.
27350 Iris Ave.
25500 Medical Center Drive
5250 Lankershim Blvd.
12501 E. Imperial Hwy.
1302 Rocky Point Drive
2295 S. Vineyard Ave.
2103 E. Gonzales Road
2200 E. Gonzales Road
75-036 Gerald Ford Drive
Palm Springs
●
1100 N. Palm Canyon Drive
●
●
Murrieta
North Hollywood
Norwalk
Oceanside
Ontario
Oxnard
●
●
●
n
●
Palmdale
Panorama City
Pasadena
Rancho Cucamonga
●
Redlands
Riverside
San Bernardino
San Diego
●
n
●
●
n
●
n
Palm Desert Medical Offices
Kaiser Permanente
Palm Springs Medical Offices
Desert Regional Medical Center –
Emergency services*
Palmdale Medical Offices
Panorama City Medical Center
Pasadena Medical Offices
Rancho Cucamonga
Medical Offices
Redlands Medical Offices
Riverside Medical Center
San Bernardino Medical Offices
San Diego Medical Center/
Kaiser Foundation Hospital
1150 N. Indian Canyon Drive
4502 E. Avenue S
13651 Willard St.
3280 E. Foothill Blvd.
10850 Arrow Route
1301 California St.
10800 Magnolia Ave.
1717 Date Place
4647 Zion Ave.
● Carmel Valley Medical Offices
3851 Shaw Ridge Road
● Clairemont Mesa Medical Offices 7060 Clairemont Mesa Blvd.
● Otay Mesa Medical Offices
4650 Palm Ave.
4660 Palm Ave.
● Point Loma Medical Offices
3250 Fordham St.
3420 Kenyon St.
● Rancho Bernardo Medical Offices 17140 Bernardo Center Drive
● Vandever Medical Offices
4405 Vandever Ave.
nKaiser Permanente medical centers (hospital
and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
Kaiser Permanente mobile health vehicle
15
Our locations
City
Facility
Address
San Dimas
San Juan Capistrano
● San Dimas Medical Offices
● San Juan Capistrano
1255 W. Arrow Hwy.
30400 Camino Capistrano
San Marcos
Santa Ana
●
400 Craven Road
3401 S. Harbor Blvd.
1900 E. Fourth St.
26415 Carl Boyer Drive
27107 Tourney Road
3900 Alamo St.
301 Gardner Field Road
710 W. Tehachapi Blvd.
27309 Madison Ave.
365 E. Hillcrest Drive
145 Hodencamp Road
322 E. Thousand Oaks Blvd.
20790 Madrona Ave.
2521 Michelle Drive
1183 E. Foothill Blvd.
2601 E. Main St.
888 S. Hill Road
1000 S. Hill Road
147 N. Brent St.
●
●
Santa Clarita
●
●
Medical Offices
San Marcos Medical Offices
Harbor–MacArthur Medical Offices
Santa Ana Medical Offices
Canyon Country Medical Offices
Santa Clarita Medical Offices
Simi Valley Medical Offices
Kern County mobile health vehicle
Kern County mobile health vehicle
Temecula Medical Offices
Thousand Oaks Medical Offices
Simi Valley
Taft
Tehachapi
Temecula
Thousand Oaks
●
Torrance
Tustin
Upland
Ventura
● Torrance Medical Offices
● Tustin Ranch Medical Offices
●
●
● Upland Medical Offices
● Ventura Medical Offices
Victorville
●
Vista
West Covina
Whittier
Wildomar
●
Woodland Hills
n
●
●
●
●
Yorba Linda
●
Community Memorial Hospital
of San Buenaventura –
Emergency services*
High Desert/Victorville
Medical Offices
Vista Medical Offices
West Covina Medical Offices
Whittier Medical Offices
Wildomar Medical Offices
Inland Valley Medical Center
Woodland Hills Medical Center
Erwin Street Medical Offices
Yorba Linda Medical Offices
14011 Park Ave.
780 Shadowridge Drive
1249 S. Sunset Ave.
12470 Whittier Blvd.
36450 Inland Valley Drive
36485 Inland Valley Drive
5601 De Soto Ave.
21263 Erwin St.
22550 Savi Ranch Pkwy.
*Affiliated plan facilities provide selected inpatient and/or outpatient hospital and emergency services.
The information in this guide is current as of the date of publication. If you have questions about the
information in this guide, please contact our Member Service Contact Center at 1-800-464-4000, 24 hours
a day, 7 days a week (closed holidays). For TTY for the hearing/speech impaired, call 1-800-777-1370.
16
Footnotes
1Online features available when you get care at Kaiser Permanente facilities.
2Ratings based on Breast Cancer Screening, Cervical Cancer Screening, Colorectal Cancer Screening,
and Controlling High Blood Pressure 2012 ratings for commercial and Medicare plans from the
Healthcare Effectiveness Data and Information Set (HEDIS) published by the National Committee
for Quality Assurance. For more information, visit ncqa.org.
3Kaiser Permanente program average is the weighted average of each regional health plan’s screening
rate and its eligible population.
4These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are
made available to all enrollees and family members who become members of Kaiser Permanente.
5For chiropractic services, you don’t need a referral to a participating American Specialty Health
(ASH) network chiropractor. To find a participating chiropractor, call 1-800-678-9133.
17
Kaiser Foundation Health Plan, Inc.
393 E. Walnut St.
Pasadena, CA 91188
It’s time to choose better
Learn more about Kaiser Permanente at kp.org/feds. You’ll find your Kaiser Permanente 2015
enrollment materials, including the Federal Employees Health Benefits brochure (RI 73-822).
You can also connect to our facility and physician directories and learn more about our services.
Notice of Summary of Benefits and Coverage (SBC):
Availability of Summary Health Information
The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and
coverage options. Choosing a health plan and coverage option is an important decision. To help
you make an informed choice, each FEHB plan makes available a Summary of Benefits and Coverage
(SBC) about each of its health coverage options, online and in paper. The SBC summarizes important
information in a standard format to help you compare plans and options.
This plan’s SBC is available on the Internet at kp.org/feds. A paper copy is also available, free of
charge, by calling 1-800-464-4000 (a toll-free number).
To find out more information about plans available under the FEHB Program, including SBCs for
other FEHB plans, please visit opm.gov.
kp.org/feds
Please recycle. This material was produced from eco-responsible resources.
Member and Marketing Communications 60221611 October 2014