Kaiser Permanente: Federal Employees and Annuitants 2015 Rates
Transcription
Kaiser Permanente: Federal Employees and Annuitants 2015 Rates
g N N , se ea ts fit e cr in nefi en b te e ra r b ds o te ar t w re g Northern California Region ew be 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 1-855-315-1009, 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 g g Time-saving features1 g g g g g g g g g g 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: g g # 1 in screenings for breast cancer in all our regions. R 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. g g g g 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 73-003). 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. 5 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: g $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. g $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. 6 Choose the plan that’s right for you Select from the High Option, the Standard Option, or the Basic Option. With each, you’ll get a wide range of services and resources to help you stay healthy. g High Option g g g g Standard Option g g g Basic Option g You pay higher premiums but lower copays for most health care services and prescription drugs. You don’t pay a deductible. You’ll get a 25 percent discount on eyeglasses and contact lenses at Vision Essentials by Kaiser Permanente optical centers.4 You pay lower premiums compared to the High Option. You’ll pay higher copays for office visits and urgent care visits, compared to the High and Basic Options. You pay a lower deductible and then copays for certain services, like inpatient hospital services, labs, and X-rays. You pay the lowest premiums. Compared to the Standard Option, you’ll pay lower copays for office visits and urgent care visits. You pay a higher deductible and then coinsurance for certain services, like inpatient hospital services, labs, and X-rays. 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. 7 Your 2015 benefits summary Benefits and services High Option Preventive care (not subject to deductible) Routine physical exam $0 Deductible None Outpatient services (per visit or procedure) Primary/specialty care office visit $15/$25 Most X-rays and lab tests $0 Outpatient surgery $50 Chiropractic services (up to 20 visits per year)5 Inpatient hospital care Room and board, surgery, anesthesia, X-rays, lab tests, medications Maternity Routine prenatal care visit, first postpartum visit $250 per admission Delivery $250 per admission $15 $0 Standard Option Basic Option $0 $200 (up to $400 per family) $0 $500 (up to $1,000 per family) $30/$40 $25/$35 20% of our allowance $10 after deductible after deductible 20% of our allowance $200 after deductible after deductible $15 $15 $500 per admission 20% of our allowance after deductible after deductible $0 $0 $500 per admission 20% of our allowance after deductible after deductible Emergency and urgent care (per visit or trip) Emergency care $100 Urgent care $15 Ambulance $50 20% of our allowance after deductible $30 $25 20% of our allowance $150 after deductible after deductible $150 after deductible Most prescription drugs At Plan pharmacy, up to a 30-day supply (mail-order service: up to a 100-day supply for 2 copays) Maximum out-of-pocket per person/family Your premium share* Non-Postal Self Only Self and Family Postal 1 Postal 2 Non-Postal Postal 1 Postal 2 Biweekly Monthly Biweekly Biweekly Biweekly Monthly Biweekly Biweekly Generic: $10 Brand: $30 Generic: $15 Brand: $35 Generic: $15 Brand: $35 $1,500/$3,000 $2,000/$4,000 $5,500/$11,000 High Option $157.80 $341.90 $143.77 $157.80 $410.32 $889.03 $379.17 $410.32 Standard Option $99.77 $216.17 $85.74 $99.77 $257.59 $558.11 $226.44 $257.59 Basic Option $79.10 $171.38 $65.07 $79.10 $209.23 $453.33 $178.08 $209.23 *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. g g 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. g 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: g You g can 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. 9 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: Lower copays for office visits and for most other services, such as inpatient hospital admissions and most prescription drugs. Up to a 100-day supply of prescription drugs at Plan pharmacies for one copay (High Option only). Extra credit toward the purchase of eyeglasses and contact lenses. Extra coverage for preventive dental care through DeltaCare® USA with no additional premium (High and Standard Option only). g Added benefits g g g Get more information Download our free brochure, Your Guide to Choosing a Kaiser Permanente Medicare Health Plan, at kp.org/feds, or to have one sent to you, call our licensed sales specialists at 1-855-366-9013, 8 a.m. to 8 p.m., 7 days a week. For TTY for the deaf, hard of hearing, or 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. 10 How to enroll Becoming a member is easy. Just follow the 3 simple steps below. 1. Choose an option 2. Select the type of enrollment you want 3. Enroll in Kaiser Permanente Select our High, Standard, or Basic 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. g g 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 Basic Option Self Only 591 594 KC1 Self and Family 592 595 KC2 This brochure summarizes the features of the Kaiser Permanente health plan. Before making a final decision, please read the Plan’s Federal brochure (RI 73-003). 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. 11 Our locations What’s new in Northern California: g akland Medical Center: O Our expanded facility features a new, 12-story hospital with a comprehensive pediatric center and 14 inpatient operating rooms. g an Leandro Medical Center: S The new hospital includes a 24-hour pharmacy and a 24-hour Emergency Department, with 40 private treatment rooms. g edwood City Hospital R (scheduled to open late 2014): The new hospital will include our world-class neuroscience center, which treats members for brain and spine conditions. San Mateo Fresno County nKaiser Permanente medical centers (hospital and medical offices) ●Kaiser Permanente medical offices Affiliated plan hospitals Affiliated medical offices 12 Maps not to scale Our locations City Facility Address Alameda ● Alameda Medical Offices 2417 Central Ave. Antioch n Antioch Medical Center 4501 Sand Creek Road ● Delta Fair Medical Offices 3400 Delta Fair Blvd. Bolinas Bolinas Family Practice 88 Mesa Road Campbell ● Campbell Medical Offices 220 E. Hacienda Ave. Clovis ● Clovis Medical Offices 2071 E. Herndon Ave. Daly City ● Daly City Medical Offices 395 Hickey Blvd. Davis ● Davis Medical Offices 1955 Cowell Blvd. Elk Grove ● Elk Grove Medical Offices 9201 Big Horn Blvd. ● Elk Grove Promenade 10305 Promenade Pkwy. Fairfield ● Fairfield Medical Offices 1550 Gateway Blvd. Folsom ● Folsom Medical Offices 2155 Iron Point Road Fremont n Fremont Medical Center 39400 Paseo Padre Pkwy. Fresno n Fresno Medical Center 7300 N. Fresno St. ● First Street Medical Offices 4785 N. First St. Gilroy ● Gilroy Medical Offices 7520 Arroyo Circle Hayward ● Sleepy Hollow Medical Offices 27303 Sleepy Hollow Ave. Lincoln ● Lincoln Medical Offices 1900 Dresden Drive Livermore ● Livermore Medical Offices 3000 Las Positas Road Manteca n Manteca Medical Center 1777 W. Yosemite Ave. ● Manteca Medical Offices 1721 W. Yosemite Ave. Martinez ● Martinez Medical Offices 200 Muir Road Mill Valley ● Mill Valley Medical Offices 750 Redwood Hwy. Milpitas ● Milpitas Medical Offices 770 E. Calaveras Blvd. Modesto n Modesto Medical Center 4601 Dale Road ● Bangs Avenue Medical Offices 4125 Bangs Ave. Medical Offices nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold. ●Kaiser Permanente medical offices Affiliated plan hospitals Affiliated medical offices 13 Our locations City Facility Address Modesto (continued) ● Modesto Medical Offices 4601 Dale Road ● Standiford Avenue 1320 Standiford Ave. Medical Offices Cornerstone Family Practice Medical Group 1444 Florida Ave. Family Health Care Medical Group 1320 Celeste Drive Mountain View ● Mountain View Medical Offices 555 Castro St. 565 Castro St. Napa ● Napa Medical Offices 3285 Claremont Way 1675 Permanente Way Novato ● Novato Medical Offices 97 San Marin Drive Oakhurst ● Oakhurst Medical Offices 40595 Westlake Drive Oakland n Oakland Medical Center 3600 Broadway Patterson First Care Medical Center Petaluma ● Petaluma Medical Offices 3900 Lakeville Hwy. Pinole ● Pinole Medical Offices 1301 Pinole Valley Road Pleasanton ● Pleasanton Medical Offices 7601 Stoneridge Drive Point Reyes Station 101 N. Third St. Point Reyes Medical Clinic 3 Sixth St. West Marin Medical Center 11150 State Route 1 Rancho Cordova ● Rancho Cordova Medical Offices 10725 International Drive Redwood City n Redwood City Medical Center 1150 Veterans Blvd. Richmond n Richmond Medical Center 901 Nevin Ave. Rohnert Park ● Rohnert Park Medical Offices 5900 State Farm Drive Roseville n Roseville Medical Center 1600 Eureka Road ● Roseville Medical Offices – 1001 Riverside Ave. Riverside nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold. ●Kaiser Permanente medical offices Affiliated plan hospitals Affiliated medical offices 14 Our locations City Facility Address Sacramento n Sacramento Medical Center 2025 Morse Ave. n South Sacramento 6600 Bruceville Road ● Fair Oaks Boulevard 2345 Fair Oaks Blvd. ● Point West Medical Offices 1650 Response Road ● Bayhill Medical Offices 801 Traeger Ave. 851 Traeger Ave. ● San Bruno Medical Offices 901 El Camino Real ● Sneath Lane Medical Offices 1001 Sneath Lane 1011 Sneath Lane San Francisco n San Francisco Medical Center 2425 Geary Blvd. San Jose n San Jose Medical Center 250 Hospital Pkwy. San Leandro n San Leandro Medical Center 2500 Merced St. San Mateo ● San Mateo Medical Offices 1000 Franklin Pkwy. San Rafael n San Rafael Medical Center 99 Montecillo Road ● Downtown San Rafael Medical 1033 3rd St. San Ramon ● San Ramon Medical Offices 2300 Camino Ramon Santa Clara n Santa Clara Medical Center 700 Lawrence Expwy. ● Santa Clara Arques 1263 Arques Ave. ● Santa Clara Medical Offices 710 Lawrence Expwy. n Santa Rosa Medical Center 401 Bicentennial Way ● Santa Rosa Richard Stein 3925 Old Redwood Hwy. 3975 Old Redwood Hwy. ● Selma Medical Offices 2651 Highland Ave. Medical Center Medical Offices San Bruno Offices – 3rd St. Medical Offices Santa Rosa Medical Offices Selma nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold. ●Kaiser Permanente medical offices Affiliated plan hospitals Affiliated medical offices 15 Our locations City Facility Address South San Francisco n South San Francisco 1200 El Camino Real Stinson Beach Stockton Medical Center Stinson Beach Medical Center ● Stockton Medical Offices Dameron Hospital* Tracy Turlock ● Tracy Medical Offices 3419 State Route 1 7373 West Lane 525 W. Acacia St. 2185 W. Grant Line Road Rodney Avilla, DO 2101 Geer Road Jagmohan Bhinder, MD 1860 Colorado Ave. Maryam Esho, MD 1729 N. Olive Ave. Nirbhai Hundal, MD 1516 Colorado Ave. Puliadi Kumar, MD 1110 Delbon Ave. Turlock Pediatric Medical Group 1100 Delbon Ave. Union City ● Union City Medical Offices 3551 Whipple Road 3553 Whipple Road 3555 Whipple Road Vacaville n Vacaville Medical Center 1 Quality Drive Vallejo n Vallejo Medical Center 975 Sereno Drive Walnut Creek n Walnut Creek Medical Center 1425 S. Main St. ● Park Shadelands Medical Offices 320 Lennon Lane nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold. ●Kaiser Permanente medical offices Affiliated plan hospitals Affiliated medical offices *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 (1-800-777-1370 for the hearing/speech impaired), 24 hours a day, 7 days a week (closed holidays). 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. 1950 Franklin St. Oakland, CA 94612 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 73-003). 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 60228223 October 2014