3. Kaiser Permanente well-care schedule. Kaiser Permanente has taken the radical step of introducing a new suite of consumer-driven products called Custom Care. Your options are limited to the plans available in your county. Then check what your plan will pay for. The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. 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. These are the same benefits you have as an employee however the monthly premiums you pay are different. Benton Due to COVID-19, HCA’s lobby is closed. 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. Kaiser Permanente is an HMO plan with a Medicare contract. 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. The . Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. See a list of important phone numbers and contact information for Kaiser Permanente. 1. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? For lab directors and pathologists, this is […] King Then check what your plan will pay for. WSU offers comprehensive employer/employee paid medical insurance. 1 0 obj 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. endobj These plans are currently offered through Kaiser Permanente WA, Kaiser Permanente NW, and Uniform Medical. Summary of Benefits & Coverage. The SBC shows you how you and the plan would share the cost for covered health care services. All Kaiser Permanente health plans cover the medical benefits you and your family need, with an emphasis on preventive care and your overall wellness. <>/Metadata 1463 0 R/ViewerPreferences 1464 0 R>> Island In general, you may choose from the plans listed below. 4 0 obj 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 If you enrolled in a CDHP, you will be enrolled in an Health Savings Account (HSA) administered by HealthEquity. %���� 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. Certificate of Coverage Public Employees Benefits Program (PEBB) 2018 Medical Benefits Non-Medicare Retirees - Consumer-Directed Health . x��}ko䶒���?����^�hD��� �"����.�nfc�� ��v�����n�k����*>�bI�D���mQ]�"Y�*~�yw�\��ɏ?~��p8[]�/�??�l���}:}�_���jswv�l�>��p~�?}�n��O?%'�|N����,����O���x�Ov���������w'���}���������%,Y*D�E�Erz����G�\���%W�[i����?����JN������/����d��VUU*��,e�H42z`��dw��"��Gg��5|��W�eZ��x�hx�,���'=r�21��屈��PK�Q��,���x9=^��>�,�D�\�-�p��Ui��|��*5)NW��׈0������1*�������B�ܘ�YVƄ+r�F�?? Disclaimers. Spokane, Thurston Kaiser Permanente well-care schedule. stream <> Enrollment in Kaiser Permanente depends on contract renewal. Visit one of Kaiser Permanente WA's online provider directories. You may have to pay for services that aren’t preventive. ��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����=�@ Plan Mason Certificate of Coverage. Portland, Oregon . 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. }� Ask your provider if the services you need are preventive. Walla Walla Learn more about your customer service options. <>/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>> Kaiser Permanente Washington offers health insurance and medical care in Washington state. Plus, every plan includes access to high-quality virtual care with Kaiser Permanente doctors and clinicians. Franklin You may have to pay for services that aren’t preventive. Columbia endobj Use the tables below to make sure you live in the plan's service area. �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� 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. At Kaiser Permanente, you'll get high-quality care and coverage to help you live life to its fullest. How much money can I contribute to my HSA? 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. In most cases, you must live in a medical plan’s service area to join the plan. Staying healthy is easier with the right support. Kaiser Permanente Medical centers are based throughout the regions covered by Kaiser Permanente. plan. Washington Permanente Medical Group is one of the highest-ranked medical groups in … 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). Snohomish 3 0 obj : 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. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options. 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