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. 3 0 obj Columbia K�?��g����՚��m#}&. 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�?? plan. would be responsible for the other costs of these EXAMPLE covered services. <> The PEBB Program offers consumer-directed health plans (CDHPs) with health savings accounts (HSAs) to eligible members through Kaiser Permanente WA (formerly Group Health, Kaiser Permanente NW*, and Uniform Medical Plan. : 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. The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. Walla Walla If you enrolled in a CDHP, you will be enrolled in an Health Savings Account (HSA) administered by HealthEquity. For retirees who are not yet Medicare eligible, you can remain on the Kaiser Permanente WA CDHP, Classic, SoundChoice, or Value plans. How much money can I contribute to my HSA? Kaiser Permanente WA Sound Choice Find a Provider. Employees have the option between ten plans, including Preferred Provider Plans, Managed Care Plans, Consumer Directed Health Plans (CDHP) and Accountable Care Plans. %���� endobj For a summary of benefits and costs, see Is there a quick way to see benefits and costs? endobj Use the tables below to make sure you live in the plan's service area. 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. <>/Metadata 1463 0 R/ViewerPreferences 1464 0 R>> The . Seattle, WA 01/05/2021; Associate Research III Seattle, WA 01/04/2021; Associate Research II Seattle, WA 01/04/2021; Medical Assistant - Primary Care Float Pool/COVID Testing (32 hours Kent) Kent, WA 01/04/2021; LPN- Urgent Care (20 hours) Longview/Kelso Longview, WA 01/04/2021; Pharmacy Technician Renton, WA 01/04/2021 Whitman Our plans give you access to more than 7,000 providers, including nationally recognized physicians. 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 In general, you may choose from the plans listed below. Due to COVID-19, HCA’s lobby is closed. If you have a test Diagnostic test (x-ray, blood work) 10% coinsurance Not covered None Imaging (CT/PET scans, MRIs) 10% coinsurance Not covered 2018 Plan Information for Washington Choose a Location, Employee Type, & Payment Period The Northwest Region of the United States is a land of considerable geographic, social, economic, and human vitality and beauty. Pierce When you enroll in a CDHP… Snohomish These plans are currently offered through Kaiser Permanente WA, Kaiser Permanente NW, and Uniform Medical. 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. Your options are limited to the plans available in your county. For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan? Enrollment in Kaiser Permanente depends on contract renewal. Skagit �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� 4 0 obj %PDF-1.7 For lab directors and pathologists, this is […] All Kaiser Permanente health plans cover the medical benefits you and your family need, with an emphasis on preventive care and your overall wellness. Summary of Benefits & Coverage. 3. Kaiser Permanente WA Value Learn more about the plans. In general, you may choose from the plans listed below. They are mostly a one-stop shop for Kaiser Permanente customers, meaning that customers can often visit the lab, radiology, specialists, pharmacy, and their primary care physician in … 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. Then check what your plan will pay for. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic <>/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>> Kittitas, Lewis ��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����=�@ Franklin Island 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. 2 0 obj Kitsap Plan Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Then check what your plan will pay for. Mason If you move out of your plan's service area, you may need to change plans. }� Visit one of Kaiser Permanente WA's online provider directories. Disclaimers. WSU offers comprehensive employer/employee paid medical insurance. Website feedback: Tell us how we’re doing. 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. 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). Ask your provider if the services you need are preventive. 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. Whatcom 1 0 obj Kaiser Permanente has taken the radical step of introducing a new suite of consumer-driven products called Custom Care. 2019 Plan Information for Washington Choose a Location, Employee Type, & Payment Period Put your talent and passion to work improving the health and well-being of others. Learn more about your customer service options. Spokane, Thurston Kaiser Permanente well-care schedule. Is there a quick way to see benefits and costs? Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. 1. Kaiser Permanente WA CDHP 10% 10% 10% 10% 10% 10% 10% 10% Kaiser Permanente WA SoundChoice $500/admission 15% $0 15% 15% 15% 15% 15% Kaiser Permanente WA Value $250/day up to $1,250 maximum/ admission $200 $30 $30 $50 $30 $50 $50 Uniform Medical Plan (UMP)3 UMP Classic $200/day up to In general, when you have a Kaiser WA plan, you’ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. Portland, Oregon . Kaiser Permanente Washington offers health insurance and medical care in Washington state. Kaiser Permanente WA SoundChoice 4. In most cases, you must live in a medical plan’s service area to join the plan. 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. endobj Kaiser Permanente WA CDHP Benton www.insurance.wa.gov; 6 of 6. <> Kaiser Permanente uses the same quality, member experience, or cost-related measures to select practitioners and facilities in Marketplace Silver-tier plans as it does for all other Kaiser Foundation Health Plan (KFHP) products and lines of business, and uses the same geographic distribution consideration to select hospitals in Marketplace plans as it does for all other Kaiser … With your Kaiser Permanente WA CDHP, you can invest in pre-selected mutual funds after you reach a $2,000 balance in your account. 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. The SBC shows you how you and the plan would share the cost for covered health care services. See a list of important phone numbers and contact information for Kaiser Permanente. Certificate of Coverage. At Kaiser Permanente, you'll get high-quality care and coverage to help you live life to its fullest. stream Do I live in the medical plan's service area? Plus, every plan includes access to high-quality virtual care with Kaiser Permanente doctors and clinicians. King Your options are limited to the plans available in your county. Kaiser Permanente WA Consumer-Directed Health Plan (CDHP) 3. Making lives healthier in Washington. Staying healthy is easier with the right support. ~t~ KAISER PERMANENTE® Washington State Health Care Kaiser Foundation Health Plan of the Northwest A nonprofit corporation . Kaiser Permanente WA Classic 2. A one-stop-shop for Kaiser Foundation Health Plan of Washington (Kaiser Permanente WA) plan information for employees. You may have to pay for services that aren’t preventive. Kaiser Permanente well-care schedule. The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. These are the same benefits you have as an employee however the monthly premiums you pay are different. Washington Permanente Medical Group is one of the highest-ranked medical groups in … Kaiser Permanente Senior Advantage (HMO) plans are not currently offered in Lane County. Certificate of Coverage Public Employees Benefits Program (PEBB) 2018 Medical Benefits Non-Medicare Retirees - Consumer-Directed Health . You may have to pay for services that aren’t preventive. Kaiser Permanente is an HMO plan with a Medicare contract. you must report your new address to your payroll or benefits office no later than 60 days after your move. Ask your provider if the services you need are preventive. Kaiser Permanente Medical centers are based throughout the regions covered by Kaiser Permanente. Kaiser Permanente WA: Classic, Value, CDHP Kaiser Permanente WA: Classic, Value, CDHP, SoundChoice 2021 Kaiser Permanente WA: Service Areas by Plan Public Employees (PEBB) - Non-Medicare Plans Whatcom Skagit Snohomish King Pierce Thurston Lewis Spokane Mason Kittitas Yakima Benton Franklin Walla Walla Whitman Kitsap 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. Plan information for Employees enroll in the same medical plan 's service area kaiser permanente wa cdhp. 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