I can choose my doctor - Federal Health Insurance: Kaiser

This is an advertisement
Southern California Region | Federal Employees and Annuitants
2014 Rates and Benefits
test results online
excellent prenatal care
I can choose my doctor
a wide range
of specialists
Not a member yet?
Visit kp.org/feds or call 1-855-366-8994,
Monday through Friday, 8 a.m. to 5 p.m., for more information.
Statements above related to Kaiser Permanente physicians and services only.
kp.org/feds
A better choice for good health
With care and coverage working seamlessly together,
Kaiser Permanente is uniquely designed to give you
the information and support you need to live healthy.
your choice of
top doctors
Our doctors are among the
best, and caring for people
is their passion. Plus, you’ve
got the power to change
doctors anytime.
lots of healthy
extras
Stay at your best with healthy
resources like farmers markets
and wellness classes, many of
which are free.
personalized care
and attention*
Your doctors, nurses, and specialists
are connected to your electronic
health record, so they can work
together to deliver great care that’s
right for you.
online access
anytime, anywhere*
Use your computer, smartphone,
or mobile device to email your
doctor’s office, schedule routine
appointments, view lab test results,
refill prescriptions, and more.
everything under
one roof *
You can do more and drive
less because most of our
locations include pharmacy,
lab, X-ray services, and more.
a better experience*
We care about the whole you —
body, mind, and spirit. Our
doctors, health plans, and
medical facilities all work as
one, so your experience
is smoother and simpler.
kp.org/feds
*Many features discussed in this book are available only to members receiving care at
Kaiser Permanente medical facilities.
Better Informed. Better Together.
Nationwide, over 9 million people turn to us as their trusted partner for
better-informed care and support for total health. Take a look, and you’ll
see why Kaiser Permanente is your best choice.
The power to choose....................................................................................2
Excellent care...................................................................................................3
Online access anytime, anywhere...........................................................4
Convenient classes, resources, and more...........................................5
Federal Employees Health Benefits (FEHB) Options.....................6
Kaiser Permanente Senior Advantage (HMO)
for Federal Members.............................................................................7
Your supplemental dental options.........................................................8
Additional benefit highlights....................................................................9
Your benefits summary for 2014.......................................................... 10
How to enroll................................................................................................. 12
Our locations................................................................................................. 13
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.
Watch members share why they chose Kaiser Permanente at kp.org/thrive.
1
The power to choose
Stay in charge of your health. It’s simple to make the right choice when you’ve got
great doctors, convenient facilities, and care when you need it.
Your choice of
top doctors
Under-one-roof
convenience
We’ve carefully selected our
doctors so you can make the
right choice for you and your
family. Many of our highly
respected doctors come from
the top medical schools in the
country. And it’s easy to take
your pick — just go online
to view our doctor profiles.
You can choose or change your
doctor anytime.
Save time and avoid driving all
over town for care. You 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.
What you need,
when you need it1
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Email
your doctor’s office
with nonurgent questions.
Refill prescriptions online
with free shipping.
Make routine appointments
with a call or click.
View recent office visits and
most test results online.
Get same-day, after-hours,
and weekend services at
many locations.
Call for advice from a registered
nurse, 24 hours a day.
Travel freely; you’re covered for
emergency care worldwide.2
1Online features available when you receive care at Kaiser Permanente facilities.
2This is a summary of 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.
Your electronic
health record brings
it all together
Your doctor’s office
Pharmacy, lab, X-ray
Your record gets updated
with each visit to our
Kaiser Permanente facilities,
so it’s always current.
No need for paperwork
when you get services at
our facilities — your doctor’s
orders are already there.
See how Kaiser Permanente has helped members at kp.org/carestories.
2
Excellent care
Teamwork and expertise combined help make our doctors, nurses, and specialists
better informed to provide the best care for your needs.
Personalized care
and attention
Easy access to
specialty care
A focus on you
and your family
A care team that’s informed
and focused on you can lead
to better health. Supported by
your secure electronic health
record, your doctors, nurses,
and specialists are better
prepared to deliver the right
care at the right time —
even if you go to different
Kaiser Permanente locations
in your area.
Specialists at our facilities are
connected to real-time updates
on your electronic health
record, so they can diagnose
and treat conditions more
efficiently. And because they
work with your doctor, referrals
are easier. You can even request
a referral by emailing your
doctor’s office.
With medical care and health
coverage working together,
there are fewer administrative
hassles for you and your care
team. You’re empowered to get
the care you need, and your
doctors, nurses, and specialists
can focus on what they do best.
With caring, compassion, and
a love for what they do, your
team is united by one shared
goal — to help you get well and
stay well.
Specialty care
At home or on the go
Your specialists are up-tospeed and ready to take
care of you.
Get your health information
on your computer or mobile
device to stay informed and
in charge.
Learn more about the doctors available in your area at kp.org/doctorsandlocations.
3
Online access anytime, anywhere
At home or on the go, we’ve got you covered. Plug into your health with our online
and mobile tools that help you get what you want, when you want it.
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
the care you receive at Kaiser
Permanente facilities.
Email your doctor’s office.
Refill prescriptions.
View most lab test results.
Schedule or cancel routine
appointments.
Care for a family member
using these features.
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 ways to live well.
Manage your care at home,
work, or play with our mobile
app. It 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®.
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App Store is a service mark of
Apple, Inc., and Google Play is
a trademark of Google, Inc.
Top reasons to join
Kaiser Permanente
Great care
Great doctors
A care team that’s
coordinated and focused
on you.
Choose from top doctors
who are in it because
they care.
For a guided tour of My Health Manager, visit kp.org/experience.
4
Convenient classes, resources, and more
We have a passion for prevention. That’s why we give you lots of healthy extras that
can help you stay informed about ways to live healthier in body, mind, and spirit.
Learn something new
Fresh food in the
parking lot
Maximize your health
With the many health classes
offered at our facilities, there’s
something for everyone. Try
classes on yoga, eating well,
baby care, and much more.
Classes vary by location and
some may require a fee.1, 2
Eating well is easier when you
bring home fresh food from
our farmers markets. They’re
conveniently located at many of
our facilities, so you can pick up
some healthy fruits and veggies
after your visit.
Our personalized online
wellness programs can help you
lose weight, stay active, reduce
stress, sleep better, and much
more.1, 2 Programs and certain
drugs for tobacco-cessation
are available to you, without a
copay.2 You can also download
the free Every Body Walk! app
from the App Store or Google
Play. It’s a fun, interactive
tool to help you create and
maintain a daily walking routine.
1These 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.
2This is a summary of 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.
Great access
Great visits
Email your Kaiser
Permanente doctor’s
office, call for advice,
get appointments when
you need them.
Doctor, lab, X-rays, and
pharmacy all in one place
at most of our locations.
Find tools, tips, and information for living well at kp.org/livehealthy.
Watch members share why
they chose Kaiser Permanente
at kp.org/thrive.
5
Federal Employees Health Benefits (FEHB) Options1
As a Federal employee or annuitant, you can choose between two Kaiser Permanente
traditional HMO plan options. Both offer a wide range of care and support to help
you stay healthy and get the most out of life. They’re designed to make it easy for
you to know what to expect and get the right care for your needs.
Kaiser Permanente
FEHB High Option
If you expect to receive care
often, this option may be
right for you. You’ll pay higher
premiums but lower copays for
most health care services and
prescription drugs.
Kaiser Permanente
FEHB Standard Option
If you and your family are in
good overall health, this might
be the right option for you.
You’ll pay lower premiums but
higher copays for most services
and prescriptions.
The easier, the better
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No
copays for most preventive
care services.
No referrals for certain
specialties, like optometry and
obstetrics-gynecology.
Copays for most covered
services, including office visits
and most prescriptions.
No paperwork to fill out or bills
for the services you receive.
No deductible.
Personalized care
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hoose your own Kaiser
C
Permanente doctor — many
of our physicians come from
the top medical schools in
the country.
S
ee highly trained specialists
ready to serve you. Depending
on the specialty, you may not
need a referral.
O
ur doctors aren’t
overburdened with insurance
paperwork — their focus is on
delivering the care you need.
1This is a summary of 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.
For help deciding which health plan option best fits your needs,
visit kp.org/feds and click on “Choose A Plan.”
6
Kaiser Permanente Senior Advantage (HMO) for Federal Members
If you’re enrolled in Medicare Parts A and B (or Part B only), Kaiser Permanente
Senior Advantage for Federal Members may be right for you. Your FEHB premiums
stay the same when you enroll, but you’ll have lower cost sharing for most services
and better benefits. And you don’t need to suspend your FEHB coverage to enroll
in this option.
Maximize your
health plan
After you enroll in Senior
Advantage for Federal
Members, you’ll enjoy all the
benefits of Medicare, plus all
the benefits of your FEHB
program, without any increase
in your FEHB premiums.
Review the benefits chart in this
brochure for details about the
lower share of the cost and the
extra benefits you receive with
this option.
Better benefits
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Reduced
copays for office
visits, inpatient hospital
admissions, most prescription
drugs, and most other services.
Up to a 100-day supply of
prescription drugs at Plan
pharmacies for one copay
(High Option only).
Additional credit toward the
purchase of eyewear, including
eyeglasses.
Preventive dental coverage
through DeltaCare® USA at
no additional premium.
Give us a call
For details about benefits,
copays, limitations, services,
and how to enroll in Senior
Advantage for Federal Members,
please call our licensed sales
specialist at 1-855-366-9014,
8 a.m. to 8 p.m., seven days a
week. For TTY for the hearing/
speech impaired, call 711. One
of our representatives will be
happy to help.
Senior Advantage for Federal Members benefits are subject to Medicare rules and you may have to
receive care from different plan providers than with your FEHB coverage.
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. Benefits, formulary,
pharmacy network, provider network, premiums, and copayments/coinsurance may change on January 1
of each year and at other times in accord with your group’s contract with us. To join a Kaiser Permanente
Medicare Health Plan, you must reside in the Kaiser Permanente Senior Advantage service area in which
you enroll. You must pay the Medicare Part B premium to join a Kaiser Permanente Medicare health plan.
Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends
on contract renewal.
7
Your supplemental dental options1
Whether you have the High Option or the Standard Option, Kaiser Permanente
offers you a choice of two dental plans to supplement your health coverage.
Kaiser Permanente
Insurance Company (KPIC)
Dental Insurance Plan
DeltaCare USA
Find out more
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 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, including orthodontic
services, you’ll pay a simple copay.
If you have any questions about
enrolling for the first time, call
Delta Dental at 1-800-933-9312,
Monday through Friday from
8 a.m. to 4 p.m., and give
your group number, 9874. If
you’re currently enrolled and
want more information, call
1-800-835-2244, Monday
through Friday from 5 a.m. to
6 p.m. This plan is administered
by Delta Dental of California and
underwritten by KPIC.
If you have questions about
enrolling for the first time, call
Delta Dental at 1-800-933-9312,
Monday through Friday from
8 a.m. to 4 p.m., and give your
group number, 1114. If you’re
currently enrolled and want more
information, call 1-800-422-4234,
Monday through Friday from
5 a.m. to 6 p.m. DeltaCare USA
is a dental HMO program
administered by Delta Dental
of California.
For more information about
your choices for dental
coverage, visit kp.org/feds
or return the reply card at the
back of this brochure. For more
information, refer to FEHB
brochure RI 73-822. Details
about your dental benefits
are included in the dental
program directory.
2014 dental rates
KPIC
DeltaCare USA
Monthly
Monthly
Quarterly
Self
$30.80
$12.83
$38.49
Self + one
$54.59
$21.48
$64.44
Self + two or more
$82.06
$32.56
$97.68
1These 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.
8
Additional benefit highlights2
Whichever option you choose, your Kaiser Permanente health plan comes
with chiropractic and benefits when you’re traveling. You’re free to see any
participating provider for chiropractic services, and you have access to care
in any other Kaiser Permanente region in the United States.
Chiropractic
benefits
Getting care
while traveling
Benefit changes
in 2014
These benefits are administered
by American Specialty Health
Plans of California, Inc. (ASH
Plans). You can visit any ASH
Plans participating provider,
and no referral is needed.
Wherever your work 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. All Kaiser
Permanente FEHB members get:
• Coverage for emergency
care worldwide at emergency
rooms and urgent care centers.
• Care from any Kaiser
Permanente location in
another Kaiser Permanente
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.
Here are some of the key
benefit changes for 2014. For
a complete list, see the FEHB
brochure (RI 73-822).
1. Find a participating provider
at ashcompanies.com/kp
or call 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.
2. Schedule an appointment
with the chiropractor.
3. Pay for your office visit copay
when you arrive.
Benefits are summarized in the
table below. Chiropractic services
are covered if they’re medically
necessary to diagnose or treat
neuromusculoskeletal disorders,
as prescribed and provided
by an ASH Plans participating
provider. For definitions,
limitations, and exclusions, see
the FEHB brochure (RI 73-822).
High and Standard Options
• Added coverage for certain
prescribed over-the-counter
medications and contraceptives.
• No charge for genetic testing
and counseling for breast cancer.
• More services that apply to
your out-of-pocket maximum.
• No exclusions for services,
drugs, or supplies related to
sex transformations.
High Option
• $15 per primary care visit.
• $25 per specialty care visit.
• $100 per emergency room visit.
Standard Option
• $30 per primary care visit.
• $150 per emergency room visit.
2This is a summary of 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.
Your Chiropractic Benefits Summary
Office visits
$15 copay per visit
Limit of 20 visits per calendar year
Chiropractic appliances
$50 benefit maximum per calendar year
9
Your Benefits Summary for 2014
Benefits and services
This is a summary of the features of the Kaiser
Permanente health plan, including Kaiser Permanente
Senior Advantage for Federal Members. Before
making a final decision, please read the Federal
Employees Health Benefits (FEHB) brochure, RI 73-822,
and the Kaiser Permanente Senior Advantage for
Federal Members Evidence of Coverage (EOC). All
benefits are subject to the definitions, limitations,
and exclusions set forth in the FEHB brochure and
the Kaiser Permanente Senior Advantage for Federal
Members EOC.
1If you request a brand-name drug in place of a
High Option
Standard Option
High Option
Standard Option
$0
$0
$0
$0
$15/$25
$30/$40
$5/$5
$15/$15
$0
$0
$0
$0
$15
$30
$5
$15
Picked up from
Plan pharmacy
$10 (up to
30-day supply)
$15 (up to
30-day supply)
Delivered by our
mail-order service
$20 (up to
100-day supply)
$30 (up to
100-day supply)
Picked up from
Plan pharmacy
$30 (up to
30-day supply)
$35 (up to
30-day supply)
Delivered by our
mail-order service
$60 (up to
100-day supply)
$70 (up to
100-day supply)
$15
$15
$153
$153
participating American Specialty Health (ASH)
network chiropractor. To find a participating
chiropractor, call 1-800-678-9133.
3These chiropractic services are separate from the
Not covered
Not covered
$15 per cleaning, $0
oral exams and X-rays
(2 per year)
$15 per cleaning,
$0 oral exams and
X-rays (2 per year)
chiropractic services that we cover in accordance
with Medicare guidelines.
4The emergency copay is waived if admitted to the
$0
$10
$0
$10
hospital within 24 hours for the same condition or
if admitted directly to the hospital as an inpatient.
$100
$150
$50
$50
$50 per trip
$150 per trip
$50 per trip
$125 per trip
Inpatient hospital
$250 per admission
$500 per admission
$0
$250 per admission
Out-of-pocket maximum
(applies to certain covered services)
$1,500 per person
$3,000 per family
enrollment
$2,000 per person
$4,000 per family
enrollment
$1,500 per person
$3,000 per family
enrollment
$1,500 per person
$3,000 per family
enrollment
Preventive care
Primary/specialty care visit
Office visits
Prenatal care and first scheduled
postpartum visit
Urgent care at an urgent care center
Generic
drugs
Most
prescription
drugs1
Brand-name
drugs
Chiropractic
visit
Up to 20 visits per year2
Dental benefit
Coverage through DeltaCare
Most labs and X-rays, such as blood tests
and ultrasounds
Emergency care at a hospital4 You are covered
for medical emergencies anywhere in the world
Ambulance
Rates you pay5
10
Kaiser Permanente Senior Advantage (HMO)
for Federal Members
Kaiser Permanente
$10 (up to
100-day supply)
$20 (up to
100-day supply)
High Option
$10 (up to
30-day supply)
$20 (up to
100-day supply)
$25 (up to
30-day supply)
$50 (up to
100-day supply)
Standard Option
Enrollment Code
Your Share
Enrollment Code
Your Share
Non-Postal Premium,
biweekly
Self Only
621
$64.95
624
$41.62
Self and Family
622
$162.89
625
$96.21
Non-Postal Premium,
monthly
Self Only
621
$140.73
624
$90.19
Self and Family
622
$352.93
625
$208.45
Postal Premium, biweekly,
Category 1
Self Only
621
$42.87
624
$27.47
Self and Family
622
$114.27
625
$63.50
Postal Premium, biweekly,
Category 2
Self Only
621
$56.51
624
$36.21
Self and Family
622
$144.66
625
$83.70
generic drug prescribed by your doctor, you may be
required to pay full charges.
2For chiropractic services, you self-refer to a
If you have Medicare Parts A and B (or Part B only)
you have the option to enroll in Senior Advantage
for Federal Members without increasing your FEHB
premiums. For more information, see page 7.
5These rates do not apply to all enrollees. If you are
in a special enrollment category, please refer to
your special FEHB Guide or contact the agency that
maintains your health benefits enrollment.
11
How to enroll
Becoming a member is easy. Just follow the three simple steps below. The
information in this booklet can help you pick the right plan that meets your needs.
1. Choose an option
2. Select the type of
enrollment you want
3. Enroll in Kaiser
Permanente*
Select Kaiser Permanente’s
High Option or Standard
Option. Brief descriptions
of these options are on
page 6. You will find details
about benefits and rates
on pages 10 and 11.
Select “Self Only” or “Self
and Family.” Self and Family
enrollment provides benefits
for you and your eligible
family members. Then look
at the “Rates you pay”
chart on page 10 and note
your enrollment code.
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,
call 1-855-887-4957, or
retire@opm.gov.
If you’re eligible for Medicare, or will be soon, you may be able to pay a lower share of the cost for
most services and get better benefits by enrolling in Kaiser Permanente Senior Advantage for Federal
Members. See additional details on page 7.
*These are 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.
12
Our locations
Our new Anaheim Medical Center offers a wide range of inpatient and outpatient
services, including an onsite laboratory, pharmacy, and imaging services. In San Diego,
the new Palomar Medical Center increases access to specialty services like cardiology,
and general surgery (by referral only). This 11-story hospital features 288 private
rooms and 50 emergency and trauma rooms. We’re also expanding our San Diego
Medical Center, which includes a neonatal intensive care unit, and we’ve opened
new medical offices in Carson, Indio, and Thousand Oaks.
Sierra Nevada
Mountains
China Lake
Naval Weapons Center
Tehachapi
Mountains
Kern County area
Edwards Air Force Base
San Bernardino
National Forest
Mission Hills
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
Maps not to scale
13
Our locations
City
Aliso Viejo
Anaheim
Facility
Address
● Aliso Viejo Medical Offices
n Orange County–Anaheim
24502 Pacific Park Drive
Medical Center
● Anaheim Hills Medical Offices
● Anaheim Kraemer
Medical Offices
● Euclid Medical Offices
Bakersfield
Baldwin Park
Bellflower
Bonita
Brea
Camarillo
Carlsbad
Carson
Chino
City of Industry
Claremont
Colton
Corona
Cudahy
Culver City
Diamond Bar
Downey
El Cajon
●
●
●
●
●
●
●
●
5475 E. La Palma Ave.
3460 E. La Palma Ave., Building 1
3430 E. La Palma Ave., Building 2
1188 N. Euclid St.
Lakeview Medical Offices
411 N. Lakeview Ave.
Central Medical Offices
3733 San Dimas St.
Chester Avenue Medical Offices
2531 Chester Ave.
Coffee Road Medical Offices
4801 Coffee Road
Discovery Plaza Medical Offices
1200 Discovery Drive
East Hills Medical Offices
3700 Mall View Road
Ming Medical Offices
8800 Ming Ave.
Stockdale Medical Offices
3501 Stockdale Hwy.
San Joaquin Community Hospital –
Emergency services1
n Baldwin Park Medical Center
●
●
●
●
●
3440 E. La Palma Ave.
2615 Chester Ave.
1011 Baldwin Park Blvd.
Bellflower Medical Offices
9400 E. Rosecrans Ave.
Rosecrans Medical Offices
9333 E. Rosecrans Ave.
Bonita Medical Offices
3955 Bonita Road
Brea Medical Offices
1900 E. Lambert Road
Camarillo 2620 Las Posas Road
Medical Offices
● Carlsbad Medical Offices
● Carson Medical Offices
2620 E. Las Posas Road
● Chino Medical Offices
● Crossroads Medical Offices
11911 Central Ave.
6860 Avenida Encinas
18600 South Figuero St.
12801 Crossroads Pkwy. S.
Indian Hill Medical Offices
250 W. San Jose St.
Colton Medical Offices
789 E. Cooley Drive
Corona Medical Offices
2055 Kellogg Ave.
Cudahy Medical Offices
7825 Atlantic Ave.
Playa Vista Medical Offices
5620 Mesmer Ave.
Diamond Bar Medical Offices
1336 Bridgegate Drive
Downey Medical Center
9333 E. Imperial Hwy.
● Garden Medical Offices
● Orchard Medical Offices
● Bostonia Medical Offices
9353 E. Imperial Hwy.
● El Cajon Medical Offices
250 Travelodge Drive
●
●
●
●
●
●
n
9449 E. Imperial Hwy.
1630 E. Main St.
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
Escondido
Facility
Address
● Escondido Medical Offices
732 N. Broadway
Palomar Health Downtown Campus
Foothill Ranch
Fontana
Garden Grove
Gardena
Glendale
Huntington Beach
Harbor City
Huntington Beach
Indio
Inglewood
Irvine
Palomar Medical Center –
Emergency services1
● Foothill Ranch Medical Offices
n
●
●
●
La Mesa
La Palma
Lancaster
Long Beach
Los Angeles
Lynwood
Mission Hills
Mission Viejo
2185 W. Citracado Pkwy.
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
Medical Offices
● Huntington Beach Medical Offices
501 N. Orange St.
n South Bay Medical Center
● Huntington Beach Medical Offices
● Kaiser Permanente Indio
25825 S. Vermont Ave.
Medical Offices
John F. Kennedy Memorial
Hospital – Emergency services1
● Inglewood Medical Offices
18081 Beach Blvd.
18081 Beach Blvd.
46-900 Monroe St.
47111 Monroe St.
110 N. La Brea Ave.
n Orange County–Irvine Medical Center 6640 Alton Pkwy.
6650 Alton Pkwy.
● Alton/Sand Canyon Medical Offices
● Barranca Medical Offices
Joshua Tree
555 E. Valley Pkwy.
Hi-Desert Medical Center –
Emergency services1
● La Mesa Medical Offices
●
●
●
●
6670 Alton Pkwy.
6 Willard
6601 White Feather Road
8080 Parkway Drive
Rancho San Diego Medical Offices
3875 Avocado Blvd.
La Palma Medical Offices
5 Centerpointe Drive
Lancaster Medical Offices
43112 N. 15th St. W.
Women’s Health Office (Ob-Gyn)
44105 15th St. W.
Antelope Valley Hospital –
Emergency services1
● Long Beach Medical Offices
1600 W. Avenue J
n Los Angeles Medical Center
n West Los Angeles Medical Center
● Culver Marina Medical Offices
4867 W. Sunset Blvd.
●
●
●
●
●
3900 E. Pacific Coast Hwy.
6041 Cadillac Ave.
12001 W. Washington Blvd.
East Los Angeles Medical Offices
5119 E. Pomona Blvd.
South Los Angeles Medical Offices
1550 W. Manchester Ave.
Lynwood Medical Offices
3830 Martin Luther King Jr. Blvd.
Mission Hills Medical Offices
11001 Sepulveda Blvd.
Mission Viejo Medical Offices
23781 Maquina Ave.
15
Our locations
City
Montebello
Moreno Valley
Murrieta
North Hollywood
Norwalk
Oceanside
Ontario
Oxnard
Facility
Address
● Montebello Medical Offices
● Moreno Valley Medical Center –
1550 Town Center Drive
12815 Heacock St.
● Iris Medical Offices
27350 Iris Ave.
Rancho Springs Medical Center
5250 Lankershim Blvd.
● Norwalk Medical Offices
● Oceanside Medical Offices
12501 E. Imperial Hwy.
n Ontario Medical Center
● Oxnard 2103 East Gonzales
2295 S. Vineyard Ave.
Palm Desert
●
Palm Springs
●
●
n
●
●
●
Road Medical Offices
Oxnard 2200 East Gonzales Road
Medical Offices
Kaiser Permanente
Palm Desert Medical Offices
Kaiser Permanente
Palm Springs Medical Offices
Desert Regional Medical Center –
Emergency services1
Palmdale Medical Offices
3609 Ocean Ranch Blvd.
2103 E. Gonzales Road
2200 E. Gonzales Road
75-036 Gerald Ford Drive
1100 N. Palm Canyon Drive
1150 N. Indian Canyon Drive
4502 E. Avenue S
Panorama City Medical Center
13651 Willard St.
Pasadena Medical Offices
3280 E. Foothill Blvd.
Rancho Cucamonga Medical Offices
10850 Arrow Route
Redlands Medical Offices
1301 California St.
n Riverside Medical Center
● San Bernardino Medical Offices
10800 Magnolia Ave.
n San Diego Medical Center/
Kaiser Foundation Hospital
4647 Zion Ave.
● Carmel Valley Medical Offices
3851 Shaw Ridge Road
● Clairemont Mesa Medical Offices
● Mission Bay Medical Offices
● Otay Mesa Medical Offices
7060 Clairemont Mesa Blvd.
●
●
●
●
1717 Date Place
3033 Bunker Hill St.
Rancho Bernardo Medical Offices
4650 Palm Ave.
4660 Palm Ave.
3250 Fordham St.
3420 Kenyon St.
17140 Bernardo Center Drive
Vandever Medical Offices
4405 Vandever Ave.
San Dimas Medical Offices
1255 W. Arrow Hwy.
San Juan Capistrano Medical Offices
30400 Camino Capistrano
● Point Loma Medical Offices
San Dimas
San Juan Capistrano
25500 Medical Center Drive
● North Hollywood Medical Offices
●
Palmdale
Panorama City
Pasadena
Rancho Cucamonga
Redlands
Riverside
San Bernardino
San Diego
27200 Iris Ave.
Medical Office Building 2
● Heacock Medical Offices
nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
16
Our locations
City
San Marcos
Santa Ana
Santa Clarita
Simi Valley
Temecula
Thousand Oaks
Facility
Address
● San Marcos Medical Offices
400 Craven Road
● Harbor–MacArthur Medical Offices
3401 S. Harbor Blvd.
● Santa Ana Medical Offices
1900 E. Fourth St.
● Canyon Country Medical Offices
26415 Carl Boyer Drive
● Santa Clarita Medical Offices
27107 Tourney Road
● Simi Valley Medical Offices
3900 Alamo St.
● Temecula Medical Offices
27309 Madison Ave.
● Thousand Oaks 365 East Hillcrest
365 E. Hillcrest Drive
Drive Medical Offices
● Thousand Oaks 145 Hodencamp
145 Hodencamp Road
Road Medical Offices
● Thousand Oaks 322 East Thousand
322 E. Thousand Oaks Blvd.
Oaks Boulevard Medical Offices
Torrance
Tustin
● Torrance Medical Offices
20790 Madrona Ave.
● Tustin Ranch Medical Offices
2521 Michelle Drive
(Scheduled to open early 2014)
Upland
Ventura
● Upland Medical Offices
1183 E. Foothill Blvd.
● Ventura 2601 East Main Street
2601 E. Main St.
Medical Offices
● Ventura 888 South Hill Road
888 S. Hill Road
Medical Offices
● Ventura 1000 South Hill Road
1000 S. Hill Road
Medical Offices
Community Memorial Hospital
of San Buenaventura –
Emergency services1
Victorville
Vista
West Covina
Whittier
Wildomar
● High Desert/Victorville Medical Offices 14011 Park Ave.
● Vista Medical Offices
780 Shadowridge Drive
● West Covina Medical Offices
1249 S. Sunset Ave.
● Whittier Medical Offices
12470 Whittier Blvd.
● Wildomar Medical Offices
36450 Inland Valley Drive
Inland Valley Medical Center
Woodland Hills
Yorba Linda
147 N. Brent St.
36485 Inland Valley Drive
n Woodland Hills Medical Center
5601 De Soto Ave.
● Erwin Street Medical Offices
21263 Erwin St.
● Yorba Linda Medical Offices
22550 Savi Ranch Parkway
1Affiliated 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).
17
Kaiser Foundation Health Plan, Inc.
393 E. Walnut St.
Pasadena, CA 91188
A website just for you
At kp.org/feds you’ll find your Kaiser Permanente 2014 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 87044 September 2013