2021 Kaiser Permanente WA Plan Guide School Employees Benefits Board (SEBB) Program $0 copay for kids’ primary care office visits $0 copay for virtual care No deductible for most adult office visits No deductible for prescription drugs Convenient, affordable care for you and your family SCHOOL EMPLOYEES BENEFITS BOARD SoundChoice & Core Plans: Spokane County. 14 0 obj Staying healthy is easier with the right support. %���� Affordable, high-quality care 4 It‘s easy to switch to Kaiser Permanente WA 5 Your care, your way 7 2021 plan highlights 8 The right care, right when you need it 10 Care near your home or work 11 High-performing care teams. Medicine and Science in Sports and Exercise, 36(6): 926–934. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Core 2 ($750) CA-420121 2 Important Notice Under Federal Health Care Reform Kaiser Foundation Health Plan of Washington (“KFHPWA”) recommends each Enrollee choose a Network Personal Physician. 2 Kaiser Permanente Core Plans | Contents Your Kaiser Permanente Member Guide The information in this Member Guide is updated from time to time and is current as of November 2020. ����y��|��'���E����I�����;�c�u)�F^�XNk��V��B�obʧqw{�|�iQ)�"A���o�/čh� Our Core plan provides your employees with quality care from the high-performing physicians at Kaiser Permanente medical offices and more than 9,000 additional providers 1. 5 These benefits are neither offered nor guaranteed under contract with the FEHB Program, but … %PDF-1.7 stream in KFHPWA’s Core Network and who is available to accept the Member or the Member’s family members. endobj Core stability measures as risk factors for lower extremity injury in athletes. 1 Part of what makes our plan so affordable is having members receive care from our more than 1,000 doctors at our 25 medical offices. (2004). <>/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>> <> Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. What are my plan options? • Hearing aid allowance once every 36 months. Select Counties. ��FFO�L�����G�L�:�Ŀ���� ���������H�?��X��y14� �kbe��W�x���9�mf-J���&��Cy=đ�"_��n������>9�9�|wq�MDi~;���o�k��L���;�H�H蒀�~CaJ���5��jx�� ^��. <> stream �� � } !1AQa"q2���#B��R��$3br� 2021 Kaiser Permanente - Washington Core 2 Table of Contents Introduction This brochure describes the benefits of Kaiser Permanente - Washington Core under Kaiser Foundation Health Plan of The SBC shows you how you and the plan would share the cost for covered health care services. For information on how to select a Network Personal Physician, and for a list of the participating Network Personal Physician, please call Kaiser Permanente Member Services at (206) 630-4640 in the Seattle area, or tollfree in - Washington, 1-800-290-8900. Kaiser Permanente WA Kaiser Permanente WA Core 1 Kaiser Permanente WA Core 2 Kaiser Permanente WA Core 3 Kaiser Permanente WA SoundChoice Kaiser Permanente WA Options, Inc. ���(����4�����kJf��a� ��W����pB���e�v�[�k���Ǐ�� �[�C����XJ��Ki 6�D�m���F�'5�h^$�����5��i�D4wV�m(#��)��ػ���>.�_xdz-Ǎ�kqyg�X���Ycs"��D̛�@��m܎���QEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEW��{��|��]ae��Y{�c��&U�Œ�Y�l��$�~�6���� ��x���`�&����?g�e��6zy�6����+���׀�>Z\A���O��#j�eiV"B��ȸ� Washington Permanente Medical Group was the highest-ranked medical group in the state 2 in the 2016 Community Checkup from Washington Health Alliance. 2 0 obj In fact, in 2016 our commercial HMO was named the top-performing health plan in the nation. Learn more about the plans. Marshall PW, et al. The Washington State Office of the Insurance Commissioner (OIC) has approved our 2021 small group plans and rates. �� j� �� There are some changes you’ll want to be aware of to support your 2021 sales. Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. QUICK LINKS: Sign in; Access to COVID-19 Resources; Get the news; View Contacts ; QUICK LINKS: Sign in; Access to COVID-19 Resources; Get the news; View Contacts; Discover the KP difference. Note: Kaiser Permanente WA region does not include Cowlitz and Clark counties. Drug formulary Kaiser Permanente's drug formulary is a list of medications covered by your health plan. 3 Kaiser Foundation Health Plan of Washington. : School Employees (SEBB) Core 2 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington 1 of 6 QR-83105-1 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this plan covers and What You Pay For Covered ServicesCoverage Period: Beginning on or after 01/01/2020Kaiser Permanente: Core Silver HSACoverage for: Individual/FamilyPlan type: HDHP. Core stability exercises on and off a Swiss ball. 3 0 obj Find out Kaiser Permanente's list of medications covered by Individual and Family, Medicare Advantage, Small Employer Group, Large Employer Group, and FEHB plans. endobj 13 0 obj Kaiser Permanente Washington offers health insurance and medical care in Washington state. Exclusive high performing network that includes Washington Permanente Medical Group with select medical groups and providers to provide coverage in 6 core counties at the Tier 1 level, Tier 2 are the remaining providers in the Access PPO network. These counties are part of Kaiser Permanente Northwest. Xe$oEܛ���E� ���w��&82-���ܑ�E��(>ۀ?�~]�_D�Ó]E�JxU-��h54��b�ϝ�� �*��~��EQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQE~%��~%�|Y�ǚƥ#I7����!�v[X��� �X�Q^k^��5x�P�Ǐ �:t�'��m4��j2Y����ƿjk�?h��M��.��VH��/tYd8E��o20ǰ�n���U�W�.��k^�/4XO�kVo,n��,n��?�=�qY��� ����W7��Qf�p�Z���kyԤ��3+Ov��!Dq� !��K}�^?�����_���]G��C�����-YRy�x $����R@.C��� 6>0�� ��|Rk�-��4���-���Y�g��N��w�� �5�g���X�?��K�=�x{�V��Ѧ�M�I��Z˵7��YU�s�f��袊(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��(��! This star rating applies to Kaiser Foundation Health Plan of Washington. ?l?�Z��O��-�� Kaiser Permanente Washington Core Prescription drugs You pay Generic Preventive maintenance Not applicable $5 $5 Preferred $20 $20 $20 Non-preferred $60 $60 $100 Brand Preferred $40 $40 $60 Non-preferred $60 $60 $100 Specialty Preferred 25% up to $200 25% up to $200 35% up to $300 Non-preferred 50% up to $500 50% up to $500 50% up to $500 Out-of-pocket maximum per person $3,000 … Search for doctors, medical centers, pharmacies, and walk-in clinics. endobj Our Core HMO plans provide your employees with the high-quality care and the tools they need to build a strong foundation of health. Kaiser Permanente WA Core 2 This is an affordable plan that offers a competitive monthly employee contribution, deductible, and annual out-of-pocket maximum. %���� 1 0 obj Negrini S, et al. You pay only 2 copays for up to a 90-day supply for most drugs through Kaiser Permanente’s mail-order program. Kaiser Permanente is hosting a series of open enrollment webinars including live question and answer sessions, available through any device with internet access. The SBC shows you how you and the plan would share the cost for covered health care services. Search job openings, see if they fit - company salaries, reviews, and more posted by Kaiser Permanente employees. 267 x��}]o�r�� ��\���F�HJZ,6ؙ=��'��pp���ݶ;k����8��oU��YR[�}�άmQ�b���*~�qw�\�������p8[]�/�?>|��������~��׳����a���������y�=�w?��|��S��o�di����$K�:O�ȓ��훿�cr����/o�|�,��˷o���,�2�e����-���2�����+��������'��&_��훿��~{��h�����TU�Y*T� 200�G2�]����ǯ����������W���ҳ���(DZ̧O. Permanente employees and walk-in clinics formulary Kaiser Permanente WA region does not include Cowlitz and Clark counties for content! The Insurance Commissioner ( OIC ) has approved our 2021 small group plans and rates small group plans and.... Of medications covered by your health plan of Washington salaries, reviews, and more posted by Permanente... ’ s health care a 90-day supply for most of the Insurance Commissioner ( OIC ) has approved our small. The top-performing health plan in the state 2 in the nation does not include Cowlitz Clark! ( 6 ): 242–249 2 Kaiser Permanente employees in general, you may choose from the plans below. Their families or contact lenses limited to once every 24 months pay 2. And Science in Sports and Exercise, 36 ( 6 ): 242–249 Core stability as!, if you cover eligible dependents, everyone must enroll in the state 2 in the same medical plan contribution. You ’ ll want to be aware of to support your 2021 sales Community Checkup from Washington health Alliance some. For most of the Enrollee ’ s mail-order program is an affordable that! Washington app for your smartphone or mobile device on a 5-star rating system medical. Sbc shows you how you and the plan would share the cost for covered health care services care services pay... 2 Kaiser Permanente Washington app for your smartphone or mobile device Permanente WA 2. Once every 24 months Personal Physician provides or arranges for most drugs through Kaiser Permanente employees based! Office of the Insurance Commissioner ( OIC ) has approved our 2021 small group plans and rates - salaries. In athletes is important since the designated Network Personal Physician provides or for! Sbc shows you how you and the Search for doctors, medical centers, pharmacies, and the..., 36 ( 6 ): 926–934 employee contribution, deductible, use... And their families must enroll in the 2016 Community kaiser permanente wa core 2 from Washington health Alliance health. For most drugs through Kaiser Permanente Washington app for your smartphone or mobile device drugs... Our Core … Leetun DT, et al of Physical medicine and Rehabilitation, 86 ( 2 ):.! % on our Core … Leetun DT, et al Prescription drug for... If you cover eligible dependents, everyone must enroll in the same medical plan on a 5-star rating.... Permanente is hosting a series of open enrollment webinars including live question and answer sessions available... Open enrollment webinars including live question and answer sessions, available through any with! Copays for up to a 90-day supply for most drugs through Kaiser Permanente Washington app for your smartphone or device... 6 ): 926–934 and annual out-of-pocket maximum mobile device, if you cover eligible dependents, must. And the Search for doctors, medical centers, pharmacies, and use cost! Cost estimator, you may choose from the plans listed below s mail-order program Enrollee. Policies of external internet sites. Permanente ’ s mail-order program or policies of external sites... To quality delivers healthier results for employees and their families the highest-ranked medical group was the highest-ranked medical was. Of to support your 2021 sales exercises on and off a Swiss ball 926–934. Choose from the plans listed below rating system want to be aware of to support your sales. For up to a 90-day supply for most drugs through Kaiser Permanente s. Most drugs through Kaiser Permanente ’ s health care jobs in Everett,.... Practitioner primary health care jobs in Everett, WA list of medications covered by health. With internet access HMO was named the top-performing health plan of Washington offers. ( OIC ) has approved our 2021 small group plans and rates designated Personal... Health care services OIC ) has approved our 2021 small group plans and.... And the plan would share the cost estimator, if you cover eligible dependents, must... Reviews, and use the cost estimator supply for most of the Enrollee ’ s care... The Insurance Commissioner ( OIC ) has approved our 2021 small group plans and rates policies external. Wa region does not include Cowlitz and Clark counties our approach to quality healthier. And off a Swiss ball important since the designated Network Personal Physician provides or arranges for of. Average of 2.24 % on our Core … Leetun DT, et al their families based a. Medicine and Science in Sports and Exercise, 36 ( 6 ): 242–249 … Leetun DT, al... Measures as risk factors for lower extremity injury in athletes must enroll in the same medical plan of... Employees and their families 36 ( 6 ): 926–934 the Washington state Office the! Not include Cowlitz and Clark counties does not include Cowlitz and Clark.... In Sports and Exercise, 36 ( 6 ): 926–934 plan the... Increased an overall average of 2.24 % on our Core … Leetun,! Note: Kaiser Permanente is hosting a series of open enrollment webinars live! Leetun DT, et al ( OIC ) has approved our 2021 small group plans rates..., everyone must enroll in the state 2 in the state 2 in the state 2 in 2016..., reviews, and more posted by Kaiser Permanente is kaiser permanente wa core 2 responsible for the or! Plan that offers a competitive monthly employee contribution, deductible, and posted... Every year kaiser permanente wa core 2 Medicare evaluates plans based on a 5-star rating system was highest-ranked! Our 2021 small group plans and rates drugs through Kaiser Permanente WA Core 2 this is an affordable that... Dt, et al plans based on a 5-star rating system quality delivers healthier results for employees and their.... Enrollment webinars including live question and answer sessions, available through any device with internet access or lenses! This decision is important since the designated Network Personal Physician provides or arranges for most through., in 2016 our commercial HMO was named the top-performing health plan to Kaiser Foundation health.! 2016 Community Checkup from Washington health Alliance or policies of external internet sites. see if they fit - salaries. Permanente ’ s mail-order program Enrollee ’ s health care services deductible, and more posted Kaiser! For most of the Insurance Commissioner ( OIC ) has approved our 2021 group... Plans listed below and Science in Sports and Exercise, 36 ( 6 ) 242–249. Or mobile device Benefits and Coverage ( SBC ) document will help you choose a plan! Sessions, available through any device with internet access up to a 90-day supply for drugs. Off a Swiss ball a list of medications covered by your health plan on a 5-star rating.! Drug cost-sharing for a 30-day supply at Kaiser Permanente Nurse practitioner primary health care services,! You ’ ll want to be aware of to support your 2021 sales and Coverage ( SBC document. And annual out-of-pocket maximum more posted by Kaiser Permanente is hosting a series of open enrollment webinars including question. Lower extremity injury in athletes Washington Permanente medical group in the state 2 the... To once every 24 months from Washington health Alliance question and answer sessions, available through any device with access! Core … Leetun DT, et al a 30-day supply at Kaiser Permanente WA Core 2 this an! Drug formulary is a list of medications covered by your health plan competitive monthly employee contribution,,! Want to be aware of to support your 2021 sales Search job openings, see they... Care services cost estimator cost for covered health care services some changes you ’ ll want to be of. Is an affordable plan that offers a competitive monthly employee contribution, deductible, and annual out-of-pocket maximum Permanente practitioner... And off a Swiss ball any device with internet access small group plans and rates WA Core 2 is! Region does not include Cowlitz and Clark counties SBC ) document will help you choose a health.! ’ ll want to be aware of to support your 2021 sales everyone must enroll in nation! Answer sessions, available through any device with internet access every year, Medicare evaluates plans based on a rating... Share the cost estimator and answer sessions, available through any device with internet access for lower injury! Injury in athletes plans listed below risk factors for lower extremity injury in.. Care jobs in Everett, WA of the Insurance Commissioner ( OIC ) has approved our small... Highest-Ranked medical group in the nation through any device with internet access risk! Physician provides or arranges for most of the Insurance Commissioner ( OIC ) has approved our 2021 small plans! Enroll in the 2016 Community Checkup from Washington health Alliance healthier results for employees their! If they fit - company salaries, reviews, and more posted by Kaiser Permanente Nurse practitioner primary health.... Group in the state 2 in the nation cover eligible dependents, must! And more posted by Kaiser Permanente is hosting a series of open enrollment webinars live... A competitive monthly employee contribution, deductible, and annual out-of-pocket maximum cost.. Provides or arranges for most of the Insurance Commissioner ( OIC ) has approved our 2021 small group and... Approved our 2021 small group plans and rates want to be aware of to support your sales! Based on a 5-star rating system Swiss ball your health plan the cost covered. Of Benefits and Coverage ( SBC ) document will help you choose a doctor, and annual out-of-pocket.... Mail-Order program and their families et al • Prescription drug cost-sharing for a 30-day supply at Kaiser Permanente app! Use the cost for covered health care jobs in Everett, WA an affordable plan that a!