New Member Orientation Santa Clara County Office of
New Member Orientation Santa Clara County Office of Education
What to expect as a new member of Kaiser Permanente
Getting Started with Kaiser Permenente New-member materials – Kaiser Permanente ID card(s) – New-member handbook – And other information to help you get started kp. org/newmember 3 2/27/2021 | © Kaiser Permanente. | © 2011 All Rights Kaiser Reserved. Foundation Health Plan, Inc. .
Getting Started with Kaiser Permenente § Learn how to… § Transfer prescriptions § Transfer medical records § Make your first appointment 4 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Excellent care Your choice of top doctors 5 2/27/2021 | Great specialists © 2011 Kaiser Foundation Health Plan, Inc. . What you want, when you need it
Your choice of great doctors You can choose your own personal physician. Browse our physician profiles at kp. org/mydoctor to find a doctor who’s right for you. – Search by location, language, and more. – Get training and certification details. – Read personal statements. 6 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. . | © Kaiser Permanente. All Rights Reserved.
Great specialists § See highly trained specialists ready to serve you § Your doctor and specialists work together, making referrals simple § No referrals necessary for certain specialty departments, including Obstetrics-Gynecology, Psychiatry, and Chemical Dependency Services 7 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
What you want, when you need it § Easy-to-schedule appointments § Same-day, after-hours, and weekend services at many locations § 24 -hour telephone health advice from registered nurses § Medical information and most test results online § Emergency care coverage anywhere in the world 8 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Personalized care at convenient locations Find a facility near your home or work at kp. org/facilities Most of our facilities offer multiple services under one roof— – primary care – lab and X-ray – Pharmacy 9 2/27/2021 | © Kaiser Permanente. | © 2011 All Rights Kaiser Reserved. Foundation Health Plan, Inc. .
Online access anytime, anywhere It’s easy to stay connected 10 2/27/2021 | Good health on the go © 2011 Kaiser Foundation Health Plan, Inc. . A website full of healthy ideas
It’s easy to stay connected My Health Manager on kp. org Manage your care online or from your web enabled mobile device: § Email your doctor’s office § View most lab test results as soon as they’re available § Refill most prescriptions § Schedule or cancel routine appointments § Help take care of a family member, like a child or parent, using these features and more 11 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Good health on the go Mobile apps Use your smartphone or mobile device to fit wellness into your schedule. § Manage your care, find nearby facilities, and more § Stay fit with the free Every Body Walk! app— a fun, interactive tool to help you create and maintain a daily walking routine § Just download our free apps from the SM Google Play* *App Store is a. Store service mark ofor Apple Inc. 12 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
A website full of healthy ideas kp. org Get informed and inspired on our awardwinning website. You’ll find: § § § § 13 2/27/2021 Articles Wellness topics Health calculators Recipes from world-class chefs Music channels Podcasts Videos | © 2011 Kaiser Foundation Health Plan, Inc. .
Learn something new Health classes Most facilities offer something for everyone, including classes on: § § Yoga Eating well Baby care Specific health conditions Classes vary by location and some may require a fee. 14 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Maximize your health Wellness coaches Experienced coaches are available by phone, at no cost to members. § Your coach will work one-on-one with you to help you set goals to improve your health § Get a personalized plan to help you lose weight, quit smoking, manage stress, eat right, and more § Coaching is available in English and Spanish and no referral is needed 15 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Benefit Summary HMO DHMO HSA Annual Deductible None Individual $1, 000 / Family $2, 000 Annual Out-of-Pocket Maximum Individual $1, 500 / Family $3, 000 Individual $1, 000 / Family $6, 000 Individual $2, 000 / Family $4, 000 Office Visits $30 per visit $20 per visit (Deductible doesn’t apply) $30 after Deductible Routine Physical Exam No Charge Lab & X-Ray No Charge $10 per encounter after Deductible Emergency Room $100 per visit 20% Coinsurance after Deductible $250 per admission after Deductible Outpatient Surgery $30 per procedure 20% Coinsurance after Deductible $150 per procedure after Deductible Inpatient Hospitalization $250 per admission 20% Coinsurance after Deductible $250 per procedure after Deductible $10 generic / $20 brandname $10 generic / $30 brandname (Deductible doesn’t apply) $10 generic after Deductible / $30 brandname after Deductible Prescription Drugs (30 day supply) 16 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Sample hospital bill 17 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Sample physician bill 18 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
Questions? § Visit kp. org/deductibleplans – Understand your costs – Learn how deductible plans work – Use tools such as the out of pocket summary tool and estimation calculator § Contact Member Services – 1 -800 -464 -4000 § Health Plan questions § Estimations for services § Billing questions 19 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
kp. org/experience 20 2/27/2021 | © 2011 Kaiser Foundation Health Plan, Inc. .
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