Federal Employee Health Benefits (FEHB) - 2020 FEHBP Open ... · Transition your care seamlessly...
Transcript of Federal Employee Health Benefits (FEHB) - 2020 FEHBP Open ... · Transition your care seamlessly...
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Federal employees and annuitants 2020 rates and benefits
kp.org/feds
Healthy togetherCare and coverage that fits your life
• Earn up to $500 in healthy rewards1
• Care at home and when you travel• Video visits at no cost GEORGIA
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Kaiser Permanente
Welcome to care that fits your life
Your doctor, your choice
Choose your doctor based on what’s
important to you. Go to kp.org/searchdoctors for details about education,
specialties, languages spoken, and more. You
can also change doctors at any time.
Many services under one roof
Do more in less time. In most of our
facilities, you can see your doctor, get a
lab test, and pick up prescriptions — all in
a single trip.
Right care, right time
Get the care you need when you need it with
routine, specialty, urgent, and emergency care. If
you’re ever unsure where to go, call us for 24/7
care advice by phone.
More care optionsHow you get care
is up to you. Choose a phone appointment or video visit,2 email
your doctor’s office with nonurgent questions, or come see us in person.3
Convenient cost estimates
Get an idea of what you’ll pay before you
come in for care. For a personalized
estimate based on your plan details, visit "Tools
and Resources" on kp.org/feds.
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Care and coverage that fits your life
Experience the Kaiser Permanente difference
To be healthy, you need quality care that’s simple, personalized, and
hassle-free. At Kaiser Permanente, care and coverage come together —
so you get everything you need to stay on top of your health in one
easy-to-use package.
Let’s get started
A stress-free path to switch plans 3
Quality care with you at the center 4
Great care, great results 5
Healthy resources 6
Your care, your way 7
Care when and where you need it 8
Care when you travel 9
What you need to know for 2020
Featured benefits 10
Your 2020 benefits at a glance 17
Ready to enroll with Kaiser Permanente? 18
Vision and dental care services 20
Locations near you 21
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Kaiser Permanente
There’s a lot to do when changing health plans. That’s why we created a single destination that makes it easy to join Kaiser Permanente, and to get started once you do.
Feel the healthy change — every step of the way
Have questions about joining Kaiser Permanente? We're here to help. Call us at:
1-855-315-1006 (TTY 711), Monday through Friday: 10 a.m. to 8 p.m.
During open enrollment season: Monday through Friday: 9 a.m. to 10 p.m.
See just how easy it is to get started as a member at kp.org/easyswitch.
Let us help you find the right doctor
Finding a new doctor can feel stressful. But our online doctor profiles let you browse the many excellent doctors and convenient locations in your area, even before you enroll. So you can join knowing you’ve found a doctor who fits your needs. You’re also free to change at any time, for any reason.
Transition your care seamlessly
Easily move prescriptions so your treatment is uninterrupted. And find a location that’s close to your home, work, or school. Many services are often under one roof, making it easy to see your doctor, fill prescriptions, and get the care you need — all in one trip.
Get care on your schedule
Need to schedule an appointment? Have a nonurgent question you’d like to email to your doctor’s office? After you enroll, register for an online account at kp.org or get our mobile app. Then join the millions of members who easily manage their health online — whenever, wherever.
A stress-free path to switch plans
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Care and coverage that fits your life
Great care from great doctors
Our doctors come from top medical schools, and many of them teach at world-renowned universities. No matter which personal doctor you choose, you’ll be in highly skilled, experienced hands — and your health is their main concern.
As your biggest health advocate, your doctor will coordinate your care journey, and you’ll work closely together to make decisions about your health.
Better care with a connected team
Your doctor, nurses, and other specialists all work together to keep you healthy. They’re connected to each other, and to you, through your electronic health record. So they know important things about you and your health — like when you’re due for a screening and what medications you’re taking. That way, you get personalized care that’s right for you.
Personalized care for all members
Care at Kaiser Permanente isn’t one-size-fits-all. We believe your story, background, and values are as important as your health history. To help deliver care that’s sensitive to your culture, ethnicity, and lifestyle, we:
• Strive to hire doctors and staff who speak more than one language
• Offer telephone interpretation services in more than 150 languages
• Train our care teams on how to connect with and care for people of diverse backgrounds
Our physician-led care teams work together to keep you healthy by delivering high-quality, personalized care.
Through our culturally responsive care programs, we’ve improved health outcomes among diverse populations for conditions like high blood pressure, diabetes, and colon cancer.4
Quality care with you at the center
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Kaiser Permanente
Preventive care to keep you healthy
Preventive care is key to how we practice medicine. It can help you avoid some health issues and catch others before they become serious.
Your electronic health record plays a vital role. It tracks your preventive care services and sends reminders when you’re due for your next screening. We’ll let you know when to come in so you’re free to focus on living your life.
Specialty care when you need it
We’re also here for you if you get sick or need specialty care. With one of the largest multispecialty medical groups in the country, we can conveniently connect you with the right specialist. And you don’t need referrals for certain specialties, like obstetrics-gynecology, psychiatry, and drug dependency services.
From high-quality maternity care to treatment for cancer, heart problems, and more, you get great doctors, the latest technology, and evidence-based care — all combined to help you recover quickly.
Support for ongoing conditions
If you have a condition like diabetes or heart disease, you’re automatically enrolled in a disease management program for personal coaching and support. With a well-rounded approach backed by proven best practices and advanced technology, we’ll help you get the care you need to continue living life to the fullest.
A leader in clinical quality
In 2018, Kaiser Permanente led the nation as the top performer in 30 effectiveness-of-care measures — the most of any health plan.5 These measures include:
• Prevention and screening
• Cardiovascular care
• Comprehensive diabetes care
• Medication monitoring
Great care, great resultsFrom preventive screenings that keep you healthy to world-class care if you get sick, we’ve got you covered.
Hear care stories from real Kaiser Permanente members at kp.org/carestories.
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Care and coverage that fits your life
Get the most out of your health plan
Help to quit smoking
If you use cigarettes, e-cigarettes, or other tobacco products, let us help you quit. You pay nothing for classes, telephone coaching, online programs, and prescriptions, including prescribed over-the-counter tobacco-cessation drugs. For more information, ask your doctor or visit kp.org/quitsmoking.
Prescription costs at your fingertips
Use our prescription drug pricing tool to find out how much you‘ll pay for different medications as a Kaiser Permanente member. Learn more at kp.org/feds.
Healthy rewards
Take simple steps to improve your well-being Subscribers and their enrolled spouses (age 18 and over) are eligible to receive $200 (High and Standard Options) and $250 (Basic Option) for completing a confidential, online, Total Health Assessment (available in English or Spanish) and being up to date on certain biometric screenings. Visit kp.org/feds to learn more.
Online wellness toolsConnect to better health with online programs to help you lose weight, quit smoking, reduce stress, and more — all at no cost. Learn more at kp.org/healthylifestyles.
Health classesSign up for health classes and support groups at many of our facilities. See what’s available near you at kp.org/classes — some may require a fee.
Personal wellness coaching
Get help reaching your health goals. Work one-on-one with a wellness coach by phone at no cost. Find out more at kp.org/wellnesscoach.
Special rates for members
Enjoy reduced rates on services that can help you stay healthy — like gym memberships, massage therapy, and more. Explore your options at kp.org/choosehealthy.
Good health goes beyond the doctor’s office. Explore all the convenient resources available to members and choose the ones that fit your life.
Healthy resources
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Kaiser Permanente
Get care where, when, and how you want it. With more options to choose from, it’s easier to stay on top of your health.
Choose how you get care
In person
Most of our locations have many services under one roof, so you can see your doctor, get lab services or X-rays, and pick up a prescription—all in the same trip3. We also offer same-day and next-day appointments for many services at several of our locations.
Phone - $0 Copay
Have a condition that doesn’t require an in-person exam? You may be able to save a trip to the doctor’s office by having a phone appointment with a physician to discuss your progress, talk about a new concern, or ask a question about your care2, 3
Video - $0 Copay
For some conditions, you can meet virtually face-to-face with your doctor2, 3 on your computer, smartphone, or tablet. Video visits are available for primary care, as well as a growing number of specialties, for members who are registered on kp.org and have seen their doctor in the past year. For certain minor issues, same-day video appointments are also available.
24/7 Nurse Advice - $0 Copay
Have questions? Not sure what kind of care you need? You can call our local, specially trained Kaiser Permanente nurses anytime at 404-365-0966. If you receive care in our facilities, the nurses are connected to your doctor, can see your health record and help determine what type of care you may need.
Email - $0 Copay
Message your doctor’s office anytime with nonurgent health questions.3 You’ll get a response usually within 2 business days, if not sooner.
Online - $0 Copay
Manage your health, find nearby locations, and take advantage of health guides and other resources. You can also download the Kaiser Permanente app to keep up with your care on the go.6 Visit kp.org/newmember to see how it works. To learn more about the KP app, visit kp.org/mobile.
Your care, your way
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Care and coverage that fits your life
It’s easy for you and your family to get the care you need when you need it. There are many Kaiser Permanente facilities in your area, offering convenient hours and a wide range of care and services.
Convenient care near you
With multiple locations to choose from, it’s easy to find one near home or work. We offer same-day, next-day, after-hours, and weekend services at many of our locations, along with ob-gyn, pediatrics, and other specialty departments. You can also see different doctors at different locations — whatever works best for you.
Finding the right location
Choosing a convenient place to get care is simple — just hop online or grab your smartphone.
• Visit kp.org/facilities to search by ZIP code, keyword, or the type of service you need.
• Search on your smartphone with the location finder on the Kaiser Permanente mobile app.6
Getting care anytime, anywhere
Urgent/same-day careIf you need care quickly, we're here for you. For less serious symptoms, you can schedule a same-day telephone or video appointment, or visit one of our offices offering same-day appointments. Three of our Kaiser Permanente medical centers offer 24/7 Urgent Care, where you'll also find lab, X-ray, and pharmacy under the same roof. You also have access to our affiliated Urgent Care locations, found on page 32 - 35.7
Emergency careIf you ever need emergency care, you’re covered worldwide—anytime, anywhere.You can get care at any hospital emergency room, even if it's not affiliated with Kaiser Permanente.8
Care away from homeIf you get hurt or sick while traveling, we’ll help you get care. We can also help you before you leave town by checking to see if you need a vaccination, refilling prescriptions, and more. Just call our 24/7 Away from Home Travel Line9 at 951-268-3900 or visit kp.org/travel.
Care when and where you need it
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Kaiser Permanente
Enjoy peace of mind when you travel, knowing that you’re covered for emergency care anywhere in the world at emergency rooms and urgent care centers.8 And once you’re registered at kp.org and download our app, you can see your health information online.
In a different Kaiser Permanente service area
You’re covered for certain routine and specialty care, including care for an ongoing health condition, at any of our Kaiser Permanente or affiliated facilities in a different Kaiser Permanente service area.
Student coverage outside the service area
Students taking at least 12 credit hours per semester at an accredited institution outside of a Kaiser Permanente service area and within the United States are covered for routine, continuing, and follow-up medical care. You pay 20% of the usual and customary charges with an annual benefit limit of $1,200.
Outside a Kaiser Permanente service area
In addition to emergency care, you can also get certain follow-up care when Kaiser Permanente facilities aren’t near. When you’re temporarily outside your home service area by more than 100 miles and outside any other Kaiser Permanente service area, you're covered for the following:
• Outpatient follow-up care to complete a course of treatment after a covered emergency
• Outpatient continuing care for covered services related to conditions diagnosed and treated within the previous 12 months by a Kaiser Permanente practitioner or affiliated practitioner
You pay $25 for each follow-up or continuing care office visit. Kaiser Permanente pays up to $1,200 each calendar year for this follow-up or continuing care travel benefit.
Care when you travel
Just call our 24/7 Away from Home Travel
Line9 at 951-268-39005 or visit kp.org/travel.
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Care and coverage that fits your life
» Premiums as low as $45.39
» New Basic Option with low premiums, predictable costs, and high rewards
» Up to $500 in Healthy Rewardsdepending on the option and enrollment you choose
New for 2020
Need more information to make a decision?Call 855–315–1006 (TTY 711) Monday through Friday:10 a.m. to 8 p.m.
During open enrollment season:
Monday through Friday: 9 a.m. to 10 p.m.
Visit kp.org/feds anytime.
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Kaiser Permanente
Could our Basic Option be right for you?
• Among the lowest premium FEHB plans
• Deductible does not apply to routine office visits, labs, emergency care and prescription drugs
• No coinsurance for most services and relatively low copays; you will know what you pay for a service
• $250 deductible applies to services such as inpatient hospital care and outpatient surgery
• Up to $500 per family in Healthy Rewards
Consider this option if you
• Don't go to the doctor often
• Want a lower premium with copays for services and prescription drugs
• Want the convenience of having your doctor, lab, pharmacy, and x-ray in one location
• Want the highest amount in Healthy Rewards
Earn up to $500 in rewards with the Basic Option1
Take steps to improve your well-being to earn rewards to pay for qualified medical expenses. Standard Option subscribers and their enrolled spouses are eligible to earn $250 per person in rewards by completing the following activities:
• Taking our Total Health Assessment, an online questionnaire that gives you a wellness action plan
• Completing the following biometric screenings: Blood Glucose, Blood Pressure, Body Mass Index (BMI), Total Cholesterol
You must complete both activities during the 2020 calendar year to earn your rewards. Start by visiting kp.org/feds to learn more and get started.
What can you pay for with your rewards?
We’ll send you a Kaiser Permanente Health Payment Card upon completion of all activities. It can be used to pay for qualified medical expenses, including:
• Your deductible
• Cost-sharing, such as your copays
• Prescription eyeglasses or contact lenses
• Prescription medications in our Kaiser Permanente Medical Facility Pharmacies
• Other IRS-qualified medical expenses
Basic Option
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Care and coverage that fits your life
For a more complete benefits summary, see page 17 or visit kp.org/feds.
Outpatient services (per visit or procedure) You pay
Deductible does not apply
Preventive care $0
Primary care $20
Specialty care $40
Most lab tests and X-rays $0
Preferred Generic prescription drugs (up to a 30-day supply at plan medical center pharmacies)
$5
Emergency and Urgent Care
Emergency care $250
Urgent care $40
Your premium share Basic Option
Out-of-pocket maximum (2x per family maximum) $6,500
Deductible $250
Self Only Enrollment code: LA1
Biweekly Non-Postal $45.39
Biweekly Postal Category 1 $43.57
Biweekly Postal Category 2 $37.67
Monthly Non-Postal $98.34
Self Plus One Enrollment code: LA3
Biweekly Non-Postal $102.57
Biweekly Postal Category 1 $98.47
Biweekly Postal Category 2 $85.14
Monthly Non-Postal $222.24
Self and Family Enrollment code: LA2
Biweekly Non-Postal $102.57
Biweekly Postal Category 1 $98.47
Biweekly Postal Category 2 $85.14
Monthly Non-Postal $222.24
These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency or tribal employer that maintains your health benefits enrollment.
2020 Basic Option Quick Look
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Kaiser Permanente
Could our Standard Option be right for you?
• Great balance of low premiums and affordable copays
• $0 copay for primary care for children through age 17
• Deductible does not apply to routine office visits, labs, emergency care and prescription drugs
• Low $100 deductible applied to services like inpatient hospital services and outpatient surgery
• Preventive dental services included
• Up to $400 in Healthy Rewards
Consider this option if you
• Are a family with young children
• Want the convenience of having your doctor, lab, pharmacy, and x-ray in one location
• Want a lower premium with reasonable copays
• Want preventive dental coverage without the added expense of a separate dental plan
Earn up to $400 in rewards with the Standard Option1
Take steps to improve your well-being to earn rewards to pay for qualified medical expenses. Standard Option subscribers and their enrolled spouses are eligible to earn $200 per person in rewards by completing the following activities:
• Taking our Total Health Assessment, an online questionnaire that gives you a wellness action plan
• Completing the following biometric screenings: Blood Glucose, Blood Pressure, Body Mass Index (BMI), Total Cholesterol
You must complete both activities during the 2020 calendar year to earn your rewards. Start by visiting kp.org/feds to learn more and get started.
What can you pay for with your rewards?
We’ll send you a Kaiser Permanente Health Payment Card upon completion of all activities. It can be used to pay for qualified medical expenses, including:
• Your deductible
• Cost-sharing, such as your copays
• Dental treatments
• Prescription eyeglasses or contact lenses
• Prescription medications in our Kaiser Permanente Medical Facility Pharmacies
• Other IRS-qualified medical expenses
Standard Option
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Care and coverage that fits your life
For a more complete benefits summary, see page 17 or visit kp.org/feds.
Outpatient services (per visit or procedure) You pay
Deductible does not apply
Preventive care $0
Primary care $20/$0 for children through age 17
Specialty care $40
Most lab tests and X-rays $0
Preferred Generic prescription drugs (up to a 30-day supply at plan medical center pharmacies)
$5
Emergency and Urgent Care
Emergency care $200
Urgent care $40
Your premium share Standard Option
Out-of-pocket maximum (2x per family maximum) $5,000
Deductible $100
Self Only Enrollment code: F84
Biweekly Non-Postal $63.73
Biweekly Postal Category 1 $61.18
Biweekly Postal Category 2 $52.90
Monthly Non-Postal $138.08
Self Plus One Enrollment code: F86
Biweekly Non-Postal $144.03
Biweekly Postal Category 1 $138.27
Biweekly Postal Category 2 $119.54
Monthly Non-Postal $312.06
Self and Family Enrollment code: F85
Biweekly Non-Postal $144.03
Biweekly Postal Category 1 $138.27
Biweekly Postal Category 2 $119.54
Monthly Non-Postal $312.06
These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency or tribal employer that maintains your health benefits enrollment.
2020 Standard Option Quick Look
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Kaiser Permanente
Could our High Option be right for you?
• Lowest copays
• Only option with no deductible, but a higher premium
• $0 copay for inpatient maternity
• $0 copay for primary care for children through age 17
• Preventive dental services included
• Up to $400 per family in Healthy Rewards
Consider this option if you
• Are an expectant mother or are planning to have a baby
• Don't mind paying a higher premium knowing you have the lowest copays
• You may need significant medical care
• Want the convenience of having your doctor, lab, pharmacy, and x-ray in one location
• Want preventive dental coverage without the added expense of a separate dental plan
Earn up to $400 in rewards with the High Option1
Take steps to improve your well-being to earn rewards to pay for qualified medical expenses. High Option subscribers and their enrolled spouses are eligible to earn $200 per person in rewards by completing the following activities:
• Taking our Total Health Assessment, an online questionnaire that gives you a wellness action plan
• Completing the following biometric screenings: Blood Glucose, Blood Pressure, Body Mass Index (BMI), Total Cholesterol
You must complete both activities during the 2020 calendar year to earn your rewards. Start by visiting kp.org/feds to learn more and get started.
What can you pay for with your rewards?
We’ll send you a Kaiser Permanente Health Payment Card upon completion of all activities. It can be used to pay for qualified medical expenses, including:
• Cost-sharing, such as your copays
• Dental treatments
• Prescription eyeglasses or contact lenses
• Prescription medications in our Kaiser Permanente Medical Facility Pharmacies
• Other IRS-qualified medical expenses
High Option
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Care and coverage that fits your life
For a more complete benefits summary, see page 17 or visit kp.org/feds.
Outpatient services (per visit or procedure) You pay
Preventive care $0
Primary care $15/$0 for children through age 17
Specialty care $30
Most lab tests and X-rays $0
Preferred Generic prescription drugs (up to a 30-day supply at plan medical center pharmacies)
$5
Emergency and Urgent Care
Emergency care $200
Urgent care $30
Your premium share High Option
Out-of-pocket maximum (2x per family maximum) $4,000
Deductible None
Self Only Enrollment code: F81
Biweekly Non-Postal $101.17
Biweekly Postal Category 1 $97.89
Biweekly Postal Category 2 $88.07
Monthly Non-Postal $219.20
Self Plus One Enrollment code: F83
Biweekly Non-Postal $257.36
Biweekly Postal Category 1 $250.36
Biweekly Postal Category 2 $229.35
Monthly Non-Postal $557.61
Self and Family Enrollment code: F82
Biweekly Non-Postal $215.01
Biweekly Postal Category 1 $207.42
Biweekly Postal Category 2 $184.66
Monthly Non-Postal $465.85
These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency or tribal employer that maintains your health benefits enrollment.
2020 High Option Quick Look
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Kaiser Permanente
Benefits and Services Basic Option Standard Option High Option
Deductible does not apply No Deductible
Outpatient services (per visit or procedure)
Preventive care $0 $0 $0
Primary care office visits$20 $20; $0 for children
through age 17$15; $0 for children
through age 17
Specialty Care office visits $40 $40 $30
Most X-rays and lab tests $0 $0 $0
Emergency Care $250 $200 $200
Urgent Care $40 $40 $30
Ambulance $150 $125 $100
Maternity
Routine prenatal care visit and first postpartum visit $0 $0 $0
Prescription drugs (up to a 30-day supply at plan medical center pharmacies, or up to a 100-day supply for 2 copays by mail order)†
Preferred Generic / Non-preferred Generic $5/$10 $5/$10 $5/$10
Preferred brand / Non-preferred brand $45/$65 $45/$55 $45/$45
Specialty $200 $150 $100
Out-of-pocket maximum (2x per family maximum) $6,500 per person $5,000 per person $4,000 per person
Deductible $250 $100 None
Hospital & facility Subject to the Deductible No Deductible
Outpatient surgery $250 $200 $150
Inpatient hospital care (per admission) $750 $750 $500
Maternity (delivery) $750 $250 $0
* This is a summary of the features of the Kaiser Permanente health plan. Before making a final decision, please read the Federal Employees Health Benefits (FEHB) brochure, 73-321. All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB brochure.
† Plan providers determine the drug that is medically necessary. If you request another drug, you pay prices charged to members for non-covered drugs.
Your 2020 benefits summary 10
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18
Care and coverage that fits your life
Ready to enroll with Kaiser Permanente and get healthier care?
1. Choose an option
• Basic Option
• Standard Option
• High Option
2. Select your enrollment type
• Self only covers you (the enrollee).
• Self Plus One covers you and one eligible family member.
• Self and Family covers you and all eligible family members.
3. With your enrollment code in hand, sign up online or call
• Visit opm.gov to enroll online.
• Contact your employing agency or retirement office for next steps.
Annuitants can contact the Retirement Information Center at 888-767-6738 or 855-887-4957 (TTY) or [email protected].
To sign up, find your enrollment code in the chart below. Then, visit opm.gov to enroll online, or contact your employing agency or retirement office for next steps and other information.
ENROLLMENT CODE BASIC OPTION STANDARD OPTION HIGH OPTION
Self Only LA1 F84 F81
Self Plus One LA3 F86 F83
Self and Family LA2 F85 F82
Important Note: Enrollees covering themselves and one other eligible family member may choose either the “Self Plus One” or ”Self and Family“ enrollment type. If you choose the High Option, you will save money if you enroll in the "Self and Family." Current "Self Plus One" subscribers must make an active enrollment election to move to Self and Family and get a lower member contribution.
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.
Need help?
Call us at 855-315-1006 (TTY 711) Monday through Friday, 10 a.m. to 8 p.m. During open enrollment season, Monday through Friday, 9 a.m. to 10 p.m.
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Kaiser Permanente
Coverage for vision services
With Kaiser Permanente, you have access to many of our plan optometrists or ophthalmologists practicing within one of our Glenlake, Gwinnett, Southwood, and TownPark Medical Facilities. You pay no deductible—just a copay. You can then take your prescription to one of our partners for a discount on your vision hardware. To find a vision hardware partner, visit avesis.com or call 404-365-0966 for the location nearest you.
Coverage for dental services
Kaiser Permanente and Delta Dental Insurance Company recognize that good oral care is an important part of your general health. Your enrollment in a Kaiser Permanente FEHB plan option gives you and your family two ways to maintain good oral health — a preventive dental benefit administered by Delta Dental (Delta Dental PPO™), which is included as part of your High Option or Standard Option benefits, and a separate optional plan (DeltaCare® USA), which you may be eligible to purchase for an additional premium in either plan option you choose.*
Delta Dental PPO Preventive dental coverage
With your FEHBP medical coverage in the High or Standard Option plans through Kaiser Permanente, you receive dental coverage for preventive services. Your only costs will be the patient’s share of the procedure at the time of treatment. With Delta Dental PPO, you may visit the dentist of your choice, but your out-of-pocket costs are usually less when you choose to visit a Delta Dental dentist. There's no need to sign up separately for Delta Dental PPO. To search for a dentist, visit
deltadentalins.com and select Delta Dental PPO under the Find a Dentist section. For Delta Dental PPO customer service, call 1-800-521-2651.
DeltaCare USA (optional plan*)
No matter the plan option you choose, you can get more inclusive coverage for you and your family by obtaining separate coverage through Delta Dental’s prepaid program for an additional monthly premium. The DeltaCare USA program has set copayments and no annual deductibles or maximums for covered benefits. You must select a dentist in the DeltaCare USA network from whom you receive treatment. To find a participating dentist or for more information about DeltaCare USA, go to deltadentalins.com and select DeltaCare USA under the Find a Dentist section. You can also request a copy of the DeltaCare USA enrollment brochure by calling DeltaCare USA customer service at 1-844-519-8693.
Coverage includes the following types of services (refer to your copayment schedule for a complete list of covered services):
Vision + Dental
* These services 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.
• X-rays
• Extractions
• Root canals
• Dentures
• Fillings
• Crowns
• Orthodontics
• Periodontal scaling and root planing
Type Monthly Twice a year
Employee $10.96 $65.76
Employee and spouse $18.81 $112.86
Employee and child(ren) $18.93 $113.58
Employee and family $27.29 $163.74
The cost of coverage for DeltaCare USA (GAA11)
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20
Care and coverage that fits your life
When your care requires a trip to the hospital, we’re proud of our partnerships with some of Atlanta’s very best.
Kaiser Permanente doctors are on-site 24/7 at Emory Saint Joseph’s Hospital and Emory University Hospital Midtown. This exciting collaboration ensures our members benefit from one of the most effective and proven models of integrated care in the industry.
PARTNERS IN HEALTH
For a full list of our hospital partners, see page 31.
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21
Kaiser Permanente
MEDICAL OFFICES AND SPECIALTIESFull facility list and details inside
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22
Care and coverage that fits your lifeKaiser Permanente
Specialties and locations
?
CT/MRIGlenlakeGwinnett
SouthwoodStonecrest*
TownPark
DEXA ScanCascadeCrescentGwinnett
SouthwoodTownPark
MammographyAlpharettaCascadeCrescent
CumberlandHenry Towne
GlenlakeGwinnett
PanolaSouthwoodTownPark
UltrasoundCrescentGlenlakeGwinnett
SouthwoodTownPark
Audiology
GlenlakeGwinnett
SouthwoodSpecialty
Behavioral Health
Cardiology
CascadeGlenlakeGwinnett
SouthwoodTownPark
Child Psychiatry
Dermatology
CrescentCumberland
GwinnettSandy Springs
SouthwoodSouthwood
SpecialtyTownPark
Ear, Nose, and ThroatGlenlakeGwinnett
SouthwoodSpecialty
EndocrinologyCumberland
GwinnettSouthwood
Specialty
Gastroenterology
GlenlakeGwinnett
Southwood Specialty TownPark
General Surgery
GeriatricsCumberland
GwinnettSouthwoodSouthwood
Specialty
Gynecology
DecaturDouglasvilleHenry Towne
SnellvilleStonecrest
Sugar Hill-Buford
Hand SurgeryGwinnett
SouthwoodTownPark
Hematology/Oncology
Infectious Disease
AlpharettaBrookwood
CascadeCrescent
CumberlandGwinnett
Sandy SpringsSouthwoodStonecrestTownPark
AlpharettaCrescent
CumberlandGwinnett
Sandy Springs
GlenlakeGwinnett
Southwood
GwinnettSouthwoodTownPark
BrookwoodCumberland
GlenlakeGwinnett
Southwood
?
NephrologyCascadeCrescent
CumberlandGwinnett
PanolaSouthwood
Specialty
NeurologyGlenlakeGwinnett
SouthwoodTownPark
OB/GYN
AlpharettaCascadeCrescent
CumberlandGlenlakeGwinnett
PanolaSnellville
SouthwoodTownPark
Optometry/Opthalmology
GlenlakeGwinnett
SouthwoodTownPark
Orthopedic/Sports Medicine
GlenlakeGwinnett
SouthwoodTownPark
Pain Management
Palliative Care
PerinatologyBrookwood
Glenlake
Plastic Surgery
PodiatryCrescent
CumberlandGlenlakeGwinnett
Southwood
PsychiatryBrookwood
CascadeCrescent
CumberlandGwinnett
Sandy SpringsSouthwoodStonecrestTownPark
PsychologyCrescent
CumberlandGwinnett
Sandy SpringsSouthwoodStonecrestTownPark
PulmonologyGlenlakeGwinnett
SouthwoodTownPark
RheumatologyCumberland
GwinnettSouthwood
Specialty
Sleep Medicine
UrologyGlenlakeGwinnett
Southwood
Vascular Surgery
Weight Management
CumberlandGlenlakeGwinnett
Southwood
CumberlandGwinnett
Southwood
Brookwood Glenlake
CumberlandGlenlake
GlenlakeSouthwood
Cascade Gwinnett
Adult, Family, and Pediatric
Medicine
Lab
Pharmacy
Services available at most Kaiser Permanente
medical centers
X-Ray
Specialties and locations subject to change. Call Member Services at 888-865-5813 to find a service near you.
Primary Care Diagnostic Imaging Specialty Services
* MRI only
TEA
R O
UT H
ERE
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Kaiser Permanente
COMPREHENSIVE MEDICAL CENTERS24/7 Urgent Care • Specialty Services • Express Care Diagnostic Centers of Excellence • Gwinnett, Southwood, TownPark
CUMBERLAND DOWNTOWN DECATUR DOUGLASVILLECRESCENT
ALPHARETTA BROOKWOOD AT PEACHTREE CASCADE CONYERS
SUGAR HILL-BUFORD
SNELLVILLESANDY SPRINGS
STONECREST
HOLLY SPRINGS
LAWRENCEVILLE PANOLANEWNAN
HENRY TOWNE CENTERFORSYTH GLENLAKE
FAYETTE
GWINNETT
24/7 URGENT CARE
SOUTHWOOD
24/7 URGENT CARE
TOWNPARK
24/7 URGENT CARE
With your choice of great doctors and convenient locations throughout metro Atlanta, it’s easy to get the care you need. Most locations offer multiple services under one roof — so you can see your doctor, get a lab test or X-ray, and pick up your medications, all without leaving the building.
KP
KP
Kaiser Permanente Medical Facilities
Kaiser Permanente Comprehensive Medical Centers
COWETA
SPALDING
HENRY
FAYETTE
CLAYTON
FULTON
DOUGLAS
BUTTS
NEWTON
ROCKDALE
DEKALB
WALTON
BARROW
ATHENS-CLARKE
FULTON
CHEROKEEBARTOW
PAULDING
CARROLL
PICKENS
DAWSON
COBB
FORSYTH
GWINNETT
HARALSON
HEARD
MERIWETHERPIKE
LAMAR
75
75
985
575
285
285
285
20
20
67575
85
85
8578
78
316
400
400
166
75
10
316
78KP
KP
KP
KP
KP KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KPKP
KP
KP
KP
KP
KP
KP Kaiser Permanente Medical Facilities
Affiliated Community Urgent Care Centers
Affiliated Hospitals
Holly Springs
Southwood
Douglasville
Fayette
Henry Towne Centre
Conyers
SnellvilleGwinnett
Lawrenceville
Stonecrest
Panola
Sandy SpringsGlenlake
Alpharetta
Forsyth
Brookwood
Decatur
Cumberland
West Cobb
Newnan
COWETA
SPALDING
HENRY
FAYETTE
CLAYTON
FULTON
DOUGLAS
BUTTS
NEWTON
ROCKDALE
DEKALB
WALTON
BARROW
ATHENS-CLARKE
FULTON
CHEROKEEBARTOW
PAULDING
CARROLL
PICKENS
DAWSON
COBB
FORSYTH
GWINNETT
HARALSON
HEARD
MERIWETHERPIKE
LAMAR
75
75
985
575
285
285
285
20
20
67575
85
85
8578
78
316
400
400
166
75
10
316
78KP
KP
KP
KP
KP KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KP
KPKP
KP
KP
KP
KP
KP
KP Kaiser Permanente Medical Facilities
Affiliated Community Urgent Care Centers
Affiliated Hospitals
Athens
TownPark
Cascade
Sugar Hill-Buford
Crescent
Southwood Specialty
Skip the trip. Ask about a video visit.
Call 404-365-0966.
Care when and where you need itCare that's close by
ATHENS
SOUTHWOOD SPECIALTY
WEST COBB
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Care and coverage that fits your life
Locations near you With 26 Kaiser Permanente offices and more than 600 doctors throughout metro Atlanta — plus pharmacy, lab, and X-ray usually right in the same building —you’ll enjoy convenience you won’t find with other plans. Plus, you won't have to pay for parking.
Athens-Clarke County
ATHENS MEDICAL OFFICE 2142 West Broad Street, Building 200, Athens, GA 30606Phone: 706-583-5000
• Adult Medicine• Health Education• Lab Services
• Nutrition• Pediatrics/Adolescent
Medicine
• Pharmacy• X-ray
Cherokee County
HOLLY SPRINGS MEDICAL OFFICE684 Sixes Road, Suite 275, Holly Springs, GA 30115Phone: 770-852-2440
• Adult Medicine• Family Medicine
• Lab Services• Pediatrics/Adolescent
Medicine
• Pharmacy
Clayton County
SOUTHWOOD COMPREHENSIVE MEDICAL CENTER2400 Mt. Zion Parkway, Jonesboro, GA 30236Phone: 770-603-3649
• 24/7 Advanced Care• Adult Medicine• Behavioral Health• Cardiology• CT/MRI• DEXA Scan• Endocrinology• Express Care• General Surgery• Geriatrics• Hand Surgery• Health Education• Heart Failure Clinic• Infectious Diseases• Infusion Center
• Lab Services• Neurology• Nuclear Medicine• Nutrition • OB/GYN• Oncology• Ophthalmology• Optometry• Orthopedics• Orthopedic Surgery• Palliative Care• Pain Management• Pediatrics/Adolescent
Medicine• Pharmacy
• Podiatry• Psychiatry• Psychology• Pulmonology• Routine
Mammography• Ultrasound• Urgent Care• Urogynecology• Urology• Vascular Surgery• X-ray
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25
Kaiser Permanente
SOUTHWOOD SPECIALTY CENTER 2470 Mt. Zion Parkway, Jonesboro, GA 30236Phone: 770-603-3969
• Audiology• Dermatology• Ear, Nose, and Throat
• Endocrinology• Gastroenterology (GI)• Geriatrics
• Nephrology• Rheumatology
Cobb County
CUMBERLAND MEDICAL CENTER 2525 Cumberland Parkway, SE, Atlanta, GA 30339Phone: 770-431-4235• Adult Medicine• Behavioral Health• Child & Adolescent
Psychiatry• Dermatology• Endocrinology• Express Care• Geriatrics• Health Education• Infectious Diseases
• Lab Services• Nephrology• Nutrition• OB/GYN• Pain Management• Palliative Care• Pediatrics/Adolescent
Medicine• Pharmacy• Podiatry
• Psychiatry• Psychology• Rheumatology• Routine Mammography• Sleep Medicine• X-ray
TOWNPARK COMPREHENSIVE MEDICAL CENTER 750 TownPark Lane, NW, Kennesaw, GA 30144Phone: 770-514-5401
• 24/7 Advanced Care• Adult Medicine• Behavioral Health • Cardiology• CT/MRI• Dermatology• DEXA Scan• Express Care• Family Medicine• Gastroenterology• Hematology/Oncology
• Hand Surgery• Health Education• Lab Services• Neurology• Nuclear Medicine• Nutrition • OB/GYN• Ophthalmology• Optometry• Orthopedic Surgery• Pediatrics/Adolescent
Medicine
• Pharmacy• Psychiatry• Psychology• Pulmonology• Routine
Mammography• Sports Medicine• Ultrasound• Urgent Care• X-ray
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Care and coverage that fits your life
WEST COBB MEDICAL CENTER 3640 Tramore Pointe Parkway, Austell, GA 30106Phone: 770-439-4700• Adult Medicine• Lab Services
• Pediatrics/Adolescent Medicine
• Pharmacy• X-ray
Coweta County
NEWNAN MEDICAL OFFICE 203 Newnan Crossing Bypass, Newnan, GA 30265Phone: 770-304-4400
• Adult Medicine• Lab Services
• Pediatrics/Adolescent Medicine
• Pharmacy• X-ray
DeKalb County
CRESCENT MEDICAL CENTER 200 Crescent Centre Parkway, Tucker, GA 30084Phone: 770-496-3414
• Adult Medicine• Behavioral Health• Child & Adolescent
Psychiatry• Dermatology• DEXA Scan• Express Care• Family Medicine
• Health Education• Lab Services• Nephrology• Neuropsychology• Nutrition • OB/GYN• Podiatry• Psychiatry
• Psychology• Pediatrics/Adolescent
Medicine• Pharmacy• Routine
Mammography• Ultrasound• X-ray
DOWNTOWN DECATUR MEDICAL OFFICE 201 W. Ponce de Leon Avenue, Suite A, Decatur, GA 30030Phone: 404-687-7700
• Adult Medicine• Family medicine• Gynecology
• Lab Services• Pediatrics/Adolescent
Medicine
• Pharmacy
PANOLA MEDICAL CENTER 5440 Hillandale Drive, Lithonia, GA 30058Phone: 770-322-2777
• Adult Medicine• Health Education• Lab Services• Nephrology
• Nutrition • OB/GYN• Pediatrics/Adolescent
Medicine
• Pharmacy• Routine
Mammography• X-ray
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27
Kaiser Permanente
STONECREST MEDICAL CENTER 8011 Mall Parkway, Lithonia, GA 30038Phone: 678-323-7500
• Adult Medicine• Behavioral Health• Family Medicine• Gynecology
• Lab Services• MRI• Pediatrics/Adolescent
Medicine
• Pharmacy• Psychiatry• Psychology• X-ray
Douglas County
DOUGLASVILLE MEDICAL OFFICE 6875 Douglas Boulevard, Suite A, Douglasville, GA 30135Phone: 678-838-2225
• Adult Medicine• Family Medicine• Gynecology• Lab Services
• Maternal Child Health/Lactation
• Pediatrics/Adolescent Medicine
• Pharmacy• X-ray
Fayette County
FAYETTE MEDICAL OFFICE 101 Banks Station, Fayetteville, GA 30214Phone: 678-610-3700
• Adult Medicine• Lab Services
• Pediatrics/Adolescent Medicine
• Pharmacy
Forsyth County
FORSYTH MEDICAL OFFICE 1400 Northside Forsyth Drive, Suite 350, Cumming, GA 30041Phone: 678-455-1407
• Adult Medicine• Lab Services
• Pediatrics/Adolescent Medicine
• Pharmacy• X-ray
Fulton County
ALPHARETTA MEDICAL CENTER 3550 Preston Ridge Road, Alpharetta, GA 30005Phone: 770-663-3110
• Adult Medicine• Behavioral Health• Child & Adolescent
Psychiatry• Health Education
• Lab Services• Nutrition• OB/GYN• Pediatrics/Adolescent
Medicine
• Pharmacy• Routine
Mammography• X-ray
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Care and coverage that fits your life
BROOKWOOD AT PEACHTREE MEDICAL OFFICE 1745 Peachtree Road, Suite U, Atlanta, GA 30309Phone: 404-888-7688
• Adult Medicine• Behavioral Health• Cosmetic
Dermatology Services• Express Care
• Genetic Counseling• Infectious Disease• Lab Services• Maternal Fetal
Medicine (Perinatology)
• Pediatrics/Adolescent Medicine
• Pharmacy• Plastic Surgery• Psychiatry
CASCADE MEDICAL CENTER 1175 Cascade Parkway, Atlanta, GA 30311Phone: 404-505-4006
• Adult Medicine• Behavioral Health• Cardiology• DEXA Scan• Health Education• Lab Services
• Nephrology• Nutrition• OB/GYN• Pediatrics/Adolescent
Medicine• Pharmacy
• Psychiatry• Routine
Mammography• Weight Management• X-ray
GLENLAKE COMPREHENSIVE SPECIALTY CENTER 20 Glenlake Parkway, Sandy Springs, GA 30328Phone: 770-677-6075
• Audiology• Breast Care Center• Cardiology• CT/MRI• DEXA scan• Ear, Nose, and Throat• Gastroenterology• General Surgery• Health Education• Infectious Disease• Lab Services• Maternal Fetal
Medicine (Perinatology)
• Neurology• Nuclear Medicine• OB/GYN• Ophthalmology• Optometry• Orthopedics• Orthopedic Surgery• Pain Management• PET Scan• Pharmacy• Plastic Surgery• Podiatry• Pulmonology
• Routine Mammography
• Sleep medicine• Ultrasound• Urodynamics• Urology• Urogynecology• Vascular Surgery• Vascular Ultrasound• Wound Care• X-ray
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29
Kaiser Permanente
SANDY SPRINGS MEDICAL OFFICE 1100 Lake Hearn Drive, NE, Suites 250 and 500, Sandy Springs, GA 30342Phone: 404-845-4500
• Adult Medicine• Behavioral Health• Chemical Dependency• Child & Adolescent
Psychiatry
• Dermatology• Lab Services• Nutrition• Pediatrics/Adolescent
Medicine
• Pharmacy• Psychiatry• Psychology• X-ray
Gwinnett County
LAWRENCEVILLE MEDICAL OFFICE 455 Philip Boulevard, Suite 130, Lawrenceville, GA 30046Phone: 678-985-5000
• Adult Medicine• Lab Services
• Pharmacy• X-ray
GWINNETT COMPREHENSIVE MEDICAL CENTER 3650 Steve Reynolds Boulevard, Duluth, GA 30096Phone: 770-931-6012
• 24/7 Advanced Care• Audiology• Adult Medicine• Behavioral Health• Cardiology• Child & Adolescent
Psychiatry• CT/MRI• Dermatology• DEXA Scan• Ear, Nose, and Throat• Endocrinology• Express Care• Family Medicine• Gastroenterology• General Surgery• Geriatrics
• Hand Surgery• Health Education• Infectious Disease• Lab Services• Neurology• Nephrology• Nuclear Medicine• Nutrition• OB/GYN• Oncology• Ophthalmology• Optometry• Orthopedic Surgery• Pain Management• Palliative Care• Pediatric/Adolescent
Medicine
• Pharmacy• Podiatry• Psychiatry• Psychology• Pulmonology• Rheumatology• Routine
Mammography• Sports Medicine• Ultrasound• Urgent Care• Urology• Weight Management• X-ray
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Care and coverage that fits your life
SNELLVILLE MEDICAL OFFICE 2240 Fountain Drive, Snellville, GA 30078Phone: 770-978-5400
• Adult Medicine• Family Medicine• Gynecology• Lab Services
• Maternal Child Health/Lactation
• Pediatrics/Adolescent Medicine
• Pharmacy• X-ray
SUGAR HILL–BUFORD MEDICAL CENTER 1435 Broadmoor Boulevard, Sugar Hill, GA 30518Phone: 678-765-5700
• Adult Medicine• Family Medicine• Gynecology• Health Education
• Lab Services• Nutrition• Pediatrics/Adolescent
Medicine
• Pharmacy• X-ray
Henry County
HENRY TOWNE CENTRE MEDICAL CENTER 1125 Towne Centre Village Drive, McDonough, GA 30253Phone: 678-583-6600
• Adult Medicine• Gynecology• Health Education• Lab Services
• Nutrition• Pediatrics/Adolescent
Medicine• Pharmacy
• Routine Mammography
• X-ray
Rockdale County
CONYERS MEDICAL OFFICE1478 Dogwood Drive, Conyers, GA 30013Phone: 678-413-4320
• Adult Medicine• Family Medicine• Lab Services
• Pediatrics/ Adolescent Medicine
• Pharmacy
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Kaiser Permanente
More care options when you need themKaiser Permanente has partnered with several leading hospitals and many urgent care facilities. In fact, our own doctors practice at some of Atlanta’s top hospitals. For medical emergencies, you have access to any hospital emergency room, even if it’s not affiliated with Kaiser Permanente.8
Our hospital partners include:
Athens Piedmont Athens Regional Hospital 1199 Prince Avenue Athens, GA 30606
706-475-7000
Metro Atlanta Children’s Healthcare of Atlanta at Egleston 1405 Clifton Road, NE Atlanta, GA 30322 404-785-6000
Children’s Healthcare of Atlanta at Scottish Rite 1001 Johnson Ferry Road, NE Atlanta, GA 30342 404-785-5252
Emory Johns Creek Hospital 6325 Hospital Parkway Johns Creek, GA 30097 678-474-7000
Emory Saint Joseph's Hospital 5665 Peachtree Dunwoody Road Atlanta, GA 30342 678-843-7001
Emory University Hospital 1364 Clifton Road, NE Atlanta, GA 30322 404-712-2000
Emory University Hospital Midtown 550 Peachtree Street, NE Atlanta, GA 30308 404-686-4411
Northside Hospital - Duluth 3620 Howell Ferry Road Duluth, GA 30045 678-312-6800
Northside Hospital - Lawrenceville 1000 Medical Center Boulevard Lawrenceville, GA 30045 678-312-4321
Northside Hospital 1000 Johnson Ferry Road, NE Atlanta, GA 30342 404-851-8000
Northside Hospital Cherokee 450 Northside Cherokee Boulevard Canton, GA 30115 770-224-1000
Northside Hospital Forsyth 1200 Northside Drive Cumming, GA 30041 770-844-3200
Piedmont Hospital 1968 Peachtree Road, NW Atlanta, GA 30309 404-605-5000
Piedmont Fayette Hospital 1255 Highway 54 West Fayetteville, GA 30214 770-719-7000
Piedmont Henry Hospital 1133 Eagle's Landing Parkway Stockbridge, GA 30281 770-389-2200
Piedmont Mountainside Hospital 1266 Highway 515 South Jasper, GA 30143 706-692-2441
Piedmont Newnan Hospital 745 Poplar Road Newnan, GA 30265 770-400-1000
Locations are subject to change. Visit kp.org/locations for the most up-to-date listing.
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Care and coverage that fits your life
Kaiser Permanente Urgent Care
Gwinnett Comprehensive Medical Center 3650 Steve Reynolds Boulevard Duluth, GA 30096 24 hours a day, 7 days a week
Southwood Comprehensive Medical Center 2470 Mt. Zion Parkway Jonesboro, GA 30236 24 hours a day, 7 days a week
TownPark Comprehensive Medical Center 750 TownPark Lane Kennesaw, GA 30144 24 hours a day, 7 days a week
Barrow CountyRegional FirstCare 340 Exchange Boulevard Bethlehem, GA 30620 678-963-7171
Bartow CountyPeachtree Immediate Care 122 North Morningside Drive Cartersville, GA 30121 678-723-6721
Carroll CountyPeachtree Immediate Care 209 Cooley Drive, Suite 101 Villa Rica, GA 30180 770-456-0911
Cherokee CountyChildren's at Cherokee Urgent Care 1558 Riverstone Parkway Suite 100 Canton, GA 30114 404-785-5437
Northside Family Medicine & Urgent Care of Holly Springs 684 Sixes Road, Suite 25-A Holly Springs, GA 30115 678-426-5450
Peachtree Immediate Care 720 Transit Avenue, Suite 101 Canton, GA 30114 770-720-7000
Clarke CountyAthens Reddy Urgent Care 1061 Dowdy Road, Suite 100 Athens, GA 30606 706-621-7575
Broad Street Reddy Urgent Care 283 East Broad Street Athens, GA 30601 706-850-9855
East Side Reddy Urgent Care 4028 Lexington Road Athens, GA 30605 706-621-7575
Piedmont Athens Regional FirstCare 485 Highway 29 North Athens, GA 30606 706-353-6000
Clayton CountyConcentra Urgent Care 4223 Moreland Avenue Hwy. 42 Conley, GA 30288 404-366-2900
Concentra Urgent Care 1500 Mount Zion Road Morrow, GA 30260 678-422-8824
Plus additional affiliated community urgent care locations throughout metro Atlanta:
Affiliated Community Urgent Care Locations
Piedmont Newton Hospital 5126 Hospital Drive Covington, GA 30014 770-786-7053
Piedmont Rockdale Hospital 1412 Milstead Avenue, NE Conyers, GA 30012 770-918-3000
Piedmont Walton Hospital 2151 West Spring Street Monroe, GA 30655 770-267-8641
Hospitals continued
Locations are subject to change. Visit kp.org/locations for the most up-to-date listing.
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Kaiser Permanente
Cobb CountyChildren's at Town Center 625 Big Shanty Road, NW Kennesaw, GA 30144 404-785-8010
Concentra Urgent Care 220 N. Cobb Parkway, Suite 400 Marietta, GA 30062 770-424-7125
Northside Family Medicine & Urgent Care of East Cobb 4800 Old Towne Parkway Suite 150-A Marietta, GA 30068 770-509-1025
Peachtree Immediate Care 3540 North Cobb Parkway Acworth, GA 30101 770-974-3911
Peachtree Immediate Care 2481 George Busbee Parkway Kennesaw, GA 30144 770-423-0000
Peachtree Immediate Care 1025 Veterans Memorial Highway, Suite 720 Mableton, GA 30126 770-732-0720
Peachtree Immediate Care 3295 South Cobb Drive Smyrna, GA 30080 678-679-6471
Summit Urgent Care at Marietta 3120 Johnson Ferry Road Marietta, GA 30062 770-832-4147
Coweta County
Peachtree Immediate Care 371 Newnan Crossing Bypass Suite 103 Newnan, GA 30265 770-400-8410
Summit Urgent Care 1825 Highway 34 East Suite 1200 Newnan, GA 30265 770-502-2021
Dawson County
Northside Family Medicine & Urgent Care of Dawsonville 81 Northside Dawson Drive Suite 100-A Dawsonville, GA 30534 706-216-6000
DeKalb County
Children's at Chamblee Brookhaven 5080 Peachtree Boulevard Suite 100 Chamblee, GA 30341 404-785-5437
Urgent Care at Druid Hills 2882 North Druid Hills Road, NE Suite B Atlanta, GA 30329 678-805-7981
Peachtree Immediate Care 1829 Lawrenceville Highway Decatur, GA 30033 678-679-6471
Peachtree Immediate Care 1834 Clairmont Road Decatur, GA 30033 404-634-4443
Douglas County
Get Well Urgent Care 6842 Douglas Boulevard Suite K Douglasville, GA 30135 404-937-3508
Peachtree Immediate Care 9390 The Landings Drive Douglasville, GA 30135 770-947-1112
Fayette County
Peachtree City Urgent Care 8 Eastbrook Bend, Suite B Peachtree City, GA 30269 770-487-2273
Peachtree Immediate Care 1275 Highway 54 West Suite 201 Fayetteville, GA 30214 770-461-3776
Summit Urgent Care 749 West Lanier Avenue Suite 118 Fayetteville, GA 30214 770-835-4925
Summit Urgent Care 100 Line Creek Drive Peachtree City, GA 30269 770-847-8786
Forsyth County
Children's at Forsyth 410 Peachtree Parkway Suite 300 Cumming, GA 30041 404-785-8900
Northside Family Medicine & Urgent Care of Cumming 5610 Bethelview Road Suite 500 Cumming, GA 30040 770-205-2804Locations are subject to change. Visit kp.org/locations
for the most up-to-date listing.
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Care and coverage that fits your life
Peachtree Immediate Care 2575 Peachtree Parkway Cumming, GA 30041 770-888-8777
Fulton County
Children's at North Point 3795 Mansell Road Alpharetta, GA 30022 404-785-3020
Concentra Urgent Care 3580 Atlanta Avenue Hapeville, GA 30354 404-768-3351
Concentra Urgent Care 5670 Fulton Industrial Boulevard Atlanta, GA 30336 404-344-3930
Concentra Urgent Care 688 Spring Street, NW Atlanta, GA 30308 404-881-1155
Concentra Urgent Care 6330 Roswell Road, NE Suite C Sandy Springs, GA 30328 678-812-2277
Concentra Urgent Care 10820 Abbotts Bridge Road Suite 3000 Duluth, GA 30097 770-441-0444
North Atlanta Urgent Care II 2701 Holcomb Bridge Road Alpharetta, GA 30022 404-327-8744
Northside Family Medicine & Urgent Care of Midtown 1110 West Peachtree Street, NW Suite 200-A Atlanta, GA 30309 404-575-2000
Peachtree Immediate Care 10905 Haynes Bridge Road Alpharetta, GA 30022 770-343-9898
Northside Family Medicine & Urgent Care of Roswell 11685 Alpharetta Highway Suite 150-A Roswell, GA 30076 770-619-3860
Roswell Urgent Care 660 West Crossville Road Suite 110 Roswell, GA 30075 770-992-4700
Summit Urgent Care 3515 Camp Creek Parkway East Point, GA 30344 404-344-7337
Urgent Care at Peachtree 2140 Peachtree Road Suite 232 Atlanta, GA 30309 678-805-7425
Gwinnett CountyChildren's at Satellite Boulevard 2660 Satellite Boulevard Duluth, GA 30096 404-785-8330
Children's at Hamilton Creek 2240 Hamilton Creek Parkway Suite 600 Dacula, GA 30019 404-785-5437
ChoiceOne Urgent Care 2690 Hamilton Mill Road Suite 100 Buford, GA 30519 470-326-7300
ChoiceOne Urgent Care 5910 Suwanee Dam Road Suite 100 Sugar Hill, GA 30518 470-326-7600
Concentra Urgent Care 6475 Jimmy Carter Boulevard Suite 200 Norcross, GA 30071 770-242-7744
Concentra Urgent Care 755 Lawrenceville Suwanee Road, Suite 1600 Lawrenceville, GA 30043 770-995-1500
Gwinnett Urgent Care 1300 Peachtree Industrial Boulevard, Suite 4101 Suwanee, GA 30024 770-831-5525
Peachtree Immediate Care 3425 Buford Drive, Suite 200 Buford, GA 30519 678-546-0200
Peachtree Immediate Care 696 Grayson Highway Lawrenceville, GA 30046 770-936-0927
Peachtree Immediate Care 3991 Highway 78, Suite 100 Snellville, GA 30039 678-786-8677
Peachtree Immediate Care3720 Holcomb Bridge Road Norcross, GA 30092770-263-1000
Peachtree Immediate Care3551 Satellite Boulevard Duluth, GA 30096770-476-3000
Locations are subject to change. Visit kp.org/locations for the most up-to-date listing.
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Kaiser Permanente
Sugarloaf Urgent Care 4835 Sugarloaf ParkwaySuite 200Lawrenceville, GA 30044 470-375-5940
Henry CountyChildren's at Hudson Bridge 1510 Hudson Bridge Road Stockbridge, GA 30281 404-785-8660
Muscogee CountyConcentra Urgent Care 1051 Talbotton Road Columbus, GA 31904 706-322-2511
MedCare Urgent Care 5612 Whitesville Road Columbus, GA 31904 706-322-2223
Midtown Acute Care 3465 Macon Road Columbus, GA 31907 706-243-3051
MyCare Urgent Care 7301 Blackmon Road Columbus, GA 31909 706-321-3750
MyCare Urgent Care101 13th Street, Suite 200Columbus, GA 31901706-494-4949
Urgent Care & Occupational Medicine4328 Armour RoadColumbus, GA 31904706-507-1213
Oconee CountyRegional First Care 1010 Village Drive Watkinsville, GA 30677 706-769-0000
Paulding CountyNew Hope Urgent Care 49 Hosiery Mill Road Suite 124 Dallas, GA 30157 770-443-6111
Peachtree Immediate Care 3827 Jimmy Lee Smith Parkway Hiram, GA 30141 770-222-8900
Rockdale CountyConcentra Urgent Care 1680 GA Hwy. 138 Suites E and F Conyers, GA 30013 866-944-6046
Troup CountyPeachtree Immediate Care 1495 LaFayette Parkway LaGrange, GA 30241 706-884-7822
Walton CountyMonroe Reddy Urgent Care 500 Great Oaks Drive, Suite 9 Monroe, GA 30655 706-363-9228
Locations are subject to change. Visit kp.org/locations for the most up-to-date listing.
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Care and coverage that fits your life
1 As a Kaiser Permanente member, you and your enrolled spouse (age 18 and over) are eligible to earn up to $200 each in rewards in the Standard and High Option, and $250 each in the Basic Option. We will send you a Kaiser Permanente Health Payment Card 4 to 6 weeks after you complete your first activity, then load additional rewards when you complete your second activity. You must keep your card for use throughout the year and use rewards to pay qualified medical expenses by March 31 of the next calendar year. Go to kp.org/feds to learn more and get started.
2 When appropriate and available. 3 These features are available when you get care at Kaiser Permanente facilities.4 Kaiser Permanente improved blood pressure control in our black/African-American members wth hypertension, raised colorectal
cancer screening rates in our Hispanic/Latino members, and improved blood sugar control in our members with diabetes. Self-reported race and ethnicity data are captured in KP HealthConnect, and HEDIS® measures are updated quarterly in the interregional CORE Datamart.
5 Kaiser Permanente 2018 HEDIS® scores. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. Kaiser Permanente combined region scores were provided by the Kaiser Permanente Department of Care and Service Quality. The source for data contained in this publication is Quality Compass 2018 and is used with the permission of NCQA. Quality Compass 2018 includes certain CAHPS® data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® and HEDIS® are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.
6 To use the Kaiser Permanente app, you must be a Kaiser Permanente member registered on kp.org.7 An urgent care need is one that requires prompt medical attention, usually within 24 or 48 hours, but is not an emergency medical
condition. This can include minor injuries, backaches, earaches, sore throats, coughs, upper-respiratory symptoms, and frequent urination or a burning sensation when urinating.
8 If you reasonably believe you have an emergency medical condition, call 911 or go to the nearest emergency department. An emergency medical condition is a medical or psychiatric condition that requires immediate medical attention to prevent serious jeopardy to your health. For the complete definition of an emergency medical condition, please refer to your Evidence of Coverage or other coverage documents.
9 This number can be dialed inside and outside the United States. Before the phone number, dial “001” for landlines and “+1” for mobile lines if you’re outside the country. Long-distance charges may apply, and we can’t accept collect calls. The phone line is closed on major holidays (New Year’s Day, Easter, Memorial Day, July Fourth, Labor Day, Thanksgiving, and Christmas). It closes early the day before a holiday at 10 p.m. Pacific time (PT), and it reopens the day after a holiday at 4 a.m. PT.
10 This is a summary of the features of the Kaiser Permanente health plan. Before making a final decision, please read the plan’s Federal brochure (73-321). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. The services listed on page 6 (“Healthy resources,” except “Health classes”) and on page 19 (vision and dental coverage) 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. This plan’s brochure is available on the internet at kp.org/feds. A paper copy is also available, at no charge, by calling 404-261-2590, Monday through Friday, 7 a.m. to 7 p.m. For TTY, call 711.
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, at no charge, by calling 404-261-2590, Monday through Friday, 7 a.m. to 7 p.m. For TTY, call 711. To find out more information about plans available under the FEHB Program, including SBCs for other FEHB plans, please visit opm.gov/insure.
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Kaiser Permanente
Care is just a click awayOnline tools designed to make your life easier
Once you join ...Visit kp.org/newmember to get started. It’s easy to register at kp.org, choose your doctor, transfer your prescriptions, and schedule your first routine appointment. And if you need help, just give us a call.
Already a member?Manage your care online anytime at kp.org. If you haven’t already, go to kp.org/registernow so you can start emailing your doctor’s office with nonurgent questions, schedule routine appointments, order most prescription refills, and more.
Nondiscrimination Notice
Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also:
• Provide no cost aids and services to people with disabilities to communicate effectively with us, such as:
• Qualified sign language interpreters
• Written information in other formats, such as large print, audio, and accessible electronic formats
• Provide no cost language services to people whose primary language is not English, such as:
• Qualified interpreters
• Information written in other languages
If you need these services, call 1-888-865-5813 (TTY: 711)
If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE, Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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Care and coverage that fits your life
60577109_ACA_1557_MarCom_GA_2017_Taglines
Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-865-5813 (TTY: 711).
Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-865-5813 (TTY: 711).
ગજુરાતી (Gujarati) સચુના: જો તમે ગજુરાતી બોલતા હો, તો નન:શલુ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-888-865-5813 (TTY: 711).
Kreyòl Ayisyen (Haitian Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-865-5813 (TTY: 711).
हिन्दी (Hindi) ध्यान दें: यहद आप हििंदी बोलते िैं तो आपके ललए मुफ्त में भाषा सिायता सेवाएिं उपलब्ध िैं। 1-888-865-5813 (TTY: 711) पर कॉल करें। 日本語 (Japanese) 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-888-865-5813(TTY: 711)まで、お電話にてご連絡ください。
한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-865-5813 (TTY: 711) 번으로 전화해 주십시오.
Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dé̖é̖’, t’áá jiik’eh, éí ná hóló̖, koji̖’ hódíílnih 1-888-865-5813 (TTY: 711).
Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-865-5813 (TTY: 711).
Pусский (Russian) ВНИМАНИЕ: eсли вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-865-5813 (TTY: 711).
Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-865-5813 (TTY: 711).
Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-865-5813 (TTY: 711).
Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-865-5813 (TTY: 711).
60577109_ACA_1557_MarCom_GA_2017_Taglines
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no cost aids and services to people with disabilities to communicate
effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and
accessible electronic formats
• Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages
If you need these services, call 1-888-865-5813 (TTY: 711) If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
____________________________________________________________________
HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-865-5813 (TTY: 711).
አማርኛ (Amharic) ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-888-865-5813 (TTY: 711).
.، فإن خدمات المساعدة اللغوية تتوافر لك بالمجانالعربيةإذا كنت تتحدث :ملحوظة (Arabic) العربية (.TTY :711) 5813-865-888-1 اتصل برقم
中文 (Chinese) 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-888-865-5813(TTY:711)。
اگر به زبان فارسی گفتگو می کنيد، تسهيالت زبانی بصورت رايگان برای توجه: (Farsi) فارسی تماس بگيريد.1-888-865-5813 (TTY: 711) شما فراهم می باشد. با
Help in your language
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-865-5813 (TTY: 711).
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The right choice for a healthier youHaving a good health plan is important. So is getting quality care. With Kaiser Permanente, you get both.
©2019 Kaiser Foundation Health Plan, Inc.
Not a member yet?For more information, visit kp.org/feds or call 1-855-315-1006 (TTY 711), Monday through Friday, 10 a.m. to 8 p.m.
Open Season hours: Monday through Friday, 9 a.m. to 10 p.m.
Please recycle. 381134424 October 2019
Kaiser Foundation Health Plan of Georgia, Inc.Nine Piedmont Center
3495 Piedmont Road, NE Atlanta, GA 30305
404-364-7000