PROVIDER DIRECTORY. Kaiser Permanente Medicare Plus (Cost) Plan. This directory provides a list of Kaiser Permanente Medicare Plus network providers.

Transcription

1 Kaiser Permanente Medicare Plus (Cost) Plan PROVIDER DIRECTORY This directory provides a list of Kaiser Permanente Medicare Plus network providers. This directory is for Kaiser Permanente Medicare Plus members who reside in our service area: District of Columbia; Maryland: The city of Baltimore, and the counties of Anne Arundel, Baltimore, Carroll, Harford, Howard, Montgomery, Prince George s, and parts of the following counties: Calvert, Charles, and Frederick (please see the service area description inside for the ZIP codes in these counties); Virginia: The cities of Falls Church, Fairfax, Alexandria, Manassas, and Manassas Park; the counties of Arlington, Fairfax, Prince William, and Loudoun. This directory is current as of 10/1/2011. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Kaiser Permanente Medicare Plus network providers in your area, you can visit kp.org or call our Member Services Department at , 7 days a week, 8 a.m. to 8 p.m. TTY users should call Kaiser Permanente is a health plan with a Medicare contract. This document may be available in an alternate format, such as Braille, larger print, or audio. For more information call the member services department at the number listed above. H2150_11_033 CMS Approved (09/12/2011)

2 SECTION 1 Introduction This directory provides a list of Kaiser Permanente Medicare Plus network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. The network providers listed in this directory have agreed to provide you with your health care and vision coverage. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. Some services may require a referral. If your primary care physician decides that you require covered services from other providers, you will usually be referred to a MAPMG physician. Should you require services not available within MAPMG or where such services do not meet regulatory requirements for access, you might be referred to an associated provider in the community for that service. You must have an authorized referral for specialists and non-plan providers for us to cover the services and/or supplies provided. In some cases, you may get covered services from non-network providers. Use this directory to learn about selecting your PCP and getting referrals. These processes are described in detail on the following pages. H2150_11_033 CMS Approved (09/12/2011) 1

3 Our Provider Network: The Mid-Atlantic Permanente Medical Group In the Mid-Atlantic Permanente Medical Group, P.C., there are almost 1,000 expertly skilled physicians. They practice in Kaiser Permanente medical centers and care for Kaiser Permanente members. The group includes physicians from all major specialties and most subspecialties in addition to alternative and complementary medicine, and behavioral health. Each physician meets strict standards to become and remain a Permanente physician. They are rigorously screened and expertly trained. Each is board certified or, for newly hired physicians, required to become board certified within five years of hire. They are re-credentialed every three years, every two years for certain specialties. Permanente physicians promote a healthy lifestyle, disease prevention, education, and open communication. Improving patient health using these approaches, combined with management of chronic diseases, is a cornerstone of Permanente medicine. Our physicians respect your opinions and you are encouraged to work collaboratively with your doctors about your treatment. You benefit from your own physicians experience and from the experience of thousands of Permanente physicians across the country who communicate with each other about the best ways to practice medicine and the latest developments in care, research, and technology. When you choose a Permanente physician, you can be confident that he or she has immediate access to your medical information so that you get the right care at the right time care that is personalized, affordable, and coordinated. Your doctors are part of a single, integrated medical group that enables them to easily consult about your health with other doctors, pharmacists, nurses, and other Kaiser Permanente health professionals locally and across the country. IT S TOUGH TO BECOME ONE OF OUR DOCTORS. Only one in 10 who applies is accepted as a Permanente doctor. Permanente physicians promote a healthy lifestyle, disease prevention, education, and open communication. Improving patient health using these approaches, combined with management of chronic diseases, is a cornerstone of Permanente medicine. 2 H2150_11_033 CMS Approved (09/12/2011)

4 The electronic medical record system also provides information about your health to any Kaiser Permanente caregiver who can see your medical record. That means your optician can remind you that you re due for preventive care. Most of the prescriptions written by Permanente physicians are sent electronically to our medical center pharmacies, so they can be filled fast and you can be on your way. When you speak with an advice nurse, see a Permanente doctor in urgent care in the middle of the night, or stay in a core hospital where Kaiser Permanente physicians are on duty, they can all know you through your secure electronic medical record, which is at their fingertips. That same technology connects your Permanente doctor to you. At kp.org, you can your doctor s office, read doctor s instructions, manage appointments, read most lab test results, order most prescription refills, and more. When you receive care, tests, and treatment in a Kaiser Permanente medical center, your care is connected and coordinated in ways that are possible only here. While we re proud of the many times Permanente physicians have been recognized for the quality of the care they provide, we re equally proud of the compassion they show to their patients and the zeal they have for helping you be as healthy as you can be. Your Permanente physicians and others at Kaiser Permanente are here to help you be the healthiest you can be so you can live life to the fullest. H2150_11_033 CMS Approved (09/12/2011) 3

5 Your primary care physician Establishing a relationship with a physician and seeing him or her regularly is important so you get consistent and personalized care. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician/Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. Your PCP partners with you to help you live the healthiest life possible. He or she coordinates your care, orders needed tests, and consults with specialists, pharmacists, and others, as needed. Adults should select a PCP who specializes in internal medicine or family practice. You may also choose a family practitioner to care for your entire family. When you have a PCP, you always have a physician who knows you, understands your health goals and preferences, and advocates for you. Women up to age 75 will choose a personal obstetrician/gynecologist (ob/gyn) in addition to their PCP. Note: In addition to Permanente physicians, you may also choose from among affiliated physicians for primary care and obstetrics/gynecology in some areas. Affiliated physicians are in private practice in the community, located in areas more distant from Kaiser Permanente medical centers. Each Permanente PCP and ob/gyn has a panel of patients composed of members who have either selected or been assigned to that physician. Occasionally, we must temporarily close a physician s panel to new patients because of high demand to see that physician. If, when choosing your PCP, you are told the physician you have selected is not accepting new patients, we will try to offer you another physician who is a member of your originally requested physician s health care team. 4 H2150_11_033 CMS Approved (09/12/2011)

6 Your doctor s office, plus added convenience You may choose to receive care in any of our medical centers in Maryland, Virginia, and the District of Columbia (more are opening in 2012 see page 20). Wherever you visit your Permanente physician, convenience is built into your medical center. Lab Vision care Your doctor s office Specialty care services Urgent care Pharmacy Specialty doctors Radiology Minor injury clinic Because Kaiser Permanente staff and physicians respect your time, convenience extends beyond the walls of your medical center. You can set telephone appointments with your doctor to save trips to his or her office and whenever you need medical advice, specially trained nurses are on call 24 hours a day, seven days a week. H2150_11_033 CMS Approved (09/12/2011) 5

7 Referrals for specialty care When a plan provider thinks that you need care from a specialist, he or she will usually request an authorized referral (written approval in advance) for you to see a Permanente specialist. Should you require services not available through a Permanente physician, either due to specialty or length of time until an open appointment, you might be referred to an associated provider in the community for that service. Receiving services from non-plan providers will be authorized only if the services are not available from network providers. If a referral to a non-plan provider is authorized, you pay only the cost share you would have paid if a network provider had rendered the service and/or supplies. It is very important to get an authorized referral from our plan before seeing a specialist. If you don t have an authorized referral before you receive services, you will have to pay Original Medicare cost-sharing amounts. You must have an authorized referral for specialty care for us to cover the services and/or supplies provided. A few examples of services requiring authorization are: Inpatient admissions for which you are admitted to a facility for 24 hours or longer whether scheduled or resulting from an emergency, including those for childbirth, behavioral health, chemical dependency, and vision services. Specialized services, such as home health, medical equipment and associated supplies, and hospice care. Skilled nursing and acute rehabilitation facilities. Non-emergency medical transportation. Plastic and oral surgery. Care received from a practitioner or facility that does not have a contract with Kaiser Permanente. 6 H2150_11_033 CMS Approved (09/12/2011)

8 Non-plan providers As a member of Kaiser Permanente Medicare Plus, you must use Kaiser Permanente plan providers for in-network care. However, you may also use your Original Medicare coverage separate from your Medicare Plus benefits and obtain care from non-plan providers. If you do so, ask the non-plan provider to file a claim directly with Medicare. You will be responsible for Medicare coinsurance, any unmet portion of deductibles, and for charges from providers who do not participate in Medicare, up to the limiting charge. When a non-network provider sends you a bill There may also be times when you get a bill from a provider for the full cost of medical care you have received. If that happens, you should send this bill to us instead of paying it. We will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly. Emergency Care You are covered for emergency care. A medical emergency is when you, or any other prudent layperson with an average knowledge of health and medicine, believe that you have medical symptoms that require immediate medical attention to prevent loss of life, loss of a limb, or loss of function of a limb. The medical symptoms may be an illness, injury, severe pain, or a medical condition that is quickly getting worse. If you think you are having an emergency, call 911 or proceed to the nearest hospital emergency room. Emergency care can always be obtained in or out of the service area from the nearest available provider. After the emergency is over, it is important you notify us by calling the Medical Advice line so we can be involved in the coordination of your follow-up health care. You can reach the Medical Advice line toll free at or locally at , 24 hours a day, seven days a week. TTY users should call toll free or locally These numbers are on the back of your membership ID card. H2150_11_033 CMS Approved (09/12/2011) 7

9 Post-stabilization care Post-stabilization care is medically necessary services related to your emergency medical condition that you receive after your treating physician determines that your condition is clinically stable. Your follow-up post-stabilization care will be covered according to Medicare guidelines. In general, if your emergency care is provided by non-plan providers, we will try to arrange for plan providers to take over your care as soon as your medical condition and circumstances allow. If our plan does not cover the post-stabilization care, but Original Medicare does, you will pay the Original Medicare cost-sharing amount. Refer to your Evidence of Coverage for more information. Urgent care Urgently needed care is medical care you need right away because of an illness, injury, or condition that you did not expect or anticipate, but your health is not in serious danger. Inside our service area When in the service area you must use plan providers for urgent care, except in unusual and extraordinary circumstances, such as if our providers are temporarily not available or inaccessible (such as a major disaster, epidemic, war, and riot). If you require urgent care during normal office hours, call the appointment and advice line. You will be given an appointment with your primary care physician or a member of his or her team. If your PCP is not located in a Kaiser Permanente medical center, we might ask you to call your physician s office directly. On weekends, evenings, and holidays, call the appointment and advice line to discuss the situation and get an urgent appointment. The nurse or representative will find the best choice location for you. 8 H2150_11_033 CMS Approved (09/12/2011)

10 Outside our service area If you need urgent care while outside the service area, we cover medically necessary services from a non-plan provider. You must be temporarily outside our service area and you must reasonably believe that your health would seriously deteriorate if you delayed treatment until you returned to our service area. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider accepting Original Medicare. You will be responsible for paying the Original Medicare cost-share amounts (such as coinsurance and deductibles). Services when you are traveling While you are traveling, you can get certain medically necessary health care services and items from plan providers in other Kaiser Permanente regions or providers in Group Health Cooperative s (GHC) service area for up to 90 days. You may call Member Services for more information about getting care when visiting other Kaiser Permanente regions or GHC s service area, including coverage information and facility locations in parts of California, Colorado, Georgia, Hawaii, Idaho, Ohio, Oregon, and Washington. H2150_11_033 CMS Approved (09/12/2011) 9

11 What is the service area for Kaiser Permanente Medicare Plus? The counties and parts of counties in our service area are listed below. For a map of our service area, please refer to page 17. District of Columbia Maryland: Baltimore City; Anne Arundel, Baltimore, Carroll, Harford, Howard, Montgomery, and Prince George s counties; and the following partial counties: Calvert, the following ZIP codes only : 20639, 20678, 20689, 20714, 20732, 20736, Charles, the following ZIP codes only: 20601, 20602, 20603, 20604, 20612, 20616, 20617, 20637, 20640, 20643, 20646, 20658, 20675, 20677, Frederick, the following ZIP codes only: 21701, 21702, 21703, 21704, 21705, 21709, 21710, 21714, 21716, 21717, 21718, 21754, 21755, 21758, 21759, 21762, 21769, 21770, 21771, 21774, 21775, 21777, 21790, 21792, Virginia: The cities of Falls Church, Fairfax, Alexandria, Manassas, and Manassas Park; Arlington, Fairfax, Prince William, and Loudoun counties. How do you find Kaiser Permanente Medicare Plus providers in your area? We have made it easy to locate the physicians of your choice by organizing the directory into sections. Kaiser Permanente primary care physicians and obstetricians/gynecologists are listed by state, county, medical center, and provider name and address. Specialists are listed by specialty, state, county, and provider name and address. There is an alphabetical index of physicians and their specialties at the back of this directory. 10 H2150_11_033 CMS Approved (09/12/2011)

12 How to choose your doctor 1. Learn about our doctors You can easily read about Permanente physicians and choose your doctor online at kp.org/doctor. On their personal Web pages, doctors even share their health tips or connect their patients with other valuable information. Some physicians include information about their special professional interests and personal hobbies. Look through this provider directory, or the electronic version at kp.org/medicare. 2. Choose your PCP If you don t choose a PCP when you enroll, we ll send you a letter asking you to make a selection. If we don t hear from you, we ll make a selection for you, based on where you live, and notify you in writing. Of course, you can change your assigned primary care physician any time you like. 3. Choose your ob/gyn Women up to age 75 should choose an ob/gyn in addition to a PCP. We recommend that you make your selection when you enroll. If you do not make your selection within the first month of becoming a member, we will select one for you. Of course, you can change your assigned ob/gyn any time you like. 4. Tell us your choices. You can: Indicate your selection on the enrollment form. Choose or change your physician by visiting kp.org or calling the Kaiser Permanente Member Services department seven days a week, 8 a.m. to 8 p.m. at (TTY ). Once you are registered at kp.org, you will be able to change your physician choice online. H2150_11_033 CMS Approved (09/12/2011) 11

13 kp.org/doctor You can easily read about Permanente physicians and choose your doctor online. On their personal Web pages, doctors even share health tips or connect their patients with other valuable information. You can easily search through information about our doctors in a variety of ways. Once you know the doctor you want to select, we ll guide you through the steps all online. Choose a medical facility that s close to your home or work. Search by the type of primary care that fits your needs, such as adult medicine or family practice. Search through the site by the name of the doctor. You ll be able to research our doctors educational background, languages spoken, gender, and more. 12 H2150_11_033 CMS Approved (09/12/2011)

14 Choosing a physician listed in this directory Within this directory, you ll find listings for Permanente physicians. Take a quick tour of the sample listing below to discover what you ll learn. Each doctor is unique, so listings will differ. Physician name. This icon tells you that the doctor s office is in a Kaiser Permanente medical center. Which non-english languages does the doctor speak? If the doctor speaks only English, no languages are listed. Jantina M. Van Der Linde, MD kp.org/doctor/jantinavanderlinde PROVIDER KP West End Medical School: Tufts University School of Medicine } Residency: Lawrence General Fellowship: Lawrence General Languages: Dutch, Portuguese, Spanish Affiliations: Washington Web address for the physician s home page. Each doctor has a provider number you use if you complete a physician selection form. The doctor s education and training. Is the doctor board certified or awaiting certification? You ll learn here. The doctor s gender. The hospitals at which the doctor may practice. Listings for non-permanente physicians are similar but may not contain all the informational categories noted above. H2150_11_033 CMS Approved (09/12/2011) 13

15 This directory also includes listings by state of Kaiser Permanente medical centers, urgent care centers, hospitals, skilled nursing facilities, laboratory services, radiology services, and pharmacies. If you have questions about Kaiser Permanente Medicare Plus, or require assistance in selecting a PCP, please call our Member Services department at , seven days a week, 8 a.m. to 8 p.m. TTY users should call Or, visit kp.org. 14 H2150_11_033 CMS Approved (09/12/2011)

16 Section 2 List of Plan Providers Our service area and ZIP code list Medical centers, behavioral health centers, and imaging centers Kaiser Permanente medical centers Urgent care s Skilled nursing facilities Laboratory services Radiology services Kaiser Permanente Medicare Plus primary care physicians (314) and obstetricians/gynecologists (83) Kaiser Permanente Medicare Plus specialists (509) Preferred pharmacies (29) Non-preferred pharmacies Index of physicians H2150_11_033 CMS Approved (09/12/2011) 15

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18 Service area map Our service and enrollment area includes the following geographic areas: Washington, DC Maryland: The city of Baltimore; the counties of Baltimore, Montgomery, Carroll, Harford, Anne Arundel, Prince George s, Howard, and portions of Calvert, Charles, and Frederick. Virginia: The counties of Arlington, Fairfax, Prince William, and Loudoun; and the cities of Falls Church, Fairfax, Alexandria, Manassas, and Manassas Park. Medical centers, behavioral health centers, and imaging centers Loudoun VA 5 Frederick* Montgomery E Fairfax Prince William Carroll MD 70 Howard DC Prince George s Charles* E 83 Baltimore Balt City Anne Arundel 1 Calvert* 18 Harford 95 Opening in 2012 Expanding s Behavioral Health s Imaging Moving to a New Location in 2012 * Service area contains only portions of these counties. Maryland 1 Annapolis 2 Camp Springs 3 City Plaza 4 Columbia Gateway 5 Kaiser Permanente Frederick 6 Gaithersburg 7 NEW Gaithersburg 8 Germantown 9 Kensington 10 Largo 11 Marlow Heights 12 Prince George s 13 Severna Park 14 Shady Grove 15 Silver Spring 16 Summit Behavioral Health 17 Towson 18 White Marsh 19 Woodlawn Virginia 20 Ashburn 21 Burke 22 Falls Church 23 Fair Oaks 24 Imaging 25 Loudoun 26 Penderbrook 27 Manassas 28 Reston 29 Springfield 30 NEW Tysons Corner 31 Woodbridge Washington, D.C. 32 Kaiser Permanente Capitol Hill 33 NEW Northwest 34 West End H2150_11_033 CMS Approved (09/12/2011) 17

19 Service area ZIP code list To enroll, you must live in our service area, which includes the following ZIP codes. (Note: ZIP codes may change. If you think you live within the service area but your ZIP code does not appear on this list, please speak to your personnel office or call Member Services.) Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. 18 H2150_11_033 CMS Approved (09/12/2011)

20 H2150_11_033 CMS Approved (09/12/2011) 19 Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org

21 New and expanded medical centers MARYLAND Opening spring 2012 Kaiser Permanente Gaithersburg More than 175,000 square feet of care and service. Expansion and renovation Kaiser Permanente Largo When complete in 2013, the center will provide 237,000 square feet of care and service. VIRGINIA Opening summer 2012 Kaiser Permanente Tysons Corner More than 200,000 square feet of care and service. Expansion and renovation Kaiser Permanente Ashburn Projects will be completed in fall The center will provide 29,000 square feet of care and service. WASHINGTON, D.C. Opening summer/fall 2012 Kaiser Permanente Northwest 42,000 square feet of care and service. Now open! Kaiser Permanente Capitol Hill 156,000 square feet of care and service. Be sure to visit kp.org/facilities regularly for information about the services these medical centers provide. 20 H2150_11_033 CMS Approved (09/12/2011)

22 Rock Creek and Potomac Pkwy Kaiser Permanente medical centers* District of Columbia Now open! Kaiser Permanente Capitol Hill 700 Second Street, NE Washington, DC Main Number: Hours: Services: 8:30 a.m. 5 p.m. M F Adult Medicine, Allergy, Audiology, Cardiology, Clinical Decision Unit, Dermatology, Ear, Nose & Throat, Endocrinology, Gastroenterology, General Surgery, Head and Neck Surgery, Hematology, Infectious Disease, Infusion, Internal Medicine, Nephrology, Neurology, Observation Unit, Obstetrics/Gynecology, Oncology, Ophthalmology, Orthopedics/Spine, Outpatient Procedure Suite, Pediatrics, Pediatric Endocrinology, Perinatology, Pharmacy, Physical Therapy, Plastic Surgery, Podiatry, Pulmonary, Rheumatology, Urgent Care, Urology, Vascular Surgery, Vision Services Pharmacy: Pharmacy Hours: 24 Hrs M Su 395 New Jersey Ave NW L St NW Massachusetts Ave NW Union Station 2nd St NE L St NE Capitol Hill NEW! Northwest 2301 M Street, NW Washington, DC Northwest 23rd St Located a short distance from the current West End, this new state-of-the-art center is scheduled to open summer/fall Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services M St K St NW New Hampshire Ave * The continued availability and location of physicians or services of any medical center cannot be guaranteed. Addresses, telephone numbers, and hours of operation are subject to change. Not all services are available at each medical center or site. Kaiser Permanente reserves the right to relocate services. Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. H2150_11_033 CMS Approved (09/12/2011) 21

23 21st St NW 22nd St NW 26th St NW Kaiser Permanente medical centers (cont d) West End 2100-W Pennsylvania Avenue, NW Washington, DC Main Number: TTY: Hours: Services: 8 a.m. 5 p.m. M F Behavioral Health Services, Internal Medicine, Laboratory, Ob/Gyn, Pediatrics, Pharmacy, Radiology Pharmacy: Pharmacy Hours: 8 a.m. 5:30 p.m. M F 29 Rock Creek and Potomac Pkwy NW K St NW Pennsylvania Ave NW I (Eye) St NW West End K St NW All West End services and providers will be relocating a short distance away to the new Northwest, scheduled to open summer/fall Please check kp.org/facilities for the most up-todate listing of the services located at Kaiser Permanente medical centers or call Member Services. Maryland Annapolis 888 Bestgate Road Annapolis, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Family Practice, Internal Medicine, Laboratory, Ob/Gyn, Pharmacy Pharmacy: Pharmacy Hours: 8:30 a.m. 5:30 p.m. M F Generals Hwy Defense Hwy 450 Annapolis 178 Annapolis Mall 23 Bestgate Rd West St Camp Springs 6104 Old Branch Avenue Temple Hills, MD Main Number: TTY: Hours: Services: 8 a.m. 5 p.m. M F Child and Adolescent Behavioral Health, Diabetic Education, Internal Medicine, Laboratory, Mammography, Nutrition, Optical, Optometry, Pediatrics, Pharmacy, Podiatry, Radiology, Sleep Apnea Clinic, Urgent Care Pharmacy: Pharmacy Hours: 8 a.m. 10 p.m. M F 9 a.m. 5 p.m. Sa, Su, Holidays Temple Hill Rd Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org Old Branch Ave Camp Springs 5 Branch Ave 337 Allentown Rd 22 H2150_11_033 CMS Approved (09/12/2011)

24 Kaiser Permanente medical centers (cont d) City Plaza 10 Hopkins Plaza Baltimore, MD Main Number: TTY: Hours: Services: 8:30 a.m. 5 p.m. M F Infectious Disease, Internal Medicine, Laboratory, Ob/Gyn, Pediatrics, Pharmacy, Radiology Pharmacy: Pharmacy Hours: 8:30 a.m. 5:30 p.m. M F N Martin Luther King Jr Blvd S Martin Luther King Jr Blvd Hopkins Pl S Sharp St N Liberty St W Baltimore St E Baltimore St Cathedral St City Plaza 83 President St Columbia Gateway 7070 Samuel Morse Drive Columbia, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Allergy Shots, Dermatology, Family Practice, Gastroenterology, Internal Medicine, Laboratory, Ob/Gyn, Orthopedics, Pediatrics, Pharmacy, Radiology, Rheumatology Pharmacy: Pharmacy Hours: 8:30 a.m. 5:30 p.m. M F Patuxent Frwy 32 Columbia Gateway 38 Samuel Morse Dr 95 Columbia Gateway Dr Little Patuxent Pkwy 41 Waterloo Rd NEW! Gaithersburg 655 Watkins Mill Road Gaithersburg, MD Located a short distance from the current Gaithersburg center, the new state-of-the-art center is scheduled to open spring It will include more than 175,000 square feet of care and service. Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services. under construction Gaithersburg 270 Watkins Mill Rd Montgomery Village Ave N Frederick Ave Lakeforest Mall The continued availability and location of physicians or services of any medical center cannot be guaranteed. Addresses, telephone numbers, and hours of operation are subject to change. Not all services are available at each medical center or site. Kaiser Permanente reserves the right to relocate services. Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. H2150_11_033 CMS Approved (09/12/2011) 23

25 Kaiser Permanente medical centers (cont d) Gaithersburg 501 North Frederick Avenue Gaithersburg, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8 a.m. 5 p.m. M F Dermatology, Diabetic Education, Internal Medicine, Laboratory, Nutrition, Ob/Gyn, Pediatrics, Pharmacy, Radiology, Ultrasound Pharmacy: Pharmacy Hours: 8 a.m. 6:30 p.m. M F 9 a.m. 1 p.m. Sa All current Gaithersburg services and providers will be relocating a short distance away to the new state-of-the-art Gaithersburg facility, which is scheduled to open spring Please check kp.org/ facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services Montgomery Village Ave Gaithersburg Perry Pkwy Lakeforest Blvd North Frederick Rd Lakeforest Mall Germantown Seneca Meadows Parkway Germantown, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8 a.m. 5 p.m. M F Diabetic Education, Internal Medicine, Laboratory, Ob/Gyn, Pediatrics, Pharmacy Pharmacy: Pharmacy Hours: 8 a.m. 5:30 p.m. M F Crystal Rock Dr 270 Germantown Seneca Meadows Pkwy Germantown Rd Goldenrod Ln All current Germantown services and providers will be relocating a short distance away to the new state-of-the-art Gaithersburg facility, which is scheduled to open spring Please check kp.org/ facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services. Kaiser Permanente Frederick 7190 Crestwood Boulevard Frederick, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8 a.m. 5 p.m. M F Behavioral Health, Cardiology, Dermatology, Family Practice, Internal Medicine, Laboratory, Neurology, Ob/Gyn, Oncology, Orthopedics, Pediatrics, Pharmacy, Podiatry Pharmacy: Pharmacy Hours: 8 a.m. 5:30 p.m. M F New Design Blvd Crestwood Blvd Buckeystown Pike Kaiser Permanente Frederick Medical Urbana Pike Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. 24 H2150_11_033 CMS Approved (09/12/2011)

26 Kaiser Permanente medical centers (cont d) Kensington Connecticut Avenue Kensington, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Allergy, Ambulatory Surgery, Audiology, Dermatology, General Surgery, Infusion Services, Internal Medicine, Interventional Pain Management, Laboratory, Neurology, Nutrition, Ob/Gyn, Kensington University Blvd Veirs Mill Rd Otolaryngology, Pathology, Pediatrics, Perioperative Evaluation and Education, Pharmacy, Plastic Surgery, Podiatry, Pulmonology, Radiology, Sleep Medicine, Urgent Care, Urology, Vision Services (Ophthalmology, Optometry) Pharmacy: Pharmacy Hours: 8 a.m. 10 p.m. M F 9 a.m. 5 p.m. Sa, Su, Holidays Certain Kensington services and providers will be relocating to the new Gaithersburg, which is scheduled to open spring Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services. Largo 1221 Mercantile Lane Largo, MD Main Number: TTY: Hours: Services: 7:30 a.m. 5 p.m. M F Allergy, Audiology, Cardiology, Dermatology, Diabetic Education, Endocrinology, Gastroenterology, General Surgery, Infectious Disease, Internal Medicine, Laboratory, Nutrition, Ob/Gyn, Oncology, Orthopedics, Otolaryngology, Pediatrics, Pharmacy, Physical Medicine, Physical Therapy, Pulmonology, Radiology, Urgent Care, Urology, Vision Services (Ophthalmology, Optometry) Pharmacy: Pharmacy Hours: 8 a.m. 1 a.m. M F 9 a.m. 1 a.m. Sa, Su, Holidays Expanding! Already under way, the expansion includes new state-of-the-art facilities, parking, new medical services, and providers. The expansion is scheduled to continue into Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services. The continued availability and location of physicians or services of any medical center cannot be guaranteed. Addresses, telephone numbers, and hours of operation are subject to change. Not all services are available at each medical center or site. Kaiser Permanente reserves the right to relocate services. Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. H2150_11_033 CMS Approved (09/12/2011) Arena Dr Connecticut Ave 202 Lottsford Rd Mercantile Ln Apollo Dr 193 Landover Rd 586 Largo Medical Arena Dr Georgia Ave

27 Kaiser Permanente medical centers (cont d) Marlow Heights 5100 Auth Way Suitland, MD Main Number: TTY: (MD Relay) Hours: Services: 8 a.m. 5 p.m. M F Behavioral Health, Diabetic Education, Family Practice, Laboratory, Mammography, Nephrology, Neurology, Nutrition, Ob/Gyn, Ophthalmology, Optical, Optometry, Pharmacy, Radiology, Ultrasound Pharmacy: Pharmacy Hours: 8 a.m. 5:30 p.m. M F 9 a.m. 1 p.m. Sa 5 Branch Ave 495 Marlow Heights 95 7 Auth Rd Auth Way Capital Gateway Dr Physician s Office Building Holy Cross 1400 Forest Glen Road Silver Spring, MD Cardiology: Hours: 8 a.m. 4:30 p.m. M F Nuclear Cardiology: Hours: 7 a.m. 3 p.m. M F Vascular: Hours: 8 a.m. 4:30 p.m. M F Certain Holy Cross services and providers will be relocating to the new Gaithersburg, which is scheduled to open spring Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services. Georgia Ave Holy Cross Forest Glen Rd 495 Prince George s (Hyattsville) 6525 Belcrest Road Hyattsville, MD Main Number: TTY: Hours: Services: 8 a.m. 5 p.m. M F Alternative & Complementary Medicine, Behavioral Health, Diabetic Education, Internal Medicine, Laboratory, Mammography, Nutrition, Ob/Gyn, Pediatrics, Pharmacy, Physical Therapy, Radiology Pharmacy: Pharmacy Hours: 8 a.m. 5 p.m. M F 9 a.m. 1 p.m. Sa 410 Prince George s (Hyattsville) East-West Hwy Belcrest Rd Queens Chapel Rd Adelphi Rd 500 Queens Chapel Rd Baltimore Ave 1 Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. 26 H2150_11_033 CMS Approved (09/12/2011)

28 Kaiser Permanente medical centers (cont d) Severna Park 8028 Ritchie Highway, Suite 134 Pasadena, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Allergy Shots, Family Practice, Internal Medicine, Laboratory, Ob/Gyn, Orthopedics, Pediatrics, Pharmacy, Radiology Pharmacy: Pharmacy Hours: 8:30 a.m. 5:30 p.m. M F Ritchie Hwy Paul Pitcher Memorial Hwy Severna Park Arundel Expy Shady Grove 1396 Piccard Drive Rockville, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8 a.m. 5 p.m. M F Alternative & Complementary Medicine, Diabetic Education, Endocrinology, Endoscopy, Family Practice, Flexible Sigmoidoscopy, Gastroenterology, Internal Medicine, Laboratory, Mammography, Nutrition, Oncology, Orthopedics, Pharmacy, Podiatry, Radiology, Rheumatology, Urgent Care Pharmacy: Pharmacy Hours: 8 a.m. 1 a.m. M F 9 a.m. 1 a.m. Sa, Su, Holidays Imaging (CT/MRI): Imaging Hours: 8 a.m. 5 p.m. M F Certain Shady Grove services and providers will be relocating to the new Gaithersburg Medical, which is scheduled to open spring Please check kp.org/facilities for the most up-todate listing of the services located at Kaiser Permanente medical centers or call Member Services Key W Ave Shady Grove Rd 8 Gaither Rd Redland Rd Shady Grove W Gude Dr The continued availability and location of physicians or services of any medical center cannot be guaranteed. Addresses, telephone numbers, and hours of operation are subject to change. Not all services are available at each medical center or site. Kaiser Permanente reserves the right to relocate services. Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. H2150_11_033 CMS Approved (09/12/2011) 27

29 Kaiser Permanente medical centers (cont d) Silver Spring Plum Orchard Drive Silver Spring, MD Main Number: TTY: (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Dermatology, Diabetic Education, Family Practice, Internal Medicine, Laboratory, Mammography, Nephrology, Nutrition, Ob/Gyn, Orthopedics, Pediatrics, Pharmacy, Radiology, Rheumatology, Vision Essentials (Optical, Optometry) Pharmacy: Pharmacy Hours: 8:30 a.m. 6 p.m. M F 9 a.m. 1 p.m. Sa 29 E Randolph Rd Columbia Pike Broadbirch Dr Cherry Hill Rd Silver Spring Calverton Blvd Powder Mill Rd Towson 1447 York Road, Suite 100 Lutherville, MD (Rear of Galleria Towers, E. Seminary Avenue) Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Dermatology, Ear, Nose and Throat (ENT), Gastroenterology, Internal Medicine, Laboratory, Nephrology, Neurology, Ob/Gyn, Occupational Therapy, Orthopedics, Pediatrics, Pediatric Endocrinology, Pharmacy, Podiatry, Radiology Pharmacy: Pharmacy Hours: 8:30 a.m. 5:30 p.m. M F 83 W Seminary Ave York Rd Towson E Seminary Ave White Marsh 4920 Campbell Boulevard White Marsh, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Behavioral Health, Internal Medicine, Laboratory, Mammography, Ob/Gyn, Orthopedics, Pediatrics, Pharmacy, Radiology Pharmacy: Pharmacy Hours: 8:30 a.m. 6 p.m. M F 43 Perry Hall Blvd Honeygo Blvd White Marsh Blvd White Marsh Mall 95 White Marsh Medical Campbell Blvd 67 7 Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. 28 H2150_11_033 CMS Approved (09/12/2011)

30 Kaiser Permanente medical centers (cont d) Woodlawn 7141 Security Boulevard Baltimore, MD Main Number: TTY: Dial 711 (MD Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Allergy, Baltimore Imaging, Behavioral Health, Ear, Nose and Throat (ENT), Endocrinology, General Surgery, Hand Therapy (Occupational Therapy), Internal Medicine, Greengage Rd Security Blvd Brookdale Rd Newcastle Rd Fairbrook Rd Laboratory, MICC (Minor Injury Care Clinic), Nephrology, Nutrition and Diabetes Education, Ob/Gyn, Oncology, Ophthalmology, Optometry, Pediatrics, Pharmacy, Podiatry, Pre-Op, Pulmonary, Radiology, Urgent Care, Urology Pharmacy: Pharmacy Hours: 8:30 a.m. 11:30 p.m. M F 8:30 a.m. 11:30 p.m. Sa, Su, Holidays 70 Woodlawn North Rolling Rd Security Blvd Virginia Expanding! Ashburn Yukon Drive, Suite 100 Ashburn, VA Main Number: Hours: Services: 8:30 a.m. 5 p.m. M F Allergy Shots Only: (M 8:30 a.m. 5 p.m.; F 1 p.m. 5 p.m.), Behavioral Health, Family Practice, Internal Medicine, Laboratory, Ob/Gyn, Pediatrics, Pharmacy, Radiology Pharmacy: Pharmacy Hours: 9 a.m. 5:30 p.m. M F Ashburn Village Blvd The medical center is scheduled to be newly expanded and will include state-of-the-art technology, new medical services, and additional providers. The expansion will be completed fall Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services Dulles Greenway Yukon Dr Greenway Corporate Dr Ashburn Blossom Hill Ter Shellhorn Rd The continued availability and location of physicians or services of any medical center cannot be guaranteed. Addresses, telephone numbers, and hours of operation are subject to change. Not all services are available at each medical center or site. Kaiser Permanente reserves the right to relocate services. Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. H2150_11_033 CMS Approved (09/12/2011) 29

31 Kaiser Permanente medical centers (cont d) Burke 5999 Burke Commons Road Burke, VA Main Number: TTY: Hours: Services: 8:30 a.m. 5 p.m. M F Allergy Shots Only: (T 8:30 a.m. 12:30 p.m.; Th 12:30 p.m. 4:30 p.m.), Behavioral Health, Family Practice, Internal Medicine, Laboratory, Nephrology, Ob/Gyn, Optical, Optometry, Pediatrics, Pharmacy, Radiology Pharmacy: Pharmacy Hours: 8:30 a.m. 5:30 p.m. M F Certain Burke services and providers will be relocating to the new Tysons Corner, which is scheduled to open summer In addition, new services and providers will be relocating to Burke during that time. Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services. 123 Ox Rd Fairfax County Pkwy Burke Centre Pkwy 7100 Roberts Pkwy N Burke Commons Rd Burke Medical Fair Oaks Fair Lakes Parkway Fairfax, VA Main Number: TTY: (VA Relay) Hours: Services: 8:30 a.m. 5 p.m. M F Allergy Shots Only: (W, F 8:30 a.m. 5:30 p.m.), Gastroenterology, General Surgery, Internal Medicine, Interventional Pain, Laboratory, Nutrition, Ob/Gyn, Oncology, Orthopedics, Pediatrics, Pharmacy, Podiatry, Radiology (including Mammography), Vision Services (Optometry, Ophthalmology) Pharmacy: Pharmacy Hours: 8 a.m. 6:30 p.m. M Th 8 a.m. 6 p.m. F 9 a.m. 1 p.m. Sa Fairfax County Pkwy Fair Lakes Pkwy Fair Oaks Certain Fair Oaks services and providers will be relocating to the new Tysons Corner Medical, which is scheduled to open summer In addition, new services and providers will be relocating to Fair Oaks during that period. Please check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanente medical centers or call Member Services Fair Oaks Mall Contact Member Services toll free seven days a week, 8 a.m. to 8 p.m. at (TTY ) or kp.org. 30 H2150_11_033 CMS Approved (09/12/2011)