together in good health

Transcription

1 Federal Employees and Annuitants 2016 Rates and Benefits Northern California Region This is an advertisement Get care anywhere you go Rewards benefit: Up to $75 in Visa reward cards New medical facilities together in good health see how easy healthy can be kp.org/feds Not a member yet? For more information, visit kp.org/feds or call , Monday through Friday, 8 a.m. to 5 p.m. Open Season hours: 7 days a week, 5 a.m. to 7 p.m.

2 Making good health easier Experience the Kaiser Permanente difference The experience Without Kaiser Permanente With Kaiser Permanente* Choosing your doctor Getting care in your language Choosing how you get care All you know is that your doctor accepts your insurance. Some health plans have few multilingual doctors. Even for minor concerns, you usually make an appointment, drive to the doctor s office, and sit in the waiting room. You can search our doctor profiles on kp.org and choose the one who s right for you. You can even change your doctor anytime. We have multilingual doctors and staff, and we offer interpretation services by phone in 140+ languages. For minor concerns, you can request a phone appointment or your doctor s office with routine questions. Calling for advice When your child has a latenight fever, there s often no medical advice available. Specially trained Kaiser Permanente nurses can offer medical advice by phone, 24/7. Making an appointment Seeing your doctor Remembering what your doctor said Calling and waiting to schedule an appointment can take forever. Your doctor may need to flip through your files, hunting for details and looking for answers you ve already given. Take lots of notes during your visit or trust your memory later. You can schedule routine appointments from your computer or mobile device anytime, anywhere. Your doctor has your medical history and prescriptions right at his or her fingertips through your electronic health record. You can view your past visit summaries and most lab test results online, whenever you want. *These features are available when you get care at Kaiser Permanente.

3 Kaiser Permanente Together in good health The right choice for your health Get the great care and resources you need to live healthy all together in one convenient package. Check out everything that comes with your health plan, and you ll see why over 10 million people nationwide have chosen Kaiser Permanente. Why KP? A healthy partnership Great care, great results Care the way you want it Extras for your well-being Healthy resources... 6 Locations near you... 7 Your 2016 FEHB Benefits Benefit highlights Which option is right for you? Your 2016 benefits summary Ready to enroll with Kaiser Permanente? Senior Advantage for Federal Members What s new in Northern California Once you join Visit kp.org/newmember for all you need to get started. It s easy to choose your doctor, register for kp.org, and transition your prescriptions. If you have questions or need help making your first appointment, just give us a call. Already a member? Make sure you get the most out of your membership. If you haven t already, register on kp.org, where you can manage your care online, schedule an appointment for a family member, get support for improving your health, and more. 1

4 Kaiser Permanente Together in good health A healthy partnership Getting you connected with a doctor who suits your individual needs is our top priority. When you have a doctor you connect with, it s easier to stay healthy. Choose your doctor and change anytime Browse our online doctor profiles at kp.org/ searchdoctors to see your options. You ll find information on a wide range of highly skilled doctors, including their education, credentials, and specialties (in fact, only 1 in 10 doctors is selected to work for Kaiser Permanente). Then choose the one who s right for you. You can choose your doctor from: Adult medicine/internal medicine Family medicine Pediatrics/family medicine (for children up to 18) Choose 1 doctor for your whole family or a different doctor for each family member. You can also change your doctor anytime. See specialists often without a referral You don t need a referral for obstetricsgynecology, optometry, psychiatry, chemical dependency, or addiction medicine. For other specialties, your doctor can easily refer you. Great doctors working together as a team With Kaiser Permanente, you get the support of a team of doctors, nurses, and specialists focused on your health. Your entire care team works together often under one roof sharing information to give you the care you need. And with access to your electronic health record, they know your medical history, test results, medications, and allergies. This helps them tailor care for you. Care for diverse and cultural needs Great care isn t one-size-fits-all. That s why we have programs that focus on tailoring care for our diverse membership. We re one of the only care providers with an institute dedicated to culturally competent care, where we do research to help improve health outcomes for all our members. We ve already reduced health disparities among different ethnicities for conditions like high blood pressure, diabetes, and colon cancer. 2

5 Great care, great results Get the care you need to stay your healthiest. From preventive screenings to care for serious conditions, we ve got you covered. And it s all backed by the latest medical technology and research. Preventive care that keeps you healthy We help you protect your health, even when you re healthy. To catch problems early, before they get serious, we offer preventive screenings, routine appointments, and more. Through your electronic health record, your care team knows what you re due for and can keep you up-to-date. With this focus on prevention, our members can rely on impressive results. Leading the way in prevention We have the highest rating for breast and colon cancer screenings.* We re in the top 10% for cervical cancer screenings.* 89% of members diagnosed with high blood pressure now have it under control, compared to 63% nationally. Comprehensive care when you need it Along with our commitment to prevention, we re here for you if you get sick. You get great doctors, state-of-the-art facilities, and the latest technology all combined to help you get healthy quickly. Cutting-edge research and care Kaiser Permanente research centers make up one of the largest nonacademic research programs in the country. We have about 2,000 studies happening at any given time. And our clinical trials program drives cutting-edge cancer research, which leads to better care for members. Through our innovative electronic health record system, your care team stays up-to-date not only about each patient s needs but also about the latest medical research and the safest, most effective treatments. * Ratings based on Breast Cancer Screening, Colorectal Cancer Screening, and Controlling High Blood Pressure 2013 performance results and Cervical Cancer Screening 2012 performance results for commercial and Medicare plans from the Healthcare Effectiveness Data and Information Set (HEDIS ) published by the National Committee for Quality Assurance. For more information, visit ncqa.org. Kaiser Permanente program average is the weighted average of each regional health plan s screening data and its eligible population. Manage ongoing conditions If you have a condition like diabetes or heart disease, you re automatically enrolled in a disease management program to help you get it under control. And we start managing your condition right away with care supported by proven best practices and advanced technology. 3

6 Kaiser Permanente Together in good health Care the way you want it Get the choices you need to stay on top of your care. Whether you want to schedule an appointment online or you d like to talk to your doctor by phone or video, you have many convenient options. Choose how you get and manage your care In person You can always make an appointment to see your doctor in person. And because most of our locations offer many services under one roof, you can see your doctor, get lab services and X-rays, and pick up your prescriptions all in one trip. By phone Save a trip to the doctor s office. Where telephone appointments are available, you can schedule one to talk to your doctor by phone. If you re not sure what kind of care you need, you can also call our advice nurses 24/7. By Connect with your doctor anytime. You can your doctor s office with nonurgent questions and get a reply within 48 hours, often sooner. By video Save time with a video appointment. For certain conditions or symptoms, you may be able to see your doctor using your computer or mobile device. Online Stay on top of your care 24/7. Once you ve registered on kp.org, you can use our website to choose your doctor, schedule routine appointments, view most lab test results, refill most prescriptions, print vaccination records, and manage a family member s health. On the go After registering on kp.org, you can go to your smartphone, download the Kaiser Permanente app, and start using our secure online features anytime, anywhere. Learn more at kp.org/mobile. 4

7 Extras for your well-being We care for the whole you. From emergencies to personal wellness goals, you get the support you need to thrive. And to sweeten the deal, we ll even throw in Visa reward cards just for taking healthy steps. Get coverage, no matter where life takes you As a Kaiser Permanente FEHB member, your benefits go further than your home service area. Wherever you go, you re covered for: Emergency room and urgent care visits anywhere in the world Care at any Kaiser Permanente location in another region Coverage for certain outpatient follow-up care and outpatient care outside of Kaiser Permanente service areas through the FEHB travel benefit Call , 24 hours a day, 7 days a week to let Kaiser Permanente know you ve been admitted to a hospital with an emergency condition, or to ask for approval for poststabilization care. For TTY for the hearing/ speech impaired, call 711. Earn up to $150 in Visa reward cards for taking healthy steps* You and your enrolled spouse can each get up to $75 in Visa reward cards per year: $50 for taking the Total Health Assessment, an online questionnaire that gives you a wellness action plan $25 for completing a healthy lifestyle program, an online class to help you reach your health goals Go to kp.org/feds to learn more and get started. Help to quit smoking Let us help you succeed in quitting. You pay nothing for classes, telephone coaching, online programs, and prescriptions, including prescribed over-the-counter tobacco-cessation drugs. Ask your doctor about your treatment options. * The rewards program runs from January 1 through December 31, 2016, and is open to all Kaiser Permanente FEHB subscribers and their enrolled spouses 18 and older. You can take the Total Health Assessment as often as you would like and as many healthy lifestyle programs as you want, but you can only earn rewards for them once during the reward period. You must complete the activities during the calendar year. Reward cards expire 12 months from date issued. 5

8 Kaiser Permanente Together in good health Healthy resources Good health goes beyond the doctor s office. Take a look at all the healthy tools and resources available online, by phone, and at our facilities and choose the ones that are right for you. Get the most out of your health plan Online wellness tools Visit kp.org/healthyliving for helpful articles, wellness information, health calculators, fitness videos, music channels, podcasts, and recipes from world-class chefs. Health classes You can find classes and support groups at our facilities and get help improving your health.* Find classes near you at kp.org/classes. Personal wellness coaching Work one-on-one by phone with a personal wellness coach at no cost. You can get help and inspiration for reaching a variety of health goals. Find out more at kp.org/wellnesscoach. Special rates for members Our members get reduced rates on a variety of products and services like gym memberships, massage therapy, and more. See your options at kp.org/choosehealthy. * Classes vary at each care facility and some may require a fee. 6

9 Locations near you It s easy to get care at a location that s convenient for you. There are many Kaiser Permanente facilities in your area, offering a wide range of care and services to help you get healthy and stay that way. Easy access for easier care With convenient hours and locations, it s simple to get the care you and your family need. Many of our locations offer same-day or next-day, after-hours, and weekend services, along with obstetrics-gynecology, pediatrics, and other specialty departments. Many services under one roof Most of our facilities offer a wide variety of care and services, so you can take care of several health care needs in one visit. You can see your doctor or specialist, get a lab test or an X-ray, and pick up your medications all without leaving the building. Finding convenient locations Choosing the right location is as easy as hopping online or pulling out your smartphone. Visit kp.org/kpfacilities to search by ZIP code, keyword, or the service you want. To search with your smartphone or mobile device, just use our location finder on the Kaiser Permanente app.* Getting care anywhere With so many locations to choose from, you re sure to find one near your home or work whatever s convenient for you. You can also see different doctors at different locations, either for yourself or your family. For example, you can choose a personal doctor close to work and an optometrist close to home, and your child can see a pediatrician near school. * To use the Kaiser Permanente app, you must be a Kaiser Permanente member registered on kp.org. 7

10 Kaiser Permanente Together in good health Benefit highlights Save on prescription drugs Save time and money by ordering prescription refills online or by phone. We can mail most prescription drugs to you within 10 days. You don t pay for U.S. mail delivery. And when you order refills by mail, you get a 100-day supply and pay only two 30-day supply plan pharmacy copays. Chiropractic without a referral You can receive up to 20 chiropractic visits per year, without a referral, with any American Specialty Health (ASH) Plans of California, Inc., participating provider. To find a participating provider, visit ashlink.com/ash/kp or call , Monday through Friday, 5 a.m. to 6 p.m. For TTY for the hearing/ speech impaired, call benefit changes what s new? Key benefit changes to High and Standard Options include: Added a specialty drug tier. Specialty drugs are often for treatment of complex diseases and may be high-cost. Our FEHB Drug Formulary contains a list of our formulary and non-formulary drugs and the tier your drug is in, so you can determine the cost you ll pay. For more information go to kp.org/feds. Raised copayments for brand-name prescription drugs. Increased out-of-pocket maximum on High and Standard Options. To learn more, see the 2016 benefits summary on page 10, download our FEHB brochure at kp.org/feds, or call us at , 24 hours a day, 7 days a week (closed holidays). For TTY for the hearing/speech impaired, call 711. Be sure to review the important information about the new Self Plus One enrollment tier on page 11. 8

11 Which option is right for you? High Option Standard Option Basic Option Lowest copays for most services and prescription drugs No deductible Higher premium, compared to Standard and Basic Options If you want low copays, this may be the right choice. Lower premiums with higher office visit and urgent care copays compared to the High Option Lower deductible and copays for certain services than the Basic Option If you want predictable copays at a lower premium, this might be the right choice. Lowest premiums Lower copays for office visit and urgent care services compared to the Standard Option Higher deductible and coinsurance for certain services, like inpatient hospital services, labs, and X-rays If you want the lowest premium, this might be the right choice. Looking for additional health care services?* When you join Kaiser Permanente, you get additional discounts and services. Eyewear. High Option members get a 25% discount on eyeglasses and contact lenses at Vision Essentials by Kaiser Permanente Optical Centers. Dental coverage. Enroll in 1 of these plans: Kaiser Permanente Insurance Company (KPIC) and administered by Delta Dental of California. With this plan you have the freedom to see any licensed dentist you choose. DeltaCare USA and administered by Delta Dental. You ll choose a dentist from the DeltaCare USA network with this HMO plan. Current members call KPIC Dental Insurance Plan at (group number 9874) or DeltaCare USA at (group number 1114). You can also view dental plans and enrollment materials at kp.org/feds. New dental member? Call us at for more information. Rates are listed below Dental Rates KPIC DeltaCare USA Monthly Monthly Quarterly Self Only $32.05 $12.83 $38.49 Self + 1 $56.79 $21.48 $64.44 Self + 2 or more $85.37 $32.56 $97.68 * These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all enrollees and family members who become members of Kaiser Permanente. 9

12 Kaiser Permanente Together in good health Your 2016 benefits summary Benefits and Services High Option Standard Option Basic Option The benefits and services below are NOT subject to applicable plan deductibles. Outpatient services (per visit or procedure) Preventive care $0 $0 $0 Primary care/specialty care office visit $15/$25 $30/$40 $25/$35 Urgent care $15 $30 $25 Chiropractic services (up to 20 visits per year)* $15 $15 $15 Prescription drugs (up to a 30-day supply at plan pharmacies, or up to a 100-day supply for 2 copays through mail order) Generic $10 $15 $15 Preferred brand/non-preferred brand $40 $50 $60 Specialty 20% up to $100 30% up to $150 30% up to $200 The benefits and services below ARE subject to applicable plan deductibles. Deductible (2x per family maximum) None $200 $500 Hospital and facility Outpatient surgery $50 $200 20%** Inpatient hospital care (per admission) $250 $500 20%** Maternity Routine prenatal care visit, first postpartum visit (no deductible) $0 $0 $0 Delivery (per admission) $250 $500 20%** Emergency and urgent care (per visit or trip) Emergency care $100 $150 20%** Ambulance $50 $150 20%** Most X-rays and lab tests $0 $10 20%** Out-of-pocket maximum (2x per family maximum) $2,000 per person $3,000 per person $5,500 per person Your Premium Share High Option Standard Option Basic Option Biweekly Non-Postal and Biweekly Postal Category 2 $ $ $70.33 Self Only Biweekly Postal Category 1 $ $90.08 $58.38 Monthly Non-Postal $ $ $ NEW Self Plus One Self and Family Biweekly Non-Postal and Biweekly Postal Category 2 $ $ $ Biweekly Postal Category 1 $ $ $ Monthly Non-Postal $ $ $ Biweekly Non-Postal and Biweekly Postal Category 2 $ $ $ Biweekly Postal Category 1 $ $ $ Monthly Non-Postal $ $ $ * See page 8 for information on chiropractic services, or call Plan providers determine the drug that is medically necessary. If you request another drug, you pay prices charged to members for non-covered drugs. These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency or Tribal Employer which maintains your health benefits enrollment. ** Of your allowance after deductible After deductible 10

13 Ready to enroll with Kaiser Permanente? 1. Choose an option. 2. Select the type of enrollment you want. 3. Sign up online or call. High Option Standard Option Basic Option Find brief descriptions of these options on page 9. More details about benefits and rates are on page 10. Self Only covers you. Self Plus One covers you and 1 eligible family member. Self and Family covers you and all eligible family members. 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. Annuitants can contact the Retirement Information Center at or (TTY), or retire@opm.gov. If you qualify for Medicare, or will soon, see page 12 for more information. New Self Plus One Enrollment Type Self Plus One is a new enrollment type for It s available for enrollees covering themselves and 1 other eligible family member. I currently cover myself and 1 family member with the Self and Family coverage. Do I have to switch to the new enrollment type? No. You can choose the new enrollment type or the Self and Family coverage. What s the cost difference between the Self Plus One and Self and Family coverage? Self and Family is less expensive than Self Plus One, so you would save money by enrolling in Self and Family. Choose the right enrollment code Enrollment Code High Option Standard Option Basic Option Self Only KC1 NEW Self Plus One KC3 Self and Family KC2 Need help? Call us at , 24 hours a day, 7 days a week (closed holidays). For TTY for the hearing/speech impaired, call 711. These are highlights of the FEHB enrollment process. Please refer directly to opm.gov and your employing agency or retirement office for FEHB coverage effective dates, enrollment procedures and deadlines, and other information. To add an eligible family member to your Kaiser Permanente Self and Family or Self Plus One enrollment, complete and return an Enrollment Change Form to us. These forms can be obtained at kp.org/feds or by calling Member Services. 11

14 Kaiser Permanente Together in good health Senior Advantage (HMO) for Federal Members 2016 Benefits and Services Senior Advantage for Federal Members High Option Standard Option Basic Option Outpatient services Preventive care $0 $0 $0 Primary care/specialty care office visit $5 $15 $25 Most X-rays and lab tests (per encounter) $0 $10 $0 Chiropractic services (up to 20 visits per year)* $15 $15 $15 Hospital and facility Outpatient surgery (per procedure) $5 $15 $25 Inpatient hospital care (per admission) $100 $250 $250 per day up to $1,000 per admission Emergency and urgent care (per visit or trip) Emergency care $75 $75 $75 Urgent care $5 $15 $25 Ambulance $50 $125 $150 Prescription drugs Generic Preferred brand/ non-preferred brand Picked up from plan pharmacy Delivered by our mail-order service Picked up from plan pharmacy Delivered by our mail-order service $10 (up to a 100-day supply) $30 (up to a 100-day supply) $10 (up to a 30-day supply) $20 (up to a 100-day supply) $40 (up to a 30-day supply) $80 (up to a 100-day supply) $10 (up to a 30-day supply) $20 (up to a 100-day supply) $47 (up to a 30-day supply) $94 (up to a 100-day supply) Specialty 20% up to $100 30% up to $150 30% up to $200 Additional Senior Advantage benefits Eyeglasses and contact lenses (every 24 months) $200 allowance $150 allowance $150 allowance Dental cleaning (twice per year) $15 $15 Not covered Out-of-pocket maximum (2x per family maximum) $2,000 per person $2,000 per person $2,000 per person * For chiropractic services, you do not need a referral to a participating American Specialty Health (ASH) network chiropractor. To find a participating chiropractor, call These chiropractic services are separate from the chiropractic services that we cover in accordance with Medicare guidelines. 12 Plan providers determine the drug that is medically necessary. If you request another drug, you pay prices charged to members for non-covered drugs. For certain drugs, you can get prescription refills mailed to you through our Kaiser Permanente mail-order pharmacy. You should receive them within 10 business days. If not, please call (TTY 711), Monday through Friday, 8 a.m. to 4:30 p.m. The pharmacy network may change at any time. You will receive notice when necessary.

15 Kaiser Permanente Senior Advantage (HMO) for Federal Members Why Senior Advantage for Federal Members is right for you If you decide to enroll in Senior Advantage for Federal Members, you ll get better benefits than with your FEHB coverage alone. You ll get all of your FEHB benefits plus: Lower copayments for office visits and for most other services, such as inpatient hospital visits, most prescription drugs, and many other benefits Up to a 100-day supply of prescription drugs at plan pharmacies for 1 copayment (High Option only) No deductibles (Standard and Basic Options only) Extra credit toward the purchase of eyewear, including eyeglasses Extra coverage for preventive dental care through DeltaCare USA at no extra cost (High and Standard Options only) What s new for current members of Senior Advantage for Federal Members? The 2016 FEHB benefit changes listed on page 8 apply to you. Self Plus One is a new enrollment type available in If you cover only you and 1 other person (either your spouse or a dependent), you may choose between enrolling in the Self Plus One or Self and Family enrollment type. See page 11 for more information on Self Plus One. You can change your enrollment type, but remain in the same Kaiser Permanente FEHB option you have now. For example, if you re a Kaiser Permanente High Option member, you may remain in the Senior Advantage for Federal Members High Option. Be sure to choose the right enrollment code on page 11. For questions or help with the enrollment process or to have information sent to you, please call Member Services at (TTY 711), 7 days a week, 8 a.m. to 8 p.m. How can you sign up for Senior Advantage for Federal Members? To enroll in our Senior Advantage for Federal Members, you must first enroll in Kaiser Permanente s FEHB plan (either the High, Standard, or Basic Option), plus Medicare Parts A and B (or Part B only). After that, you can apply for Senior Advantage for Federal Members. We can help you make an easy transition. For more information, download our brochure, Your Guide to Choosing a Kaiser Permanente Medicare Health Plan, at kp.org/feds. For questions or help with the enrollment process or to have information sent to you, please call Member Services at (TTY 711), 7 days a week, 8 a.m. to 8 p.m. Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. To join a Kaiser Permanente Medicare Health Plan, you must reside in the Kaiser Permanente Senior Advantage service area in which you enroll. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year and at other times in accord with your group s contract with us. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. You must pay the Medicare Part B premium to join a Kaiser Permanente Medicare health plan. Enrolling in Senior Advantage for Federal Members will not affect the benefits you receive through the Federal Employees Health Benefits (FEHB) Program, although the network and other rules of Medicare may apply. 13

16 Kaiser Permanente Together in good health What s new in Northern California: Redwood City Hospital: The new hospital includes our worldclass Neuroscience Center, which treats members for brain and spine conditions. San Rafael Medical Center Emergency Department: Our new 17,550-square-foot Emergency Department has 24/7 trauma care, a certified Stroke Center, and a center for serious heart issues. Mission Bay Medical Offices (scheduled to open spring 2016): Our new 9-story medical offices includes pediatrics, obstetrics-gynecology, pharmacy, internal and family medicine, orthopedics, physical therapy, and more. Map not to scale n Kaiser Permanente medical centers (hospital and medical offices) Kaiser Permanente medical offices Affiliated plan hospital Affiliated medical offices 14

17 City Facility Address Alameda Alameda Medical Offices 2417 Central Ave. Antioch n Antioch Medical Center 4501 Sand Creek Road Delta Fair Medical Offices 3400 Delta Fair Blvd. Bolinas Bolinas Family Practice 88 Mesa Road Campbell Campbell Medical Offices 200 E. Hacienda Ave. 220 E. Hacienda Ave. Daly City Daly City Medical Offices 395 Hickey Blvd. Davis Davis Medical Offices 1955 Cowell Blvd. Elk Grove Elk Grove Medical Offices 9201 Big Horn Blvd. Elk Grove Promenade Medical Offices Promenade Pkwy. Fairfield Fairfield Medical Offices 1550 Gateway Blvd. Folsom Folsom Medical Offices 2155 Iron Point Road Fremont n Fremont Medical Center Paseo Padre Pkwy. Gilroy Gilroy Medical Offices 7520 Arroyo Circle Hayward Hayward Sleepy Hollow Medical Offices Sleepy Hollow Ave. Lincoln Lincoln Medical Offices 1900 Dresden Drive Livermore Livermore Medical Offices 3000 Las Positas Road Manteca n Manteca Medical Center 1777 W. Yosemite Ave. Manteca Medical Offices 1721 W. Yosemite Ave. Martinez Martinez Medical Offices 200 Muir Road Mill Valley Mill Valley Medical Offices 750 Redwood Hwy. Milpitas Milpitas Medical Offices 700 E. Calaveras Blvd. 770 E. Calaveras Blvd. 589 Los Coches St. 611 S. Milpitas Blvd. Modesto n Modesto Medical Center 4601 Dale Road Bangs Avenue Medical Offices 4125 Bangs Ave. Dale Road Medical Offices 3800 Dale Road Modesto Medical Offices 4601 Dale Road Standiford Avenue Medical Offices 1320 Standiford Ave. Cornerstone Family Practice Medical Group Family Health Care Medical Group 1444 Florida Ave., Ste Celeste Drive n Kaiser Permanente medical centers (hospital and medical offices) Kaiser Permanente medical offices Affiliated medical offices 15

18 Kaiser Permanente Together in good health City Facility Address Mountain View Mountain View Medical Offices 555 Castro St. 565 Castro St. Napa Napa Medical Offices 3285 Claremont Way 1675 Permanente Way Novato Oakland Patterson Novato Medical Offices n Oakland Medical Center First Care Medical Center 97 San Marin Drive 3600 Broadway 101 N. Third St. Petaluma Pinole Pleasanton Point Reyes Station Petaluma Medical Offices Pinole Medical Offices Pleasanton Medical Offices Point Reyes Medical Clinic 3900 Lakeville Hwy Pinole Valley Road 7601 Stoneridge Drive 3 Sixth St. West Marin Medical Center State Route 1 Rancho Cordova Rancho Cordova Medical Offices International Drive Redwood City Richmond Rohnert Park Roseville n Redwood City Medical Center n Richmond Medical Center Rohnert Park Medical Offices n Roseville Medical Center Roseville Medical Offices Riverside 1100 Veterans Blvd. 901 Nevin Ave State Farm Drive 1600 Eureka Road 1001 Riverside Ave. Sacramento n Sacramento Medical Center n South Sacramento Medical Center 2025 Morse Ave Bruceville Road Fair Oaks Boulevard Medical Offices 2345 Fair Oaks Blvd. San Bruno Point West Medical Offices Bayhill Medical Offices 1650 Response Road 801 Traeger Ave. 851 Traeger Ave. San Bruno Medical Offices Sneath Lane Medical Offices 901 El Camino Real 1001 Sneath Lane, Ste Sneath Lane, 2nd Floor San Francisco n San Francisco Medical Center 2425 Geary Blvd. Mission Bay Medical Offices 1600 Owens St. (Opening Spring 2016) San Jose San Leandro n San Jose Medical Center n San Leandro Medical Center 250 Hospital Pkwy Merced St. n Kaiser Permanente medical centers (hospital and medical offices) Kaiser Permanente medical offices Affiliated medical offices 16

19 City Facility Address San Mateo San Mateo Medical Offices 1000 Franklin Pkwy. San Rafael n San Rafael Medical Center 99 Montecillo Road Downtown San Rafael rd St. Medical Offices 3rd St. San Ramon San Ramon Medical Offices 2300 Camino Ramon Santa Clara n Santa Clara Medical Center 700 Lawrence Expwy. Santa Clara Arques 1263 E. Arques Ave. Medical Offices Santa Clara Medical Offices 710 Lawrence Expwy. Santa Rosa n Santa Rosa Medical Center 401 Bicentennial Way Santa Rosa Medical Offices 3925 Old Redwood Hwy Old Redwood Hwy. South San Francisco n South San Francisco 1200 El Camino Real Medical Center Stinson Beach Stinson Beach Medical Center 3419 State Route 1 Stockton Stockton Medical Offices 7373 West Lane Dameron Hospital 525 W. Acacia St. Tracy Tracy Medical Offices 2185 W. Grant Line Road Turlock Rodney Avilla, DO 2101 Geer Road, Ste. 303 Jagmohan Bhinder, MD 1860 Colorado Ave. Maryam Esho, MD 1729 N. Olive Ave., Ste. 7 Nirbhai Hundal, MD 1516 Colorado Ave. Puliadi Kumar, MD 1110 Delbon Ave. Turlock Pediatric Medical Group 1100 Delbon Ave. Union City Union City Medical Offices 3551 Whipple Road 3553 Whipple Road 3555 Whipple Road Vacaville n Vacaville Medical Center 1 Quality Drive Vallejo n Vallejo Medical Center 975 Sereno Drive Walnut Creek n Walnut Creek Medical Center 1425 S. Main St. Park Shadelands Medical Offices 320 Lennon Lane n Kaiser Permanente medical centers (hospital and medical offices) Kaiser Permanente medical offices Affiliated plan hospital Affiliated medical offices 17

20 Kaiser Foundation Health Plan, Inc. 300 Lakeside Drive, 26th Floor Oakland, CA 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 (RI ). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. The benefits listed on page 9 under Looking for additional health care 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. Notice of Summary of Benefits and Coverage (SBC): Availability of Summary Health Information The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and coverage options. Choosing a health plan and coverage option is an important decision. To help you make an informed choice, each FEHB plan makes available a Summary of Benefits and Coverage (SBC) about each of its health coverage options, online and in paper. The SBC summarizes important information in a standard format to help you compare plans and options. This plan s SBC is available on the Internet at kp.org/feds. A paper copy is also available, free of charge, by calling For TTY for the deaf, hard of hearing, or speech impaired, call 711. To find out more information about plans available under the FEHB Program, including SBCs for other FEHB plans, please visit opm.gov. Please recycle September 2015