If you need urgent care while away from home outside a Kaiser Permanente area in the United States, you can visit an urgent care clinic instead of a hospital emergency department. We’ll cover urgent care at non– Kaiser Permanente facilities as long as it can’t wait until you get back home.
Where can I go for urgent care with Kaiser Permanente?
If you need urgent care while in a Kaiser Permanente service area, you can visit a Kaiser Permanente urgent care clinic location. Find urgent care locations by visiting
Where are Kaiser Permanente health plans available?
Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii
Does Kaiser Permanente have emergency rooms?
Emergency Care Most Kaiser Permanente locations offer multiple services under one roof. That means you may be able to see your personal physician, get an X-ray, visit the lab, and fill your prescription—all in the same place. Please choose your location from the list below so we can provide you the information you need.
How do I get help with travel with Kaiser Permanente?
Bring your Kaiser Permanente ID card. It has important phone numbers on the back. Take this brochure on your trip. It explains what to do if you need care. Away from Home 24/7 Travel Support: 951-268-3900 or kp.org/travel (TTY 711) *These features are available when you register on kp.org and seek care from Kaiser Permanente physicians.
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Can you go to Kaiser ER with Medi Cal?
At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage.
Can you use Kaiser Northern California in Southern California?
If you're enrolled in one of these plans in either the Northern California or Southern California region, you may receive visiting member services in the other California region. When you visit any Kaiser Permanente region, your coverage is the same as it is in your home region. The 90-day limit does not apply.
How do I get reimbursed from Kaiser?
Before you submit a claim for reimbursement, be sure to review your coverage or contact Member Services for assistance at 1-888-901-4636 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m. Reimbursement requests must be received by Kaiser Permanente within 12 months from the date of service.
Can I go to any hospital with Kaiser insurance?
As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world. It's important to remember that how you get care can vary depending on where you are.
Does insurance cover emergency room visits?
Most plans will cover all ER fees when you're treated for a true emergency. But you may have to submit them yourself to your insurance company.
What is member reimbursement claim?
Reimbursement, as the dictionary mentions, is a compensation paid for money already spent. With respect to a Mediclaim policy, reimbursement claims mean you pay the hospital bills first and get them compensated from the insurance company at a later stage.
Will Kaiser reimburse for out of network therapy?
Although some plans do provide coverage or partial coverage for out of network mental health services, not all Kaiser plans provide out of network coverage. Therefore, prior to the rendering of any type of therapy services it is best to verify with the provider that they are in-network and accept your plan.
Does Kaiser reimburse for Covid tests?
Kaiser Permanente will reimburse members for the cost of FDA-authorized self-tests purchased after January 1, 2022. Starting on May 5, reimbursement will be limited to $12 per test, including shipping and sales tax.
How many days a week does Kaiser have to speak to a specialist?
Speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a.m. to 8 p.m.
What is the number to call for KP?
If not a current KP member and you are eligible for KP employer/group Medicare health plan coverage, check with your benefits administrator to learn about enrollment options or call us at 1-855-832-0353.
Is Kaiser Permanente an HMO?
Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.
What are the extra benefits of Kaiser?
Extra benefits may include preventive, vision, and dental care . The Kaiser Permanente organization are a nonprofit healthcare plan provider with a hospital network, an insurance system, and a network of salaried healthcare providers.
How to compare Medicare Advantage plans?
A person can compare all Medicare Advantage plans in their area by using the online Medicare plan finder or by contacting Medicare directly.
What is a PPO plan?
Preferred Provider Organization (PPO) plans. Kaiser Medicare Preferred Provider Organization (PPO) plans offer more freedom. Individuals are not required to use in-network healthcare providers and can visit any provider without a referral. Specific procedures, such as surgery or radiology, may require preapproval.
What are the benefits of HMO?
As with the HMO plans, benefits include dental, vision, and hearing coverage and a mail-order prescription drug service.
What is PDP pharmacy?
The PDP uses a formulary that advises on the cost of medication. Low tier medication is the least expensive and usually includes generic drugs. Higher tiers may be more expensive and include name brand and specialty drugs. When a person uses a pharmacy within the Kaiser network, they can usually save on costs.
Does Kaiser offer Medicare Advantage?
Kaiser offer a range of Medicare Advantage (MA) plans. Typically, the plans include prescription drug coverage and additional benefits.
Does Kaiser offer supplemental insurance?
Optional benefits. Kaiser offer individuals a supplemental plan called Advantage Plus that can be added to a Medicare Advantage plan. Advantage Plus is not available on its own. The Advantage Plus plan provides dental coverage and vision and hearing benefits beyond those included with the Medicare Advantage plan.
What is the phone number for Kaiser Permanente?
If you're in a Kaiser Permanente service area, call the Away from Home Travel Line at 951-268-3900 (TTY 711).1
How to get a health record number for Kaiser?
Call the Away from Home Travel Line at 951-268-3900 (TTY 711 ), 1 and we’ll give you a Health/Medical Record number to use while you’re visiting.
What to do if you are hospitalized while away from home?
What do I do if I'm hospitalized while away from home? Whether you need emergency care or a hospital stay, the Away from Home Travel Line at 951-268-3900 (TTY 711) can offer you advice and assistance.1. If you get care from a non–Kaiser Permanente provider, call us once your condition is stable to let us know you've received emergency care ...
What is the phone number for the away from home travel line?
Whether you need emergency care or a hospital stay, the Away from Home Travel Line at 951-268-3900 (TTY 711) can offer you advice and assistance.1. If you get care from a non–Kaiser Permanente provider, call us once your condition is stable to let us know you've received emergency care or have been admitted to a hospital. ...
What is an emergency medical condition?
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.
Do you have to pay coinsurance at Concentra?
For care at a MinuteClinic ® or Concentra urgent care center, you’ll be charged your standard copay or coinsurance. Be sure to bring your home Kaiser Permanente ID card and a method of payment.
Does Kaiser Permanente provide care?
Kaiser Permanente provides care in many states across the country, including all or parts of:
How to contact Kaiser Permanente for reimbursement?
For help with filing a claim for reimbursement, call the Away from Home Travel Line at . 951-268-3900. 1. If a member receives emergency services in a country where the U.S. government has imposed sanctions, the member may have to pay for services and then submit a claim to Kaiser Permanente for reimbursement.
What is the phone number for Kaiser Permanente?
If you travel by plane, keep your medications with you in your carry-on baggage. Away from Home 24/7 Travel Line: 951-268-3900 (TTY711kp.org/travel ) or *These features are available when you register on kp.org and seek care from Kaiser Permanente providers.
What to do if you believe you have an emergency?
If you believe you have an emergency medical condition, call 911 or go to the nearest hospital. For the complete definition of an emergency medical condition, please refer to your
Where is the Civil Rights Coordinator at Kaiser?
You may also contact the Kaiser Permanente Civil Rights Coordinator directly at One Kaiser Plaza, 12th Floor, Suite 1223, Oakland, CA 94612.
Where to file a grievance with KPIC?
If you believe that KPIC 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 or phone at: KPIC Civil Rights Coordinator, 3701 Boardman-Canfield Rd, Canfield OH 44406, telephone number 1-866-213-3062.
Does Kaiser cover transportation?
Kaiser Permanente Georgia health plan does not cover transportation services for nonurgent, nonemergency care from outside the service area; and any request for transportation is subject to review. 3 . Kaiser Permanente providers, go to the . kp.org/travel .
Do you have to let Kaiser know if you have an emergency?
If you or a family member who is enrolled in Kaiser Permanente coverage has a medical emergency, get care right away. You don’t have to let Kaiser Permanente know or get approval first. Here’s what to do:
Where do you receive medical care from Kaiser?
All medical care must be received from a Kaiser physician at a Kaiser facility, except for a life-threatening emergency authorized by Kaiser.
Is Kaiser Permanente an HMO?
The Kaiser Permanente HMO is a group model plan, meaning that the HMO owns and operates the facility, and the physicians are HMO employees. The Kaiser HMO is available to all eligible retired LACERA members and their eligible dependents, based on service area availability.