oe self guided powerpoint presentation 2019 - full version
TRANSCRIPT
County of San
Bernardino-Retirees
2019 Open Enrollment
Presentation for
Healthy togetherCare and coverage that fits your life
Copyright ©2018 Kaiser Permanente.
Quality care with you at the center
Our physician-led care teams work together to
keep you healthy by delivering high-quality,
personalized care. You can expect:
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Great care from great doctors
Better care with a connected team
Personalized care for all members
Copyright ©2018 Kaiser Permanente.
Schedule
appointments
and get 24/7
medical advice
by phone.
Meet face to
face with your
doctor online.*
Email your
doctor’s office
anytime.
Visit your
doctor at your
local facility.
Your care, your way
Save yourself a
trip to the
doctor’s office
with a telephone
appointment.*
*Where available and for certain medical conditions.
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Copyright ©2018 Kaiser Permanente.
Copyright ©2018 Kaiser Permanente.
Copyright ©2018 Kaiser Permanente.
Copyright ©2018 Kaiser Permanente.
Copyright ©2018 Kaiser Permanente.
Care away from home
*This number can be dialed from both inside and outside the U.S. Outside, you must dial the U.S. country code 001 for landlines and +1 for mobile before the
phone number. Long-distance charges may apply and we cannot accept collect calls. Phone line is closed major holidays (New Year’s Day, Easter, Memorial
Day, July Fourth, Labor Day, Thanksgiving, and Christmas), and closes early the day before a holiday at 10 p.m. Pacific time (PT). The phone line reopens the
day after a holiday at 4 a.m. PT.
• If you get hurt or sick while traveling, we’ll help
you get care. All our plans include emergency
and urgent care coverage from qualified
providers anywhere in the world.
• We can also help you before you leave town by
checking to see if you need a vaccination,
refilling eligible prescriptions, and more. Just
call us or go online:
Kaiser Permanente See how our care and coverage can help you thrive
24/7 Away from
Home Travel Line:
951-268-3900*
kp.org/travel
Copyright ©2018 Kaiser Permanente.
Kaiser Permanente See how our care and coverage can help you thrive
Care and coverage built around you
What’s integrated care?
A simpler, seamless experience where
the health plan and doctors work
together for you.
You get:
• Hassle-free health care with less
paperwork
• A care team that’s connected to each
other and you
• Many services under one roof
Copyright ©2018 Kaiser Permanente.
World-class specialty care
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thrive.kp.org/healthier-outcomes
Maternity care
From family
planning to first
steps, and beyond.
kp.org/maternity
Mental health
and wellness
Our members can access
mental health services
with no referral needed.
kp.org/mentalhealth
Cardiac care
Healing hearts and
saving lives with
advanced cardiac care.
kp.org/cardiaccare
Photo Photo Photo
No matter what life throws your way
When you need care the most, you can count on us. Get access to excellent
care from top-notch doctors across a wide range of specialties to keep you at
your best, including:
Copyright ©2018 Kaiser Permanente.
Healthy resources
1Classes vary at each location and some may require a fee.2Not available in all areas.
• Personal wellness coaching
• Healthy lifestyle programs
• On-site health education classes
and support groups1
• Online videos, podcasts, recipes,
and more
• Reduced rates on health products
and services (for example, gym
memberships)
• Seasonal farmers markets2
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Reach your health goals with wellness support
• 80% became more physically active
• 80% ate healthier
• 79% reduced their stress
• 65% quit tobacco
• 64% achieved or maintained a
healthy weight
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• Acupuncture
• Chiropractic care
• Gym memberships
• Massage therapy
• And more
Source: Kaiser Permanente internal data.
Wellness coaching
We’ve helped thousands of
members reach their health goals.
After 2 or more phone sessions
with a coach:
Member discount programs
We offer special discounts on health-
related products and services to
members. Discount programs vary
by region, and can include:
Copyright ©2018 Kaiser Permanente.
Manage your care anytime, anywhere
At kp.org or with the Kaiser Permanente app, you can stay on top of your care 24/7:1
• Schedule and cancel routine
appointments
• Refill most prescriptions
• Choose your doctor and
change anytime
• View most lab test results
• Email your doctor’s office
with nonurgent questions
• Manage your coverage
and estimate costs2
• View and pay bills
• Manage a family member’s
health care3 1Available when you get care at Kaiser Permanente facilities.2These tools are not yet available on smartphones and tablets.3Due to privacy laws, certain features may not be available when they are being accessed on behalf of a child 18 or younger,
and your child’s physician may be prevented from disclosing certain information to you without your child’s consent.
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Ready for an easy switch?
There’s a lot to do when you’re changing health plans. That’s why Kaiser Permanente offers a single,
online destination that shows how easy it is to:
Choose your new doctor.
Kaiser Permanente See how our care and coverage can help you thrive
Learn more at kp.org/easyswitch.
Seamlessly transfer your care
and prescriptions.
Get care on your schedule.
Copyright ©2018 Kaiser Permanente.
kp.org/newmember
welcome site
ID card and
quick guide to
getting started
Personalized
welcome bookWelcome call
Welcome letter from
primary care doctor
Anytime Within 1 to 10 days of your start date After you choose a doctor
What new members can expect
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Copyright ©2018 Kaiser Permanente.
Yearly deductible $ 0 individual / 0 family
Maximum yearly out-of-pocket costs $1,500 individual / 3,000 family
Covered service You pay
Preventive care $ 0 copay
Doctor’s office visit $10 copay
Lab tests and radiology $0 copay
Outpatient surgery $10
Hospitalization $ 0
Emergency care $ 50
Prescribed medications (100-day
supply)
$10 copay (generic medication) / $15 copay (brand name
medication) /$15 copay 30 day supply(specialty medication)*
Traditional HMO Plan – High Option
Pre-65 RetireesThis table shows some benefits of your group and is provided as an example only:
*This is a summary of some benefits and their copays and coinsurance. For specific information about your covered health plan benefits, limitations, and
exclusions, including those not listed in this summary, please see your Evidence of Coverage.
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Yearly deductible $ 0 individual / 0 family
Maximum yearly out-of-pocket costs $1,500 individual / 3,000 family
Covered service You pay
Preventive care $ 0 copay ( routine physical exams)
Doctor’s office visit $10 copay
Lab tests and radiology $0 copay
Outpatient surgery $10 per procedure
Hospitalization $ 0
Emergency care $ 50
Prescribed medications (100-day
supply)
$10 copay (generic medication) / $20 copay (brand name
medication) / 20% coinsurance(not to exceed $100) 100 day
supply(specialty medication)*
Traditional HMO Plan - High Option
Post-65 Retirees (KPSA)This table shows some benefits of your group and is provided as an example only:
*This is a summary of some benefits and their copays and coinsurance. For specific information about your covered health plan benefits, limitations, and
exclusions, including those not listed in this summary, please see your Evidence of Coverage.
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Yearly deductible $500 individual / 1,000 family
Maximum yearly out-of-pocket costs $3, 000 individual / 6,000 family
Covered service You pay
Preventive care $0 copay
Doctor’s office visit $20 copay
Lab tests and radiology $10 copay /after plan deductible
Outpatient surgery 20% coinsurance*after plan deductible
Hospitalization 20% coinsurance* after plan deductible
Emergency care 20% coinsurance* after plan deductible
Prescribed medications (100-day
supply)
$10 copay (generic medication) / $30 copay after plan
deductible (brand name medication) / $30 copay -30 day
supply after plan deductible (specialty medication)*
Deductible HMO Plan – Low Option
Pre-65 RetireesThis table shows some benefits of your group and is provided as an example only:
*This is a summary of some benefits and their copays and coinsurance. For specific information about your covered health plan benefits, limitations, and
exclusions, including those not listed in this summary, please see your Evidence of Coverage.
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Yearly deductible $ 0 individual / 0 family
Maximum yearly out-of-pocket costs $1,500 individual / 3,000 family
Covered service You pay
Preventive care $ 0 copay
Doctor’s office visit $ 25 copay
Lab tests and radiology $0 copay
Outpatient surgery $ 25 per procedure
Hospitalization $ 500 per admission
Emergency care $ 50
Prescribed medications (30-day supply) $10 copay (generic medication) / $25 copay (brand name
medication) / 20% coinsurance(not to exceed $100) 100 day
supply(specialty medication)*
Traditional HMO Plan – Low Option
Post-65 Retirees (KPSA)This table shows some benefits of your group and is provided as an example only:
*This is a summary of some benefits and their copays and coinsurance. For specific information about your covered health plan benefits, limitations, and
exclusions, including those not listed in this summary, please see your Evidence of Coverage.
Kaiser Permanente See how our care and coverage can help you thrive
Copyright ©2018 Kaiser Permanente.
Map not to scale
Southern California
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15 medical centers
119 medical offices
10 affiliated plan hospitals
4 affiliated medical offices
N
Copyright ©2018 Kaiser Permanente.
Southern California new locations
Kaiser Permanente See how our care and coverage can help you thrive
San Diego Medical Center
Viewridge Medical Offices
Open now
• Baldwin Hills–Crenshaw Medical Offices
• Chino Grand Medical Offices
• La Habra Medical Offices
• Murrieta Medical Offices
• San Diego Medical Center
• Santa Clarita Medical Offices 2
• Ventura Market Street Medical Offices
• Viewridge Medical Offices
Coming soon
• Porter Ranch Medical Offices*
*Scheduled to open in 2018.
Copyright ©2018 Kaiser Permanente.
Thank you