Just so, can I go to any emergency room with Kaiser? If you have Kaiser coverage, you must get your services at Kaiser , including medical, OB/GYN, vision, and prescriptions. However, if you have a medical or psychiatric emergency , you may go to the nearest hospital for emergency care , even if it is not a Kaiser hospital .
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.
What should I do if I have an emergency at Kaiser?
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: Call 911 or go to the nearest hospital. Always use the emergency services available where you are.
Do I have to let Kaiser Permanente know if I need care?
If you or a family member who is enrolled in Kaiser Permanente coverage has an emergency or urgent medical situation, 1 get care right away. You don’t have to let Kaiser Permanente know or get approval first.
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
Does Kaiser Permanente plan to expand to other states?
Kaiser Permanente Health System has big expansion plans for DC region. The new Kaiser Permanente medical center that opened this week in Bowie, Maryland, kicks off a two-year expansion plan for the D.C. region for that will include a half-dozen state-of-the-art facilities.
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.
Will Kaiser reimburse me 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.
How do you decide if I should go to the ER?
General guidelines - When to visit an emergency roomwheezing, shortness of breath or difficulty breathing.chest pain.displaced or open wound fractures.fainting or dizziness.sudden numbness or weakness.bleeding that cannot be stopped.abdominal pain - especially intense localized pain.More items...•
Does urgent care Take 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 Kaiser have out of network coverage?
Medical care You will pay the same for authorized out-of-network services as you would pay if you got the care from a network provider. If you obtain routine care from out-of-network providers neither Medicare nor Kaiser Permanente will be responsible for the costs.
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.
Is therapy covered by insurance?
Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. Rehabilitative services for addiction are also included. Therapy can be expensive, with or without insurance.
Does Medi cal cover counseling?
Services covered by Medi-Cal include outpatient mental health services such as individual or group counseling, outpatient specialty mental health services, inpatient mental health services, outpatient substance use disorder services, residential treatment services, and voluntary inpatient detoxification.
Should you call the ER before going?
You should call 911 or come right to the ER if you're systemically sick – that's when an illness affects your entire body, and you have severe pain or sudden onset of severe symptoms, a fever that won't break, or “something doesn't work,” like you're unable to move an arm or leg or breathe normally.
Can you call the ER with a question?
Even if it's after hours, you can call our 24-Hour Help Nurse line and they can answer your questions, assess your symptoms, and help you determine the best next step. We're available 24/7 and ready to help during those moments when you're not sure what to do. If you're in a life-threatening situation, please call 911.
What time is the ER least busy?
Least busy hours The best hours to visit an emergency room for far less urgent medical conditions according to a recent study, are between 6 am and noon. During these hours, most hospitals don't have as many patients waiting in line and you are guaranteed to get quality medical care.
How long does it take Kaiser to treat a minor injury?
They can often treat you within a few business days, and I have generally been able to recover from these in short order after seeing a Kaiser practitioner.
Why was Kaiser reprimanded?
Their psychiatric services were reprimanded and fined by the state of California in 2014 for providing poor service, and poor access to care for patients with rather severe ailments. Kaiser to pay $4 million fine over access to mental health services.
Is Kaiser a PPO or HMO?
Kaiser mostly offeres HMOs, so I’m assuming you are comparing Kaiser HMO and Blue Shield PPO. Most of the points below are still valid if your Kaiser option is a PPO.
Does Kaiser have a copay?
Cost wise for the plans I have, Kaiser has a slightly higher copay for non-routine visits (routine checkups are free), but honestly for me it’s the difference of $20 vs $30, so not a big factor.
Is Kaiser Permanente a strong or weak organization?
The first thing you need to understand is that Kaiser Permanente is actually multiple organizations, each of which has it’s strong and weak points. Each region that KP serves also has it’s own flavor. And I use the word serve on purpose. KP cares not just about it’s members,
Does Kaiser cover hang nails?
They do cover them, even if outside of Kaiser, if it is a true Emergency where there is the possibility that one would end up worse off from not getting immediate attention. But, we are not talking about a hang nails that just hurt a lot and the ER is next door while the Kaiser facility is 10 miles away.
Does Kaiser triage emergency services?
Historically, ER services have been a problem area for Kaiser. Cases Reveal Lapses in Kaiser Emergency Care
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.
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:
Does Kaiser cover follow up visits?
Follow-up visits Routine services aren’t covered outside Kaiser Permanente areas, so make sure to get them before your trip. Kaiser Permanente service areas include all or parts of:
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 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.
Does Kaiser Permanente provide care?
Kaiser Permanente provides care in many states across the country, including all or parts of:
Do you have to get approval to get emergency care?
Always use the emergency services available where you are. You don’t have to get approval first to get emergency or urgent care.
Do you have to pay for urgent care at Kaiser?
Note: If you get urgent care at a MinuteClinic® or Concentra urgent care center within a state that has Kaiser Permanente providers, you’ll be asked to pay up front for services you receive and you’ll need to file a claim for reimbursement.
What is the phone number of Kaiser Permanente?
The phone number of Kaiser Permanente is +1 323-783-4011. You can click here to call now from your phone.
Can you see other emergency rooms in California?
You can see other Emergency Room California if you prefer.
Is Kaiser Permanente open 24 hours a day?
Yes, of course. The Kaiser Permanente is open 24 hours a day for any emergency.
Does Kaiser Permanente have an emergency room?
The cost of visiting the emergency room of Kaiser Permanente may vary depending on the type of emergency you have and also the type of insurance you are with. Feel free to ask or call the center before you go.
How often do I need to go to a mental health provider?
They do not offer regular therapy, meaning you might be able to get one every other month, but more likely it would be less often. Generally, therapy is every week or every other week, but it differs for different diagnoses and severities. They do offer group therapy, which can be helpful for many people, but I have not gone to any because they would not address my symptoms/diagnoses. They are more general groups, like depression, anxiety, or addiction. Typically, group therapy is supposed to be accompanied by individual therapy, which, as I mentioned, they do not provide adequately.
Do they diagnose if you are sick enough?
I was told that they don't diagnose some disorders unless they fulfill their "standards." This basically means that they will not provide you with healthcare that you pay for until you try to kill yourself a couple more times or become completely debilitated.
Is Kaiser Permanente a strong or weak organization?
The first thing you need to understand is that Kaiser Permanente is actually multiple organizations, each of which has it’s strong and weak points. Each region that KP serves also has it’s own flavor. And I use the word serve on purpose. KP cares not just about it’s members,
Is Kaiser insurance a 3rd party?
There is no 3rd party insurance intermediary with Kaiser. They are also the Insurer. So anything my GP orders gets done quickly, no waiting for approval. They are also highly computerized. There is almost no physical paperwork and any medical professional I visit at Kaiser has instant access to my records. Through the
Does Kaiser bill insurance?
The Kaiser Emergency Room will treat you if you are taken there in an emergency. Of course, they will bill your insurance company, and if they do not pay or if you do not have insurance, you will be billed personally.
Does KP care about its members?
Each region that KP serves also has it’s own flavor. And I use the word serve on purpose. KP cares not just about it’s members, but the community at large. In Oregon, for example, Kaiser Foundation and Hospitals is one of the top charity organizations in the state. The real answer depends on who you are talking to.
Can you see a croaker in the office?
You can not make an appointment to see a croaker in the office if you aren't a member without resorting to fraud (like using your friend or relative’s name and Kaiser number).
Will Kaiser Pick-Up Hospital Bill Stay at Another Hospital
My question involves insurance law for the state of: California I have medical coverage for myself, husband and kids through my job, which I do not have to pay for other than co-pays etc. Because of this my husband is on my health plan. My husband works for the federal government and his benefits dept.
Re: Will Kaiser Pick-Up Hospital Bill Stay at Another Hospital
You would need to check with Kaiser for the specifics. That's not something we can answer here, as we don't know what your plans rules are.
Re: Will Kaiser Pick-Up Hospital Bill Stay at Another Hospital
If you do think you qualify for reimbursement and Kaiser rejects your first claim - be sure to appeal. I read the rules for my policy and I thought I qualified but was rejected. When I appealed I received a 100% refund.
Re: Will Kaiser Pick-Up Hospital Bill Stay at Another Hospital
Kaiser requires its patients to do something very specific when you've been admitted to a non Kaiser hospital before it'll pay: Contact them and let them know. If you don't, they won't pay. Period. Reason being... once you're stable, they will demand you're transferred to a Kaiser facility.
