kaiser permanente out of state coverage

by Mr. Imani Sporer Published 4 years ago Updated 2 years ago

How does Kaiser work out of state? Kaiser Permanente does not often pay providers located outside of the United States directly. If you receive emergency or urgent treatment, you must pay the cost yourself.

Full Answer

Is Kaiser Permanente the best health insurance on the market?

Kaiser Permanente has frequently been named as one of the best health insurance providers in the country. Rankings on both HealthCare.gov and Medicare.gov give plans 4 to 5 stars, which is consistently higher than many other major insurance companies.

Why is Kaiser Permanente so good?

You can count on:

Predictable costs and a fixed annual limit on your out-of-pocket costs
High-quality care from a doctor and care team that get to know you
The freedom to change to another available Kaiser Permanente doctor anytime
Convenient care options to make it easier to stay healthy

Is Kaiser Permanente health insurance a HMO or PPO?

Kaiser Permanente is one of the original HMOs in the United States. Founded in 1945, it started in California to cover and care for construction and shipyard workers. The organization also operates hospitals and clinics and employs its own physicians. Best Company for PPO Plans: Blue Cross Blue Shield

What type of health insurance is Kaiser Permanente?

What type of health insurance is Kaiser? Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll.

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Can I use my Kaiser Permanente insurance in another state?

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.

Is Kaiser Permanente in all 50 states?

As of 2017, Kaiser Permanente operates in eight states (Hawaii, Washington, Oregon, California, Colorado, Maryland, Virginia, Georgia) and the District of Columbia, and is the largest managed care organization in the United States.

What states are served by Kaiser Permanente?

To join Kaiser Permanente, you must live or work in one of our regional service areas located in: Northern California, Southern California, Colorado, Georgia, Hawaii, Mid- Atlantic States (District of Columbia, Maryland and Virginia) and Northwest (Oregon and Washington).

Can I use my Northern California Kaiser 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 Permanente expand to Arizona?

The facility will have an internal medicine hospital, ED, and digital imaging suite, and it's currently slated to open in the fall of 2021. Exceptional Healthcare also is planning to build hospitals in Prescott, Yuma, and other cities in Arizona (Paavola, Becker's Hospital Review, 11/5).

Is there Kaiser in Florida?

Top 10 Kaiser Permanente Provider Specialties in Florida: Emergency Doctor (138 providers) Family Doctor (121 providers) Internist (118 providers) Pediatrician (Kids / Children Specialist) (32 providers)

Is Kaiser Permanente in New York?

Top 10 Kaiser Permanente Provider Specialties in New York: Emergency Doctor (68 providers) Family Doctor (60 providers) Radiologist (51 providers) Pediatrician (Kids / Children Specialist) (49 providers)

Is Kaiser available in Texas?

Top 10 Kaiser Permanente Provider Specialties in Texas: Emergency Doctor (150 providers) Family Doctor (134 providers) Internist (109 providers) Obstetrician / Gynecologist (OBGYN) (54 providers)

Is Kaiser in Tennessee?

Top 10 Kaiser Permanente Provider Specialties in Tennessee: Emergency Doctor (37 providers) Internist (32 providers) Pediatrician (Kids / Children Specialist) (20 providers) Radiologist (15 providers)

Is Kaiser available in Las Vegas?

If you're visiting Las Vegas and become ill or injured, don't worry, we have you covered. Kaiser Permanente has contracted with Concentra Urgent Care Centers and Walgreens Healthcare Clinics to provide you with quality medical assistance at 17 urgent care clinics in Las Vegas, including 3 right on the Strip.

Why is Kaiser Permanente so cheap?

Kaiser Permanente opened its doors to the public in 1945 -- and offered health coverage that was considerably less expensive than conventional insurers like Blue Cross. The strategy worked because it owned and operated its own hospitals and clinics and directly employed physicians.

How do I change my location with Kaiser?

If you're looking for a new plan in a new location, you can view plans at buy.kp.org or contact us at 1-800-295-8660 or 711 (TTY).

How does Kaiser Insurance work out of state?

Yes. You have access to emergency and urgent care wherever in the world. As a visiting member, you can get most routine and specialty care if you a...

Can Kaiser insurance be used anywhere?

You are covered for emergency and urgent treatment anywhere in the globe as a Kaiser Permanente member. This leaflet will explain what to do if you...

Can I use my Kaiser insurance in Mexico?

However, your coverage may not be accepted by all hospitals in Mexico because they may not be aware that you are a member of Kaiser Permanente. Ple...

Will Kaiser cover me out of state?

While you are temporarily outside of your coverage region, we will cover urgent care in non-Kaiser Permanente facilities anywhere in the United Sta...

Can you use Kaiser insurance at any hospital?

Go to the nearest hospital or other institution that can provide you with the treatment you require. Once you return to your coverage region, howev...

How does Kaiser work out of state?

Kaiser Permanente does not often pay providers located outside of the United States directly. If you receive emergency or urgent treatment, you mus...

PPO Plans

With our PPO plans, your employees who live or work outside of Kaiser Permanente’s service areas or wish to maintain care with an outside doctor get referral-free access to contracted PHCS Network physicians or any licensed out-of-network provider.

Point-of-service Plans

Our point-of-service (POS) plans combine a traditional Kaiser Permanente HMO plan with our PPO plan to offer the most comprehensive options within our service areas. Three levels of coverage let members choose from Kaiser Permanente providers and facilities, contracted PHCS Network physicians, or any other licensed out-of-network provider.

Out-of-area Plans

Our out-of-area plan is ideal if you have employees living and working outside a Kaiser Permanente service area.

How to contact Kaiser Permanente for student health insurance?

Get support with your questions about health coverage, care, and claims. Call today at 951-268-3900 (TTY 711).1. Explore more tips for a healthy experience away from home as a Kaiser Permanente member.

What is the phone number for Kaiser Permanente?

To find out if your plan qualifies, 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.

How to get extra travel insurance?

You may want to get extra travel insurance for your trip. If you need assistance with care coordination or payment , while traveling internationally, call the Away from Home Travel Line at 951-268-3900 (TTY 711 ). 1 For details on filing a claim, visit the After you travel page.

What services can you get while you're admitted?

Hospitalization, including inpatient surgery and other services you may get while you’re admitted

Where can I get my Hawaii pre-travel test results?

If you’re traveling to Hawaii with a minor over 4, we recommend getting your test at a non–Kaiser Permanente facility, such as CVS, Walgreens, or one of Hawaii’s other pre-travel testing program partners.

Does Kaiser Permanente cover coinsurance?

In a Kaiser Permanente service area: If your plan lets you get care when you visit another Kaiser Permanente service area, you’ll pay what you normally would in your home region – for example, a copay, coinsurance, or deductible payment. If what you pay doesn’t cover all of what you owe for the care you received, you’ll get a bill for the difference later. For more specific information on your coverage, please check your plan details.

How to find a Kaiser Permanente location?

Visit a Kaiser Permanente location. Find locations by visiting kp.org/kpfacilities or calling the Away from Home Travel Line.

How to get a KP?

Planning to be away from home? We’ve got you covered. 1 Get our KP app to stay connected when you’re on the go. 2 Get routine care and make sure your immunizations are up-to-date, including your yearly flu shot. 3 Refill your eligible prescriptions to have enough while you’re away. Be sure to refill at least 1 week before your trip so there’s time to process your request. 4 Consult your doctor if you need to manage a condition during your trip. 5 Print a summary of your online medical record in case you don’t have Internet access while you’re traveling. 6 Sign on to kp.org to see your home area health information and email your Kaiser Permanente doctor from anywhere, anytime. 7 Save the Away from Home Travel Line number to your phone so it’s easy to find: 951-268-3900 (TTY 711). Our travel team will be happy to help you 24/7.

What is the phone number for KP?

For a full list of steps to take before, during, and after your trip away from home, call the Away from Home Travel Line: 951-268-3900 (TTY 711) or go to kp.org/travel. * If you reasonably believe you have an emergency medical condition, which is a medical or psychiatric condition that requires immediate medical attention to prevent serious ...

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:

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27. /vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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