Kaiser Permanente for Individuals and Families: …info.kaiserpermanente.org/healthplans/planbrochures/2020/...This Kaiser Permanente for Individuals and Families enrollment guide

Have questions? Call us at 1-800-494-5314. • Go to buykp.org/apply. • Or contact your producer.

Kaiser Permanente for Individuals and Families

364999513 NW-OR 2020


Healthy togetherCare and coverage that fits your life

364999513

buykp.org 2020 Enrollment | Oregon

http://buykp.org



364999513 NW-OR 2020

Welcome to care that fits your lifeThis Kaiser Permanente for Individuals and Families enrollment guide can help you choose the right health plan for your needs. Here’s a look at what you’ll get with all of our plans.

Right care, right time

Get the care you need when you need it with routine, specialty, urgent, and emergency care. If you’re ever unsure where to go, call us for 24/7 care advice by phone.

Many services under one roof

Do more in less time. In most of our facilities, you can see your doctor, get a lab test, and pick up prescriptions — all in a single trip. Find a location near you at kp.org/facilities.

Your doctor, your choice

Choose your doctor based on what’s important to you. Go to kp.org/searchdoctors for details about education, specialties, languages spoken, and more. You can also change doctors at any time.

More care options

How you get care is up to you. Choose a phone appointment or video visit,* email your doctor’s office with nonurgent questions, or come see us in person.†

Discounts for members

Enjoy discounts on products and services that can help you stay healthy — like gym memberships, massage therapy, and more. Explore your options at kp.org/choosehealthy.

*When appropriate and available. †These features are available when you get care at Kaiser Permanente facilities.

http://kp.org/facilitieshttp://kp.org/searchdoctorshttp://kp.org/choosehealthy



364999513 NW-OR 2020

Choosing your health planWe offer a variety of plans to fit your needs and budget. All of them offer the same quality care, but the way they split the costs is different.

Copay plans — gold

Copay plans are the simplest. You know in advance how much you’ll pay for care like doctor visits and prescriptions. This amount is called your copay. Your monthly premium is higher, but you’ll pay much less when you get care.

Deductible plans — gold, silver, bronze, and catastrophic

With a deductible plan, your monthly premium is lower, but you’ll need to pay the full charges for most covered services until you reach a set amount, known as your deductible. Then you’ll start paying less — a copay or coinsurance. Depending on your plan, some services, like office visits or prescriptions, may be available at a copay or coinsurance before you reach your deductible.

HSA-qualified deductible plans — silver and bronze

HSA-qualified deductible health plans are deductible plans that give you the option of setting up a health savings account (HSA) to pay for eligible health care costs, including copays, coinsurance, and deductible payments. You won’t pay federal taxes on the money in this account.

You can use your HSA anytime to pay for care, including some services that may not be covered by your plan, like eyeglasses, adult dental care, or chiropractic services.* If you have money left in your HSA at the end of the year, it will roll over for you to use the next year.

*For a complete list of services you can use your HSA to pay for, see Publication 502, Medical and Dental Expenses, at irs.gov.



364999513 NW-OR 2020

Example of your costs for careLet’s say you hurt your ankle. You visit your personal doctor, who orders an X-ray. It’s just a sprain, so the doctor prescribes a generic pain medication. Here’s an example of what you’d pay out of pocket for these services with each type of health plan.

Plan name Office visit X-ray Generic drug

KP OR Gold 0/20 (no deductible)

$20 $40 $10

KP OR Silver 2500/35 ($2,500 deductible)

$35$87 or 30% if you’ve met your deductible

$25

KP OR Bronze 5000/50 ($5,000 deductible)

$50 $87 or 35% if you’ve met your deductible

$49 or $30 if you've met your deductible

The cost estimates above are from kp.org/treatmentestimates. Visit this site anytime to get an idea of what the charges for common services might be before you reach your deductible.

Important open enrollment dates for 2020

• The open enrollment period for 2020 coverage runs from November 1, 2019, through December 15, 2019.

• You can change or apply for coverage through Kaiser Foundation Health Plan of the Northwest, or we can help you apply through the Oregon Health Insurance Marketplace.

• For coverage that starts on January 1, 2020, we must receive your Application for Health Coverage and first month’s premium no later than December 15, 2019.

Enrolling during a special enrollment period

• Are you getting married, having a baby, or losing your health coverage? You can also enroll or change your coverage at other times throughout the year if you have a qualifying life event.

• Visit kp.org/specialenrollment for a list of qualifying life events and instructions.

Do you qualify for financial help?

You may be eligible for federal or state financial assistance to help you pay for care or coverage. Visit healthcare.gov for details.

http://kp.org/treatmentestimateshttp://kp.org/specialenrollmenthttp://healthcare.gov

Understanding the plans: benefit highlightsThe charts on the next few pages show you a sample of each plan’s benefits. Review the diagram below to help you understand how to read those charts.


361334441 NW-OR 2020

Here’s a quick look at how to use the chart

KP OR Silver2500/35

Plan type Deductible

Features

Annual medical deductible(individual/family) $2,500/$5,000

Annual out-of-pocket maximum (individual/family) $8,150/$16,300

Benefits

Preventive care

Routine physical exam, mammograms, etc. No charge

Outpatient services (per visit or procedure)

Primary care office visit $35

Specialty care office visit $65

Most X-rays 30% after deductible

Most lab tests 30% after deductible

MRI, CT, PET 30% after deductible

Outpatient surgery 30% after deductible

Mental health visit $35

Inpatient hospital care

Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care 30% after deductible

Maternity

Routine prenatal care and postpartum visits No charge

Delivery and inpatient well-baby care 30% after deductible

Emergency and urgent care

Emergency Department visit 30% after deductible

Urgent care visit $50

Prescription drugs (up to a 30-day supply)

Generic $25

Preferred brand $65

Non-preferred brand 50% after deductible

Specialty 50% after deductible

Whole health

Healthy services

$25 per visit up to 3 visits for acupuncture and chiropractic services. $65 per visit up to 6

visits for naturopathic services. See chpgroup.com for details.†

Annual deductibleYou need to pay this amount before your plan starts helping you pay for most covered services. Under this sample plan, you’d pay the full charges for covered services until you reach $2,500 for yourself or $5,000 for your family. Then you’d start paying copays or coinsurance.

KP Offered through Kaiser Foundation Health Plan of the NorthwestM Offered through the Oregon Health Insurance Marketplace

Preventive care at no chargeMost preventive care services — including routine physical exams and mammograms — are covered at no charge. Plus, they’re not subject to the deductible.

CoinsuranceAfter reaching your deductible, this is a percentage of the charges that you may pay for covered services. Here, you’d pay 30% of the cost per day for your inpatient hospital care after you reach your deductible. Your plan would pay the rest for the remainder of the calendar year.

Covered before you reach the deductibleWith some services, you’ll only pay a copay or coinsurance, regardless of whether you’ve reached your deductible. Under this plan, primary care visits are covered at a $35 copay — even before you meet your deductible. With our Silver deductible plans, primary care, specialty care, and urgent care visits all are covered before you reach the deductible.

CopayThis is the set amount you pay for covered services, usually after you reach your deductible. In this example, you’d pay a $50 copay for urgent care visits, whether or not you have met your deductible.

Annual out-of-pocket maximumThis is the most you’ll pay for care during the calendar year before your plan starts paying 100% for most covered services. In this example, you’d never pay more than $8,150 for yourself and no more than $16,300 for your family for your copays, coinsurance, and deductible in a calendar year.

KP M


KP Offered through Kaiser Foundation Health Plan of the Northwest

M Offered through the Oregon Health Insurance Marketplace

Financial assistance options with lower copays, coinsurance, and deductibles are available for certain plans, and for Native Alaskans and American Indians on healthcare.gov.

KP OR Standard Bronze Plan

KP OR Bronze 6900/0% HSA

KP OR Bronze 5000/50

KP OR Standard Silver Plan

Plan type Deductible HSA-qualified Deductible Deductible Features

Annual medical deductible(individual/family) $7,900/$15,800 $6,900/$13,800 $5,000/$10,000 $3,550/$7,100

Annual out-of-pocket maximum (individual/family) $7,900/$15,800 $6,900/$13,800 $8,150/$16,300 $8,150/$16,300

Benefits

Preventive care

Routine physical exam, mammograms, etc. No charge No charge No charge No charge


Primary care office visit $45 No charge after deductible $50 $40

Specialty care office visit $90 No charge after deductible 35% after deductible $80

Most X-rays No charge after deductible No charge after deductible 35% after deductible 30% after deductible

Most lab tests No charge after deductible No charge after deductible 35% after deductible 30% after deductible

MRI, CT, PET No charge after deductible No charge after deductible 35% after deductible 30% after deductible

Outpatient surgery No charge after deductible No charge after deductible 35% after deductible 30% after deductible

Mental health visit $45 No charge after deductible $50 $40


Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care

No charge after deductible No charge after deductible 35% after deductible 30% after deductible

Maternity

Routine prenatal and postpartum visits No charge after deductible No charge after deductible No charge 30% after deductible

Delivery and inpatient well-baby care No charge after deductible No charge after deductible 35% after deductible 30% after deductible


Emergency Department visit No charge after deductible No charge after deductible 35% after deductible 30% after deductible

Urgent care visit No charge after deductible No charge after deductible 35% after deductible $70


Generic $15* No charge after deductible $30* after deductible $15*

Preferred brand No charge after deductible No charge after deductible 50% after deductible $60*

Non-preferred brand No charge after deductible No charge after deductible 50% after deductible 50%

Specialty No charge after deductible No charge after deductible 50% after deductible 50%

Whole health

Healthy services

CHP Active & Healthy up to 20% discount on chiropractic,

acupuncture, massage, naturopathy, gym memberships, and more. See chpactiveandhealthy.com

for details.†

$25 after deductible per visit up to 3 visits for acupuncture and

chiropractic services. No charge after deductible per visit up to 6 visits

for naturopathic services. See chpgroup.com for details.†

$25 per visit up to 3 visits for acupuncture and chiropractic services. 35% after deductible

per visit up to 6 visits for naturopathic services.

See chpgroup.com for details.†



for details.†

*Mail order: 90-day supply of qualified prescriptions for the cost of a 60-day supply. † Discount programs and other services shown may be provided by groups other than Kaiser Foundation Health Plan of the Northwest, and aren’t offered or guaranteed under your coverage. Additional fees you pay won’t count toward your deductible or out-of-pocket maximum.

All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232

This plan summary is intended to highlight only some of the most frequently asked about benefits and their copays, coinsurance, and deductibles. For specific plan information, see the following forms: for HSA-qualified deductible plans: EOIDHDHP0120; for deductible plans: EOIDDEDSTD0120, EOIDDED0120; for traditional copay plans: EOIDTRAD0120; for the catastrophic plan: EOIDCAT0120. Please refer to the Evidence of Coverage for complete details on your plan or for specific limitations and exclusions. To request a copy of the Evidence of Coverage, please visit kp.org/plandocuments, call us at 1-800-813-2000 or contact your producer. For services subject to the deductible, you will have to pay health care expenses out-of-pocket until you meet your deductible. Most deductibles, copays, and coinsurance contribute to the out-of-pocket maximum.

KP M KP M KP MKP M

361334441 NW-OR 2020





KP OR Silver 3500/35

KP OR Silver 3000/20% HSA

KP OR Silver 2500/35

KP OR Standard Gold Plan

Plan type Deductible HSA-qualified Deductible Deductible

Features

Annual medical deductible(individual/family) $3,500/$7,000 $3,000/$6,000 $2,500/$5,000 $1,000/$2,000

Annual out-of-pocket maximum (individual/family) $8,150/$16,300 $6,900/$13,800 $8,150/$16,300 $7,300/$14,600

Benefits

Preventive care

Routine physical exam, mammograms, etc. No charge No charge No charge No charge


Primary care office visit $35 20% after deductible $35 $20

Specialty care office visit $65 20% after deductible $65 $40

Most X-rays 30% after deductible 20% after deductible 30% after deductible 20% after deductible

Most lab tests 30% after deductible 20% after deductible 30% after deductible 20% after deductible

MRI, CT, PET 30% after deductible 20% after deductible 30% after deductible 20% after deductible

Outpatient surgery 30% after deductible 20% after deductible 30% after deductible 20% after deductible

Mental health visit $35 20% after deductible $35 $20


Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care

30% after deductible 20% after deductible 30% after deductible 20% after deductible

Maternity

Routine prenatal and postpartum visits No charge No charge No charge 20% after deductible

Delivery and inpatient well-baby care 30% after deductible 20% after deductible 30% after deductible 20% after deductible


Emergency Department visit 30% after deductible 20% after deductible 30% after deductible 20% after deductible

Urgent care visit $50 20% after deductible $50 $60


Generic $25* $15* after deductible $25* $10*

Preferred brand $65* $55* after deductible $65* $30*

Non-preferred brand 50% after deductible 50% after deductible 50% after deductible 50%

Specialty 50% after deductible 50% after deductible 50% after deductible 50% with a $500 per script maximum

Whole health

Healthy services

$25 per visit up to 3 visits for acupuncture and chiropractic

services. $65 per visit up to 6 visits for naturopathic services.


$25 after deductible per visit up to 3 visits for acupuncture and chiropractic services. 20% after

deductible per visit up to 6 visits for naturopathic services.


$25 per visit up to 3 visits for acupuncture and chiropractic

services. $65 per visit up to 6 visits for naturopathic services.




for details.†




KP KPM KP MKP M

361334441 NW-OR 2020





KP OR Gold 1000/20

KP OR Gold 0/20

KP OR Catastrophic 8150/0 ‡

Plan type Deductible Copayment DeductibleFeatures

Annual medical deductible(individual/family) $1,000/$2,000 None/None $8,150/$16,300

Annual out-of-pocket maximum (individual/family) $7,500/$15,000 $7,500/$15,000 $8,150/$16,300

Benefits

Preventive care

Routine physical exam, mammograms, etc. No charge No charge No charge


Primary care office visit $20 $20 First 3 office visits no charge;**additional visits no charge after deductible.

Specialty care office visit $40 $40 No charge after deductible

Most X-rays 30% $40 No charge after deductible

Most lab tests 30% $40 No charge after deductible

MRI, CT, PET 30% after deductible $300 No charge after deductible

Outpatient surgery 30% after deductible 30% No charge after deductible

Mental health visit $20 $20 No charge after deductible


Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care 30% after deductible 30% No charge after deductible

Maternity

Routine prenatal and postpartum visits No charge No charge No charge after deductible

Delivery and inpatient well-baby care 30% after deductible 30% No charge after deductible


Emergency Department visit 30% after deductible $350 No charge after deductible

Urgent care visit $40 $40 No charge after deductible


Generic $10* $10* No charge after deductible

Preferred brand $30* $30* No charge after deductible

Non-preferred brand 50% 50% No charge after deductible

Specialty 50% 50% No charge after deductible

Whole health

Healthy services

$25 per visit up to 3 visits for acupuncture and chiropractic services. $40 per visit up to

6 visits for naturopathic services. See chpgroup.com for details.†



CHP Active & Healthy up to 20% discount on chiropractic, acupuncture, massage,

naturopathy, gym memberships, and more. See chpactiveandhealthy.com for details.†

*Mail order: 90-day supply of qualified prescriptions for the cost of a 60-day supply. † Discount programs and other services shown may be provided by groups other than Kaiser Foundation Health Plan of the Northwest, and aren’t offered or guaranteed under your coverage. Additional fees you pay won’t count toward your deductible or out-of-pocket maximum. ‡ Only applicants younger than age 30, or applicants age 30 and older who provide a certificate from the Health Insurance Marketplace demonstrating hardship or lack of affordable coverage, may purchase a KP OR Catastrophic 8150/0 plan. **The KP OR Catastrophic 8150/0 plan includes 3 office visits at no charge before you reach your deductible. Office visits include primary care.



KP M KP M KP M

361334441 NW-OR 2020



Cost Share Reduction (CSR) plans You must qualify for and enroll in the CSR plans on this page through healthcare.gov.

KP OR Silver 2500/35 73% CSR



Plan type Deductible Deductible Copayment Features

Annual medical deductible(individual/family) $2,350/$4,700 $250/$500 None/None


Benefits

Preventive care



Primary care office visit $35 $20 $5

Specialty care office visit $60 $30 $10

Most X-rays 30% after deductible 30% after deductible 10%

Most lab tests 30% after deductible 30% after deductible 10%

MRI, CT, PET 30% after deductible 30% after deductible 10%

Outpatient surgery 30% after deductible 30% after deductible 10%

Mental health visit $35 $20 $5


Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care 30% after deductible 30% after deductible 10%

Maternity

Routine prenatal and postpartum visits No charge No charge No charge

Delivery and inpatient well-baby care 30% after deductible 30% after deductible 10%


Emergency Department visit 30% after deductible 30% after deductible 10%

Urgent care visit $50 $35 $25


Generic $25* $15* $5*

Preferred brand $65* $45* $10*

Non-preferred brand 50% after deductible 50% after deductible 50%

Specialty 50% after deductible 50% after deductible 50%

Whole health

Healthy services










M M M

361334441 NW-OR 2020







Plan type Deductible Deductible Deductible

Features

Annual medical deductible(individual/family) $2,750/$5,500 $500/$1,000 $100/$200


Benefits

Preventive care





Most X-rays 30% after deductible 30% after deductible 10% after deductible

Most lab tests 30% after deductible 30% after deductible 10% after deductible

MRI, CT, PET 30% after deductible 30% after deductible 10% after deductible

Outpatient surgery 30% after deductible 30% after deductible 10% after deductible



Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care 30% after deductible 30% after deductible 10% after deductible

Maternity

Routine prenatal and postpartum visits No charge No charge No charge

Delivery and inpatient well-baby care 30% after deductible 30% after deductible 10% after deductible


Emergency Department visit 30% after deductible 30% after deductible 10% after deductible



Generic $25* $15* $5*


Non-preferred brand 50% after deductible 50% after deductible 50% after deductible

Specialty 50% after deductible 50% after deductible 50% after deductible

Whole health

Healthy services

$25 per visit up to 3 visits for acupuncture and chiropractic services. $60 per visit up to 6 visits for naturopathic services.









M M M

361334441 NW-OR 2020




KP OR Standard Silver Plan 73% CSR



Plan type Deductible Deductible Deductible

Features

Annual medical deductible(individual/family) $3,550/$7,100 $900/$1,800 $100/$200


Benefits

Preventive care





Most X-rays 30% after deductible 10% after deductible 10% after deductible

Most lab tests 30% after deductible 10% after deductible 10% after deductible

MRI, CT, PET 30% after deductible 10% after deductible 10% after deductible

Outpatient surgery 30% after deductible 10% after deductible 10% after deductible



Room and board, surgery, anesthesia, X-rays, lab tests, medications, mental health care 30% after deductible 10% after deductible 10% after deductible

Maternity

Routine prenatal and postpartum visits 30% after deductible 10% after deductible 10% after deductible

Delivery and inpatient well-baby care 30% after deductible 10% after deductible 10% after deductible


Emergency Department visit 30% after deductible 10% after deductible 10% after deductible



Generic $15* $10* $5*


Non-preferred brand 50% 50% 25%

Specialty 50% 50% 25%

Whole health

Healthy services










M M M

361334441 NW-OR 2020


Find your rateUse the monthly rates chart on the following pages or apply on buykp.org/apply to have your rate calculated automatically. Along with your monthly rate, consider what you’ll need to pay when you get care.

How is your rate determined?

Your rate is based on:• The plan you choose

• Where you live, based on your countyand ZIP code

• Your age on your plan start date (effective date)

• If you add a pediatric dental plan for children 18and younger

• If you qualify for federal financial assistance. Visitbuykp.org/apply or call us at 1-800-494-5314(TTY 711) to see if you may qualify.

• If you use tobacco

Interested in a family plan?Find the rate for each family member, based on his or her age on the start date.

Family members include:• You

• Your spouse/domestic partner

• All adult children 21 through 25

• Your 3 oldest children under 21

If you have more than 3 children under 21, you only need to pay for the 3 oldest. The other children under 21 will be covered at no charge.

The rates in the monthly rates chart apply to these ZIP codes. Please check that your ZIP code is listed below. If it isn’t, call us at 1-800-494-5314 for information on other rate areas.


361335157 NW-OR 2020

Our service areaBenton County 97330–31, 97333, 97339, 97370, 97448, 97456

Clackamas County All ZIP codes

Columbia County All ZIP codes

Hood River County 97014

Lane County 97401–5, 97408–9, 97419, 97424, 97426, 97431, 97437–8, 97440, 97446, 97448, 97451–2, 97454–6, 97461, 97475, 97477–8, 97487, 97489

Linn County 97321–22, 97335, 97348, 97355, 97358, 97360, 97374, 97377, 97389, 97446

Marion County All ZIP codes

Multnomah County All ZIP codes

Polk County All ZIP codes

Washington County All ZIP codes

Yamhill County All ZIP codes

http://buykp.org/applyhttp://buykp.org/apply


361335157 NW-OR 2020

2020 Monthly rates Benton, Linn, and Lane counties

Please note: These rates do not include the federal financial assistance you may be eligible to receive through the Oregon Health Insurance Marketplace.

Non-Tobacco User Rates

Age on 2020

effective date

KP Oregon Standard

Bronze Plan



KP Oregon Standard Silver Plan (includes

all CSR plan variations)

KP OR Silver 3500/35 (includes


KP OR Silver 3000/20%

HSA



KP Oregon Standard Gold

Plan

KP OR Gold 1000/20

KP OR Gold 0/20

KP OR Catastrophic

8150/0

0–20 $174 $153 $169 $230 $229 $211 $238 $242 $234 $242 $153

21–24 274 241 267 362 360 332 374 382 368 381 241

25 275 242 268 364 362 333 376 383 370 383 242

26 281 247 273 371 369 340 383 391 377 390 247

27 287 253 279 379 377 348 392 400 386 400 252

28 298 262 290 394 391 361 407 415 400 415 262

29 307 270 298 405 403 372 419 427 412 427 270

30 311 274 303 411 409 377 425 433 418 433 273

31 318 280 309 420 417 385 434 442 427 442 279

32 324 285 315 428 426 393 443 451 436 451 285

33 328 289 319 434 431 398 449 457 441 457 289

34 333 293 324 440 437 403 455 463 447 463 292

35 335 295 326 442 440 406 458 466 450 466 294

36 337 297 328 445 443 408 460 469 453 469 296

37 339 299 330 448 446 411 463 472 456 472 298

38 341 301 332 451 449 414 466 475 459 475 300

39 346 305 337 457 454 419 472 482 465 481 304

40 350 308 341 463 460 424 478 488 471 487 308

41 357 314 347 471 469 432 487 497 480 497 314

42 363 320 353 480 477 440 496 506 488 505 319

43 372 327 362 491 489 451 508 518 500 517 327

44 383 337 373 506 503 464 523 533 515 533 337

45 396 348 385 523 520 480 541 551 532 551 348

46 411 362 400 543 540 498 562 572 553 572 361

47 428 377 417 566 563 519 585 596 576 596 377

48 448 395 436 592 589 543 612 624 602 623 394

49 467 412 455 618 614 567 639 651 628 651 411

50 489 431 476 647 643 593 669 681 658 681 430

51 511 450 497 675 672 619 698 712 687 711 449

52 535 471 521 707 703 648 731 745 719 744 470

53 559 492 544 739 735 677 764 778 752 778 491

54 585 515 569 773 769 709 799 815 787 814 514

55 611 538 595 807 803 741 835 851 822 850 537

56 639 563 622 845 840 775 873 890 859 890 562

57 668 588 650 882 878 809 912 930 898 929 587

58 698 615 679 923 918 846 954 972 939 972 614

59 713 628 694 943 937 864 975 993 959 993 627

60 743 655 724 983 977 901 1,016 1,036 1,000 1,035 654

61 770 678 749 1,018 1,012 933 1,052 1,072 1,035 1,072 677

62 787 693 766 1,040 1,035 954 1,076 1,096 1,058 1,096 692

63 809 712 787 1,069 1,063 980 1,105 1,126 1,087 1,126 711

64+ 822 723 801 1,086 1,080 996 1,122 1,146 1,104 1,143 723

Rates are effective January 1, 2020, through December 31, 2020.


2020 Monthly rates Benton, Linn, and Lane counties


361335157 NW-OR 2020

Tobacco User Rates

Age on 2020

effective date

KP Oregon Standard

Bronze Plan








HSA




Plan

KP OR Gold 1000/20

KP OR Gold 0/20

KP OR Catastrophic

8150/0

0–20 $174 $153 $169 $230 $229 $211 $238 $242 $234 $242 $153

21–24 329 290 320 435 432 398 449 458 442 458 289

25 330 291 321 436 434 400 451 460 444 459 290

26 337 297 328 445 442 408 460 469 453 469 296

27 345 303 335 455 453 418 471 480 463 480 303

28 357 315 348 472 470 433 488 498 481 497 314

29 368 324 358 486 484 446 503 512 495 512 324

30 373 329 363 493 490 452 510 520 502 519 328

31 381 336 371 504 501 462 521 531 512 530 335

32 389 343 379 514 511 471 531 542 523 541 342

33 394 347 383 521 518 477 538 549 530 548 346

34 399 352 388 528 525 484 545 556 537 556 351

35 402 354 391 531 528 487 549 560 540 559 353

36 404 356 394 534 532 490 553 563 544 563 356

37 407 359 396 538 535 493 556 567 547 567 358

38 410 361 399 541 538 497 560 571 551 570 360

39 415 365 404 548 545 503 567 578 558 577 365

40 420 370 409 555 552 509 574 585 565 585 369

41 428 377 417 566 563 519 585 596 576 596 376

42 436 384 424 576 573 528 595 607 586 606 383

43 446 393 434 590 586 541 610 621 600 621 392

44 459 405 447 607 604 557 628 640 618 639 404

45 475 418 462 627 624 575 649 661 638 661 417

46 493 434 480 652 648 598 674 687 663 686 434

47 514 453 500 679 675 623 702 716 691 715 452

48 537 473 523 710 707 652 735 749 723 748 473

49 561 494 546 741 737 680 766 781 754 781 493

50 587 517 572 776 772 712 802 818 790 817 516

51 613 540 597 810 806 743 838 854 824 853 539

52 642 565 625 848 843 778 877 894 863 893 564

53 671 591 653 886 882 813 917 934 902 934 590

54 702 618 683 928 923 851 959 978 944 977 617

55 733 646 714 969 964 889 1,002 1,021 986 1,020 645

56 767 676 747 1,014 1,008 930 1,048 1,068 1,031 1,068 674

57 801 706 780 1,059 1,053 971 1,095 1,116 1,077 1,115 705

58 838 738 815 1,107 1,101 1,015 1,145 1,167 1,126 1,166 737

59 856 754 833 1,131 1,125 1,037 1,169 1,192 1,151 1,191 753

60 892 786 868 1,179 1,173 1,081 1,219 1,243 1,200 1,242 785

61 924 814 899 1,221 1,214 1,120 1,262 1,287 1,242 1,286 812

62 944 832 919 1,248 1,241 1,145 1,291 1,316 1,270 1,315 831

63 970 855 945 1,283 1,276 1,176 1,326 1,352 1,305 1,351 853

64+ 987 870 960 1,305 1,296 1,194 1,347 1,374 1,326 1,374 867



2020 Monthly rates All other service area counties


361335157 NW-OR 2020

Non-Tobacco User Rates

Age on 2020

effective date

KP Oregon Standard

Bronze Plan








HSA




Plan

KP OR Gold 1000/20

KP OR Gold 0/20

KP OR Catastrophic

8150/0

0–20 $166 $146 $161 $219 $218 $201 $226 $231 $223 $231 $146

21–24 261 230 254 345 343 316 357 363 351 363 229

25 262 231 255 346 344 318 358 365 352 365 230

26 267 235 260 353 351 324 365 372 359 372 235

27 273 241 266 361 359 331 374 381 368 381 240

28 284 250 276 375 373 344 388 395 381 395 249

29 292 257 284 386 384 354 399 407 393 406 257

30 296 261 288 391 389 359 405 412 398 412 260

31 302 266 294 400 397 367 413 421 407 421 266

32 309 272 300 408 406 374 422 430 415 430 271

33 313 275 304 413 411 379 427 435 420 435 275

34 317 279 308 419 416 384 433 441 426 441 279

35 319 281 310 421 419 386 436 444 429 444 280

36 321 283 312 424 422 389 439 447 432 447 282

37 323 285 314 427 425 392 441 450 434 450 284

38 325 286 316 430 427 394 444 453 437 453 286

39 329 290 320 435 433 399 450 459 443 458 290

40 333 294 325 441 438 404 456 464 448 464 293

41 340 299 331 449 447 412 464 473 457 473 299

42 346 305 336 457 454 419 472 482 465 481 304

43 354 312 345 468 465 429 484 493 476 493 311

44 364 321 355 482 479 442 498 508 490 507 321

45 377 332 367 498 495 457 515 525 507 524 331

46 391 345 381 517 514 474 535 545 526 545 344

47 408 359 397 539 536 494 557 568 548 568 359

48 427 376 415 564 561 517 583 594 574 594 375

49 445 392 433 588 585 540 608 620 599 620 391

50 466 410 454 616 613 565 637 649 627 649 410

51 487 429 474 643 640 590 665 678 654 677 428

52 509 449 496 673 669 617 696 709 685 709 448

53 532 469 518 704 700 645 727 741 716 741 468

54 557 491 542 736 732 675 761 776 749 775 490

55 582 513 566 769 765 705 795 810 782 810 512

56 609 536 592 805 800 738 832 848 819 847 535

57 636 560 619 840 836 771 869 886 855 885 559

58 665 586 647 879 874 806 909 926 894 925 585

59 679 598 661 898 893 823 928 946 913 945 597

60 708 624 689 936 931 858 968 986 952 986 623

61 733 646 714 969 964 889 1,002 1,021 986 1,021 645

62 750 660 730 991 985 909 1,024 1,044 1,008 1,043 659

63 770 678 750 1,018 1,012 934 1,053 1,073 1,036 1,072 677

64+ 783 690 762 1,035 1,029 948 1,071 1,089 1,053 1,089 687



2020 Monthly rates All other service area counties


361335157 NW-OR 2020

Tobacco User Rates

Age on 2020

effective date

KP Oregon Standard

Bronze Plan








HSA




Plan

KP OR Gold 1000/20

KP OR Gold 0/20

KP OR Catastrophic

8150/0

0–20 $166 $146 $161 $219 $218 $201 $226 $231 $223 $231 $146

21–24 313 276 305 414 412 380 428 436 421 436 275

25 314 277 306 415 413 381 430 438 423 438 276

26 321 282 312 424 421 389 438 447 431 446 282

27 328 289 319 434 431 398 448 457 441 457 289

28 340 300 331 450 447 413 465 474 458 474 299

29 350 309 341 463 461 425 479 488 471 488 308

30 355 313 346 470 467 431 486 495 478 495 313

31 363 320 353 480 477 440 496 505 488 505 319

32 370 326 361 490 487 449 506 516 498 516 326

33 375 330 365 496 493 455 513 522 504 522 330

34 380 335 370 502 500 461 519 529 511 529 334

35 383 337 372 506 503 464 523 533 514 533 336

36 385 339 375 509 506 467 526 536 518 536 339

37 388 341 377 512 509 470 530 540 521 540 341

38 390 344 380 516 513 473 533 543 525 543 343

39 395 348 385 522 519 479 540 550 531 550 347

40 400 352 389 529 526 485 547 557 538 557 352

41 408 359 397 539 536 494 557 568 548 567 358

42 415 365 404 548 545 503 567 578 558 577 365

43 425 374 414 562 558 515 581 592 571 591 374

44 437 385 426 578 575 530 598 609 588 609 385

45 452 398 440 598 594 548 618 630 608 629 398

46 470 414 457 621 617 569 642 654 632 654 413

47 489 431 476 647 643 593 669 682 658 681 430

48 512 451 498 677 673 621 700 713 688 713 450

49 534 471 520 706 702 647 730 744 718 744 470

50 559 493 544 739 735 678 764 779 752 778 492

51 584 514 568 772 768 708 798 813 785 813 514

52 611 538 595 808 803 741 835 851 822 851 537

53 639 563 622 844 840 774 873 890 859 889 562

54 668 589 651 884 879 810 914 931 899 930 588

55 698 615 680 923 918 846 954 972 939 972 614

56 730 643 711 965 960 885 998 1,017 982 1,017 642

57 763 672 743 1,009 1,003 925 1,043 1,063 1,026 1,062 671

58 798 703 777 1,054 1,049 967 1,090 1,111 1,073 1,110 702

59 815 718 793 1,077 1,071 988 1,114 1,135 1,096 1,134 717

60 850 749 827 1,123 1,117 1,030 1,161 1,184 1,143 1,183 747

61 880 775 856 1,163 1,156 1,066 1,202 1,225 1,183 1,225 774

62 899 792 876 1,189 1,182 1,090 1,229 1,253 1,210 1,252 791

63 924 814 900 1,222 1,215 1,120 1,263 1,287 1,243 1,287 813

64+ 939 828 915 1,242 1,236 1,140 1,284 1,308 1,263 1,308 825



361341999 NW-OR 2020

Dental and vision coverageWith our Kaiser Permanente Individuals and Families dental plans and vision coverage, you get the benefits you need and the high quality of care you’ve come to expect. There is no waiting period — you’ll be eligible to start receiving covered services the minute your coverage takes effect.

Quality dental care

Combining dental coverage with our medical coverage is a great way to experience Kaiser Permanente's uniquely coordinated approach to care. Save a trip — and often a copay — by taking care of minor medical needs, like flu shots or vaccinations, during your dental appointment.* Plus, your dentist can view your electronic health record to see if you're due for a screening, lab test, or follow-up appointment. Our dental and medical teams work together to support your total health, giving you another reason to smile.

Choice You’ll have your first appointment with a dentist and dental hygienist at the location that works best for you. After that, you can choose to keep them as your providers, or request to be transferred. You can change your dentist or dental hygienist at any time.

Convenience We have 21 dental offices in the Portland metro area, southwest Washington, Longview, Salem, and Eugene, so there’s sure to be one near you. Our dental group includes pediatric dentists, orthodontists, periodontists, oral surgeons, endodontists, and prosthodontists.

Quality Our dental professionals exceed national standards. Since 1990, we’ve received accreditation from the Accreditation Association for Ambulatory Health Care (AAAHC). Right now, we’re the only dental practice in the Pacific Northwest with AAAHC accreditation.†

How to make appointments Our dental offices are open Monday through Friday, with Saturday hours for hygienist services and emergencies at most locations. To schedule a visit, call our Appointment Center at 1-800-813-2000 (TTY 711) from 8 a.m. to 6 p.m., Monday through Friday (closed major holidays).

For more information, visit kp.org/dental/nw.

Vision Essentials

We offer eye care services to help keep your world in focus. Plus, when you’re a Kaiser Foundation Health Plan of the Northwest member, your eye health information becomes part of your overall medical record, giving your care team a complete picture of your health.

Adult vision exams are included in our Gold plans (except Oregon Standard) and the KP OR Silver 2500/35 plan. All plans include medically necessary eye exams, pediatric vision exams for children 18 and younger, as well as glasses or contact lenses for children, usually at no additional cost.‡ For more information, including our 10 optical locations, visit kp2020.org.

* Medical services aren't available at all dental locations. You must be a Kaiser Permanente medical member to get medical care. † Source: https://eweb.aaahc.org/eweb/dynamicpage.aspx?site=aaahc_site&webcode=find_orgs ‡ Vision hardware must be prescribed and purchased at a Kaiser Permanente Optical Center, and is no additional charge when selected from a list of standard frames.

http://kp.org/dental/nwhttp://kp2020.org


361341999 NW-OR 2020

Dental plans

KP OR Dental 100 KP OR Dental 80H KP OR Dental 80L

Child(18 or younger)

Adult (19 or older)

Child (18 or younger)

Adult (19 or older)

Child (18 or younger)

Adult (19 or older)

Features

Benefit maximum Does not apply $1,000 Does not apply $1,000 Does not apply No maximum

Out-of-pocket maximum (individual/family) $350/$700 Does not apply $350/$700 Does not apply $350/$700 Does not apply

Deductible (individual/family) $50/$150 $50/$150 $0 $0 $100/$300 $100/$300

Benefits (subject to deductible unless otherwise noted)

Preventive and diagnostic services No charge 20% coinsurance (not subject to deductible) 20% coinsurance (not subject to deductible)

Basic restorative services 20% coinsurance 75% coinsurance 50% coinsurance

Oral surgery, endodontics, and periodontics 20% coinsurance 75% coinsurance 50% coinsurance

Major restorative services 50% coinsurance 75% coinsurance 50% coinsurance

Monthly rates

Age on 2020 effective date KP OR Dental 100 KP OR Dental 80H KP OR Dental 80L



364999513 NW-OR 2020

Find a facility near youHaving a wide selection of health care providers in convenient locations is important. That’s why we have medical facilities and dental offices in 5 areas: southwest Washington, Salem, Longview, Eugene-Springfield, and the Portland metropolitan area.

Locate a medical providerJust visit kp.org/newmember, select your region and click on “Choose a personal physician” under “Getting Started.” Next, choose a physician, physician’s assistant, or nurse practitioner as your primary care participating provider in these departments:g Family Medicine for children and adultsg Internal Medicine for members 18 and olderg Ob-Gyn for female members (certified nurse- midwives also available)

g Pediatrics for members under age 18

Our medical staff directory lists both primary care and specialty care providers, and shows their education, gender, languages spoken, and more.

You can download the directory from the “Forms and Publications” section of the website. Or, to have one sent to you, contact Member Services at 1-800-813-2000 (TTY 711) from 8 a.m. to 6 p.m., Monday through Friday (closed major holidays). For language interpretation services, call 1-800-324-8010.

Talk to a new member specialistCall our dedicated New Member Welcome Desk at 1-888-491-1124 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m., and talk with a specialist who can help you get the most out of your benefits quickly and easily. They can assist you with selecting a provider, transferring medical records and prescriptions, setting appointments, and more.

Our locationsIt’s easy to find a location near you. Our service area is made up of 36 medical offices, 6 urgent care clinics, and 2 hospitals. You can access Care Essentials by Kaiser Permanente, convenient care clinics for nonemergency and preventive health services, located in Portland. We also have a network of affiliated providers, including The Portland Clinic.

In the Eugene-Springfield area, in addition to the Eugene Medical Office and Valley River Dental Office, we have expanded our network to partner with 4 affiliate medical offices, 4 hospitals, 12 urgent care clinics, 6 pharmacies, and many specialists to offer more options for care where you need it.

For more information on our medical facilities, visit kp.org/facilities.

Dental careWith 21 dental offices to choose from, it's easy to find a location that's convenient for you. For more information about our dental plans and the wide range of services available, please visit kp.org/dental/nw.

http://kp.org/newmemberhttp://kp.org/facilitieshttp://kp.org/dental/nw



364999513 NW-OR 2020

Northwest locations

Maps not to scale

Visit kp.org/locations to see all our current locations and find the one closest to you.

Hillsboro

TigardMilwaukie

Tualatin

Beaverton

Oregon City

Portland

217

5

5

205

205

8426

Vancouver

Kaiser PermanenteMedical Officeff

Kaiser PermanenteDental Officeff

AfAA filiff ate Location

Kaiser PermanenteHospital

Care Essentials byKaiser Permanente

Longview

5

Salem

5

Eugene

13

Oakridge

Cottage Grove

Florence

60576526_ACA_1557_MarCom_NW_2017_Taglines

NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of the Northwest (Kaiser Health Plan) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no cost aids and services to people with disabilities to communicate

effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and

accessible electronic formats

• Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages

If you need these services, call 1-800-813-2000 (TTY: 711) If you believe that Kaiser Health Plan 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: Member Relations, Attention: Kaiser Civil Rights Coordinator, 500 NE Multnomah St. Ste 100, Portland, OR 97232, telephone number: 1-800-813-2000. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

____________________________________________________________________

HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-813-2000 (TTY: 711).

አማርኛ (Amharic) ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-813-2000 (TTY: 711).

.، فإن خدمات المساعدة اللغوية تتوافر لك بالمجانالعربيةإذا كنت تتحدث :ملحوظة (Arabic) العربية (.TTY :711) 2000-813-800-1 اتصل برقم

中文 (Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電1-800-813-2000（TTY：711）。

اگر به زبان فارسی گفتگو می کنيد، تسهيالت زبانی بصورت رايگان برای توجه: (Farsi) فارسی تماس بگيريد.TTY) 1-800-813-2000: 711) شما فراهم می باشد. با

http://kp.org/locations


NONDISCRIMINATION NOTICE

Kaiser Foundation Health Plan of the Northwest (Kaiser Health Plan) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also:

• Provide no cost aids and services to people with disabilities to communicateeffectively with us, such as:• Qualified sign language interpreters• Written information in other formats, such as large print, audio, and

accessible electronic formats

• Provide no cost language services to people whose primary language is notEnglish, such as:• Qualified interpreters• Information written in other languages

If you need these services, call 1-800-813-2000 (TTY: 711)

If you believe that Kaiser Health Plan 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: Member Relations, Attention: Kaiser Civil Rights Coordinator, 500 NE Multnomah St. Ste 100, Portland, OR 97232, telephone number: 1-800-813-2000.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available athttp://www.hhs.gov/ocr/office/file/index.html.

____________________________________________________________________

HELP IN YOUR LANGUAGE

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-813-2000 (TTY: 711).

አማርኛ (Amharic) ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-813-2000 (TTY: 711).

.، فإن خدمات المساعدة اللغوية تتوافر لك بالمجانالعربيةإذا كنت تتحدث :ملحوظة (Arabic) العربية(.TTY :711) 2000-813-800-1 اتصل برقم

中文 (Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電1-800-813-2000（TTY：711）。

اگر به زبان فارسی گفتگو می کنيد، تسهيالت زبانی بصورت رايگان برای توجه: (Farsi) فارسیتماس بگيريد.TTY) 1-800-813-2000: 711) شما فراهم می باشد. با

https://ocrportal.hhs.gov/ocr/portal/lobby.jsfhttp://www.hhs.gov/ocr/office/file/index.html


Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-813-2000 (TTY: 711).

Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-813-2000 (TTY: 711).

日本語 (Japanese) 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-813-2000（TTY: 711）まで、お電話にてご連絡ください。

ខ្មែ រ (Khmer) ប្រយត័្ន៖ បរើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, បសវាជំនួយខ្ននកភាសា បោយមិនគិត្ឈ្ន លួ គអឺាចមានសំរារ់រំបរ ើអ្នក។ ចូរ ទូរស័ព្ទ 1-800-813-2000 (TTY: 711)។

한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-813-2000 (TTY: 711) 번으로 전화해 주십시오.

ລາວ (Laotian) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້ າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫ ຼື ອດ້ານພາສາ, ໂດຍບ່ໍເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-813-2000 (TTY: 711).

Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dé̖é̖’, t’áá jiik’eh, éí ná hóló̖, koji̖’ hódíílnih 1-800-813-2000 (TTY: 711).

Afaan Oromoo (Oromo) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-813-2000 (TTY: 711).

ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧਵਿੱ ਚ ਸਹਾਇਤਾ ਸਵੇਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-800-813-2000 (TTY: 711) 'ਤ ੇਕਾਲ ਕਰੋ। Română (Romanian) ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-813-2000 (TTY: 711).

Pусский (Russian) ВНИМАНИЕ: если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-813-2000 (TTY: 711).

Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-813-2000 (TTY: 711).

Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-813-2000 (TTY: 711).

ไทย (Thai) เรยีน: ถา้คณุพดูภาษาไทย คณุสามารถใชบ้รกิารชว่ยเหลอืทางภาษาไดฟ้ร ีโทร 1-800-813-2000 (TTY: 711).

Українська (Ukrainian) УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-813-2000 (TTY: 711).

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-813-2000 (TTY: 711).



364999513 NW-OR 2020

Helpful websites and phone numbersHave questions about enrolling or getting started with Kaiser Permanente? Want to learn more about our services? Use this information to explore the resources available to members, or to get answers to any questions you have.

Kaiser Permanente Discover Kaiser Permanente ....................................................................... kp.org/thrive

Enrollment resourcesApply online ...........................................................................................buykp.org/apply

Get started if you’re a new member ..............................................kp.org/newmember

Enroll during a special enrollment period .......................... kp.org/specialenrollment

Member resourcesManage your care .................................................................................................... kp.org

Find a location near you ..........................................................................kp.org/facilities

Choose your doctor ..................................................................... kp.org/searchdoctors

Create your online account ............................................................. kp.org/registernow

Get an idea of what your care will cost .............................kp.org/treatmentestimates

Get an estimate of what you’ll pay for your care ........................ kp.org/costestimates

Get a copy of your Evidence of Coverage ................................kp.org/plandocuments

Additional resourcesFind resources for healthier living .................................................kp.org/healthyliving

Learn about vision care ..................................................................................kp2020.org

Learn about dental care .......................................................................kp.org/dental/nw

Get in touch with us by phoneGet general information about Kaiser Permanente ........................... 1-800-494-5314

New Member Welcome Desk ...............................................................1-800-813-2000

http://kp.org/thrivehttp://buykp.org/applyhttp://kp.org/newmemberhttp://kp.org/specialenrollmenthttp://kp.orghttp://kp.org/facilitieshttp://kp.org/searchdoctorshttp://kp.org/registernowhttp://kp.org/treatmentestimateshttp://kp.org/costestimateshttp://kp.org/plandocumentshttp://kp.org/healthylivinghttp://kp2020.orghttp://kp.org/dental/nw

The right choice for a healthier youHaving a good health plan is important. So is getting quality care. With Kaiser Permanente, you get both.

Want to learn more?Visit kp.org or call us at 1-800-494-5314 (TTY 711).

Stay connected to good health

facebook.com/kpthrive

youtube.com/kaiserpermanenteorg

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©2019 Kaiser Foundation Health Plan, Inc.

Kaiser Foundation Health Plan of the Northwest500 NE Multnomah St., Suite 100

Portland, OR 97232

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Documents

Kaiser Permanente for Individuals and Families: …info.kaiserpermanente.org/healthplans/planbrochures/2020/...This Kaiser Permanente for Individuals and Families enrollment guide