Kaiser Permanente Select Brochure Southern Colorado 2015

Kaiser Permanente Select
Colorado Springs and surrounding areas
In addition to our comprehensive network of local
providers1, Kaiser Permanente has medical offices
located in Southern Colorado:
Briargate Medical Offices
4105 Briargate Pkwy, Suite 125
Colorado Springs, CO 80920
719-282-2533
• Primary care
• Specialty care: allergy, dermatology
• Audiology/hearing aid center, lab, medical imaging
services, optical, dietitian services, infusion services,
sleep apnea, supportive care services, and pharmacy
Pueblo North Medical Offices
3670 Parker Boulevard, Suite 200
Pueblo, CO 81008
719-595-5755
• Family medicine
• Internal medicine
• Lab, medical imaging services, and pharmacy
Coming soon in 2015:
Parkside Medical Offices
215 Parkside Drive
Colorado Springs, CO 80910
• Primary care
• Specialty care
• Lab, medical imaging services, sleep apnea,
supportive care services, and pharmacy
This information provided here is a summary only. For a list of services available with your plan see your Summary of Benefits and Coverage.
The information provided here is not a contract and is not intended for use as a Summary Plan Description, a Certificate of Coverage, nor
is it designed to serve as your Evidence of Coverage. Upon enrollment, your Evidence of Coverage or Certificate of Insurance will contain a
description of your coverage, including benefits, exclusions, and limitations. Your Evidence of Coverage or Certificate of Insurance will prevail
over this or any other plan summary.
1 Please see the network provider directory for a list of providers included in your plan.
kp.org
Please recycle. This material was produced from eco-responsible resources.
60247208_KPSelectProductSheet_SOCO
An affordable, high quality health care plan
for the Colorado Springs area.
Maximize Your Health and Your Health Dollars
Kaiser Permanente Select is all about keeping you
healthy and keeping your health care costs down.
Members who choose the KP Select plan will
benefit from the same high quality care from Kaiser
Permanente at an affordable price, while following
a few guidelines.
This plan provides Colorado Springs and
surrounding areas coverage at any Kaiser
Permanente medical offices in Colorado, includes
care at more than 400 network providers, hospital
visits exclusively at Memorial Central and North
Hospitals, and refills for maintenance medication
must be filled at a Kaiser Permanente medical
office pharmacy or through Kaiser Permanente mail
order. The KP Select health plan will be available
for individuals, families, small groups, and large
groups in the Colorado Springs area.
KP Select Plan:
Members who choose the new KP Select plan will:
•
•
•
•
•
Have access to a network of more than 400
providers and medical groups in the Colorado
Springs area or with any Kaiser Permanente
physician. There is no coverage for unauthorized
care out of the network, except in case of
an emergency.
Fill maintenance medication prescriptions
(birth control, high blood pressure, diabetes,
cholesterol, thyroid, etc.) at a Kaiser Permanente
medical office pharmacy or through
Kaiser Permanente mail order. Non-maintenance
medications for acute conditions, such as
infections (antibiotics) or pain, can be filled
immediately at a Kaiser Permanente medical
office pharmacy or a network pharmacy.
Visit Memorial Central or North Hospitals
exclusively for non- emergency hospital care.
Use a preferred Ambulatory Surgery Centers
(Audubon, Colorado Springs Health Partners,
and Printers Park) for scheduled
outpatient surgeries.
In an emergency, member should dial 911 or go
to the nearest hospital.
Where to Get Care
Selecting a Personal Physician:
Behavioral Health Benefits
The KP Select Network
When you enroll in KP Select, you will need to
choose a Primary Care Physician (PCP) for you and
your enrolled dependents. Each enrolled family
member can choose a different PCP. To find a PCP,
please visit Find a Provider or call our Physician
Selection Services at 1-855-208-7221/TTY: 711,
weekdays 7 a.m. – 5:30 p.m.
A list of behavior health providers is available at
the ValueOptions website at valueoptions.com or
by calling 1-866-702-9026/TTY: 1-866-835-2755
and include inpatient and outpatient mental health
and substance about care for issues such as:
When you sign up for KP Select, you can receive
care from any Kaiser Permanente physician and
have access to a comprehensive group of more than
400 providers in the Colorado Springs area. You
also can choose any network KP Select provider. If
you seek care from a provider not on the KP Select
provider list without a prior authorization, you will
be responsible for payment.
Primary Care is available through any Kaiser
Permanente provider, as well as through Colorado
Springs Health Partners, Mountain View Medical
Group and Colorado Health Medical Group/
University of Colorado Health. Specialty Care will
also be available through these groups and a select
group of network providers in the area.
Please be sure to choose only providers in the
KP Select Kaiser Permanente Provider
Directory. The most current list of providers can
be found on kp.org. Just click on “Locate our
services,” then “Find doctors and locations.” You
can request a printed copy of the directory by
calling Member Services at 1-800-681-7878/TTY:
1-800-521-4874.
Scheduled outpatient surgeries can be arranged at
a preferred Ambulatory Surgery Center including
Audubon, Colorado Springs Health Partners, and
Printers Park.
Urgent care is available at any contracted
Kaiser Permanente facility. The most current list of
urgent care locations may be found on the facility
search at kp.org/locations.
•
Vision/Dental Coverage
•
Individual and family plans will include routine eye
exams and dental coverage only for children up
to 19 years old. *The Catastrophic plan does not
include dental coverage for children.
•
Prescriptions and Pharmacy Benefit
Members who choose the new KP Select plan will
enjoy these benefits:
•
•
Hospital, Emergency, Inpatient, and Urgent Care
Members on the KP Select plan who need to be
cared for in the hospital will visit either Memorial
Central Hospital or Memorial North Hospital. In an
emergency, member should dial 911 or go to the
nearest hospital.
•
•
•
•
You can have your first fill of a prescription done at
a Kaiser Permanente or a network pharmacy.
Refills for maintenance medication (birth control,
high blood pressure, diabetes, cholesterol,
thyroid, etc.) at a Kaiser Permanente medical office
pharmacy or through Kaiser Permanente mail order.
Most prescriptions will be mailed directly to you via
first-class mail at no additional charge to you within
just a few days.
Kaiser Permanente also has pharmacies
conveniently located in our medical office buildings
at 4105 Briargate Parkway, Suite 125, Colorado
Springs, CO 80920. And, coming soon in 2015,
215 Parkside Drive, Colorado Springs, CO 80910.
Fill non-maintenance medications for acute
conditions, such as infections (antibiotics) or
pain, immediately at a Kaiser Permanente medical
office pharmacy or an affiliated network pharmacy.
Refill 24 hours a day, seven days a week at
kp.org\rxreflill or by calling 1-866-938-0077/TTY:
1-800-521-4874. Please call in your refill(s) at least
10 days before you run out of your current supply.
To find out more about the prescription benefit,
members can call Member Services at
1-800-681-7878/TTY: 1-800-521-4874 or call
the Clinical Pharmacy Call Center toll free at
1-866-244-4119/TTY: 1-866-513-9964,
8 a.m. to 6 p.m., weekdays.
•
Depression
Alcohol/Drug abuse
Mental illness
Marriage and family counseling
Special needs therapy
The Kaiser Permanente Difference
You can be assured that getting healthy
and staying healthy is easy when you are a
Kaiser Permanente member. Whether you have
a chronic illness, have health goals, or want
alternative methods of treatment, you can find it
with us. Personalized online wellness programs,
webinars, and classes give you the tools to lose
or maintain a healthy weight, manage stress, stop
smoking, and more with your Healthy Lifestyle
programs. And if you have a chronic condition,
such as asthma, heart disease, or diabetes, we
provide extra coordinated support through our
care coordination programs, including assistance
with complex care needs.
In addition, you have 24/7 online access to My
Health Manager at kp.org or through the app.
You will be able to view most lab results, order
prescription refills, and more.
For more information
Visit us at kp.org or call
Member Services,
Mon-Fri, 8 a.m. to 5 p.m.
1-888-681-7878/
TTY: 1-800-521-4874
Maximize Your Health and Your Health Dollars
Kaiser Permanente Select is all about keeping you
healthy and keeping your health care costs down.
Members who choose the KP Select plan will
benefit from the same high quality care from Kaiser
Permanente at an affordable price, while following
a few guidelines.
This plan provides Colorado Springs and
surrounding areas coverage at any Kaiser
Permanente medical offices in Colorado, includes
care at more than 400 network providers, hospital
visits exclusively at Memorial Central and North
Hospitals, and refills for maintenance medication
must be filled at a Kaiser Permanente medical
office pharmacy or through Kaiser Permanente mail
order. The KP Select health plan will be available
for individuals, families, small groups, and large
groups in the Colorado Springs area.
KP Select Plan:
Members who choose the new KP Select plan will:
•
•
•
•
•
Have access to a network of more than 400
providers and medical groups in the Colorado
Springs area or with any Kaiser Permanente
physician. There is no coverage for unauthorized
care out of the network, except in case of
an emergency.
Fill maintenance medication prescriptions
(birth control, high blood pressure, diabetes,
cholesterol, thyroid, etc.) at a Kaiser Permanente
medical office pharmacy or through
Kaiser Permanente mail order. Non-maintenance
medications for acute conditions, such as
infections (antibiotics) or pain, can be filled
immediately at a Kaiser Permanente medical
office pharmacy or a network pharmacy.
Visit Memorial Central or North Hospitals
exclusively for non- emergency hospital care.
Use a preferred Ambulatory Surgery Centers
(Audubon, Colorado Springs Health Partners,
and Printers Park) for scheduled
outpatient surgeries.
In an emergency, member should dial 911 or go
to the nearest hospital.
Where to Get Care
Selecting a Personal Physician:
Behavioral Health Benefits
The KP Select Network
When you enroll in KP Select, you will need to
choose a Primary Care Physician (PCP) for you and
your enrolled dependents. Each enrolled family
member can choose a different PCP. To find a PCP,
please visit Find a Provider or call our Physician
Selection Services at 1-855-208-7221/TTY: 711,
weekdays 7 a.m. – 5:30 p.m.
A list of behavior health providers is available at
the ValueOptions website at valueoptions.com or
by calling 1-866-702-9026/TTY: 1-866-835-2755
and include inpatient and outpatient mental health
and substance about care for issues such as:
When you sign up for KP Select, you can receive
care from any Kaiser Permanente physician and
have access to a comprehensive group of more than
400 providers in the Colorado Springs area. You
also can choose any network KP Select provider. If
you seek care from a provider not on the KP Select
provider list without a prior authorization, you will
be responsible for payment.
Primary Care is available through any Kaiser
Permanente provider, as well as through Colorado
Springs Health Partners, Mountain View Medical
Group and Colorado Health Medical Group/
University of Colorado Health. Specialty Care will
also be available through these groups and a select
group of network providers in the area.
Please be sure to choose only providers in the
KP Select Kaiser Permanente Provider
Directory. The most current list of providers can
be found on kp.org. Just click on “Locate our
services,” then “Find doctors and locations.” You
can request a printed copy of the directory by
calling Member Services at 1-800-681-7878/TTY:
1-800-521-4874.
Scheduled outpatient surgeries can be arranged at
a preferred Ambulatory Surgery Center including
Audubon, Colorado Springs Health Partners, and
Printers Park.
Urgent care is available at any contracted
Kaiser Permanente facility. The most current list of
urgent care locations may be found on the facility
search at kp.org/locations.
•
Vision/Dental Coverage
•
Individual and family plans will include routine eye
exams and dental coverage only for children up
to 19 years old. *The Catastrophic plan does not
include dental coverage for children.
•
Prescriptions and Pharmacy Benefit
Members who choose the new KP Select plan will
enjoy these benefits:
•
•
Hospital, Emergency, Inpatient, and Urgent Care
Members on the KP Select plan who need to be
cared for in the hospital will visit either Memorial
Central Hospital or Memorial North Hospital. In an
emergency, member should dial 911 or go to the
nearest hospital.
•
•
•
•
You can have your first fill of a prescription done at
a Kaiser Permanente or a network pharmacy.
Refills for maintenance medication (birth control,
high blood pressure, diabetes, cholesterol,
thyroid, etc.) at a Kaiser Permanente medical office
pharmacy or through Kaiser Permanente mail order.
Most prescriptions will be mailed directly to you via
first-class mail at no additional charge to you within
just a few days.
Kaiser Permanente also has pharmacies
conveniently located in our medical office buildings
at 4105 Briargate Parkway, Suite 125, Colorado
Springs, CO 80920. And, coming soon in 2015,
215 Parkside Drive, Colorado Springs, CO 80910.
Fill non-maintenance medications for acute
conditions, such as infections (antibiotics) or
pain, immediately at a Kaiser Permanente medical
office pharmacy or an affiliated network pharmacy.
Refill 24 hours a day, seven days a week at
kp.org\rxreflill or by calling 1-866-938-0077/TTY:
1-800-521-4874. Please call in your refill(s) at least
10 days before you run out of your current supply.
To find out more about the prescription benefit,
members can call Member Services at
1-800-681-7878/TTY: 1-800-521-4874 or call
the Clinical Pharmacy Call Center toll free at
1-866-244-4119/TTY: 1-866-513-9964,
8 a.m. to 6 p.m., weekdays.
•
Depression
Alcohol/Drug abuse
Mental illness
Marriage and family counseling
Special needs therapy
The Kaiser Permanente Difference
You can be assured that getting healthy
and staying healthy is easy when you are a
Kaiser Permanente member. Whether you have
a chronic illness, have health goals, or want
alternative methods of treatment, you can find it
with us. Personalized online wellness programs,
webinars, and classes give you the tools to lose
or maintain a healthy weight, manage stress, stop
smoking, and more with your Healthy Lifestyle
programs. And if you have a chronic condition,
such as asthma, heart disease, or diabetes, we
provide extra coordinated support through our
care coordination programs, including assistance
with complex care needs.
In addition, you have 24/7 online access to My
Health Manager at kp.org or through the app.
You will be able to view most lab results, order
prescription refills, and more.
For more information
Visit us at kp.org or call
Member Services,
Mon-Fri, 8 a.m. to 5 p.m.
1-888-681-7878/
TTY: 1-800-521-4874
Kaiser Permanente Select
Colorado Springs and surrounding areas
In addition to our comprehensive network of local
providers1, Kaiser Permanente has medical offices
located in Southern Colorado:
Briargate Medical Offices
4105 Briargate Pkwy, Suite 125
Colorado Springs, CO 80920
719-282-2533
• Primary care
• Specialty care: allergy, dermatology
• Audiology/hearing aid center, lab, medical imaging
services, optical, dietitian services, infusion services,
sleep apnea, supportive care services, and pharmacy
Pueblo North Medical Offices
3670 Parker Boulevard, Suite 200
Pueblo, CO 81008
719-595-5755
• Family medicine
• Internal medicine
• Lab, medical imaging services, and pharmacy
Coming soon in 2015:
Parkside Medical Offices
215 Parkside Drive
Colorado Springs, CO 80910
• Primary care
• Specialty care
• Lab, medical imaging services, sleep apnea,
supportive care services, and pharmacy
This information provided here is a summary only. For a list of services available with your plan see your Summary of Benefits and Coverage.
The information provided here is not a contract and is not intended for use as a Summary Plan Description, a Certificate of Coverage, nor
is it designed to serve as your Evidence of Coverage. Upon enrollment, your Evidence of Coverage or Certificate of Insurance will contain a
description of your coverage, including benefits, exclusions, and limitations. Your Evidence of Coverage or Certificate of Insurance will prevail
over this or any other plan summary.
1 Please see the network provider directory for a list of providers included in your plan.
kp.org
Please recycle. This material was produced from eco-responsible resources.
60247208_KPSelectProductSheet_SOCO
An affordable, high quality health care plan
for the Colorado Springs area.