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.
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