1. No category

g
N
N
,
se
ea ts fit
e
cr
in nefi en
b
te e
ra r b ds
o te ar
t
w
re
g
Northern California Region
ew
be
Federal Employees and Annuitants
2015 Rates and Benefits
This is an advertisement
A better choice
for good health
a wide range of specialists
test results online
convenient facilities near you
I can choose and change
my doctor anytime
better care for healthier tomorrows
I can email my doctor
I’m part of
the decision
free to focus on you
Not a member yet?
For more information, visit kp.org/feds or call 1-855-315-1009,
Monday through Friday, 8 a.m. to 5 p.m.
Open Season hours: 7 days a week, 5 a.m. to 7 p.m.
Statements above relate to Kaiser Permanente physicians and services only.
kp.org/feds
Discover the Kaiser Permanente difference
With care and coverage working seamlessly together, Kaiser Permanente
is uniquely designed to be your partner in health so you can feel your
best — in mind, body, and spirit.
your choice of
top doctors
online access
anytime, anywhere
everything under
one roof
You can choose and change
your doctor anytime, for any
reason. Our doctors are among
the best. They love caring for
people and aren’t weighed
down by a lot of paperwork,
so they can focus on you.
It’s easy to stay involved in your
care. Use your computer or mobile
device to email your doctor’s office,
schedule routine appointments,
view most lab test results, refill
most prescriptions, and more.
You can do more and drive less
because most of our locations
include pharmacy, lab, X-ray
services, and more.
healthier tomorrows
healthy rewards
Stay at your best with resources
like wellness classes, and — new
this year — cash rewards for
taking healthy steps.
personalized care
and attention
You’re at the center of your care.
Your doctors, nurses, and specialists,
all connected by your electronic
health record, work together to
help you manage your health.
Every decision starts with what’s
best for you. That’s why our highquality care for conditions like
cancer, heart disease, and diabetes
leads to better outcomes and
healthier tomorrows.
kp.org/feds
Note: Many features discussed in this book are available only to members receiving care at Kaiser Permanente
medical facilities.
Kaiser Permanente A better choice for good health
Your partner in good health
Nationwide, over 9 million people turn to us as their trusted partner in total health.
Take a look, and you’ll see why Kaiser Permanente is a better choice.
The power to choose...............................................................2
Excellent care..........................................................................3
Your health. Your way..............................................................4
Healthy extras .........................................................................5
NEW
Rewards benefit...............................................................6
Choose the plan that’s right for you........................................7
Your 2015 benefits summary....................................................8
Benefit highlights.....................................................................9
Kaiser Permanente Senior Advantage (HMO)
for Federal Members.............................................................10
How to enroll.........................................................................11
Our locations.........................................................................12
Prefer to see this information online? Go to kp.org/feds.
Already a member?
If you’re currently a member and have questions, please call
our Member Service Contact Center at 1-800-464-4000,
24 hours a day, 7 days a week (closed holidays). For TTY for
the hearing/speech impaired, call 1-800-777-1370.
To learn more about Kaiser Permanente, visit kp.org.
1
The power to choose
Stay in charge of your health. It’s simple to make smart choices when you have
great doctors and convenient facilities.
Your choice of
top doctors
Under-one-roof access
You have a wide selection of
skilled doctors that you can
choose from and change
anytime, for any reason.
Save time and avoid driving all
over town for care. You’ll have
many locations to choose from,
and most of them offer multiple
services under one roof. You
can see your doctor, get a lab
test or an X-ray, and pick up
your medications — all without
leaving the building. And when
you get care with fewer delays,
you can get better faster too.
Our doctors:
Come from many of the top
medical schools in the country
Work hand in hand with your
entire care team, who are all
connected by your electronic
health record
Don’t have excessive
paperwork so they can focus
on delivering the care you need
Care about their patients and
love what they do
g
g
Time-saving features1
g
g
g
g
g
g
g
g
g
g
E
mail your doctor’s office
with routine questions.
G
et same-day, after-hours,
and weekend services at
most locations.
D
octors and staff who speak
more than one language,
providing personalized care.
R
efill most prescriptions online
with free shipping.
M
ake routine appointments
with a call or click.
V
iew recent office visits and
most test results online.
C
all an advice nurse with
access to your health
information, 24/7.
T
ravel freely; you’re covered
for emergency care worldwide.
Hear examples of how Kaiser Permanente has helped different members at kp.org/carestories.
Your electronic
health record brings
it all together
2
Your doctor’s office
Pharmacy, lab, X-ray
Your record gets
updated with each visit
to a Kaiser Permanente
facility, so it’s current.
No need for paperwork
when you get services at
our facilities — your doctor’s
orders are already there.
Excellent care
Kaiser Permanente has one of the largest multispecialty medical groups in the
country, which includes cardiologists, cardiac surgeons, and others.
Personalized care
and attention
Top specialty care for
healthier tomorrows
Leaders in prevention
A care team that’s informed
and focused on you can lead
to better health. From your
doctor and caregivers — who
are all connected to your
electronic health record and
keep up-to-date on how you’re
doing — to our free online
programs and Wellness
Coaching by Phone service,
your care is not one-size-fits-all.
It’s personalized to your needs
and schedule.
Our doctors, nurses, and other
caregivers use an advanced
care delivery system that Kaiser
Permanente pioneered. It’s had
a measurable impact on the
prevention, detection,
and treatment of conditions
like cancer, heart disease,
stroke, and diabetes. We
were also rated in the top
10 percent among cholesterol
management programs for
patients with cardiovascular
conditions.2
We’ve been committed to
preventive care and overall
wellness for over 65 years. As
a result, we’re:
g
g
#
1 in screenings for breast
cancer in all our regions.
R
ated in the top 10 percent
for cervical and colon cancer
screenings.
Plus, 86 percent of our
members who were diagnosed
with high blood pressure now
have their blood pressure
under control, compared to
50 percent nationally.2,3
Learn more about the doctors available in your area at kp.org/doctorsandlocations.
Specialty care
At home or on the go
Your specialists are
up to speed and ready
to take care of you.
Get your health information
on your computer or mobile
device to stay informed and
in charge.
3
Your health. Your way.
We’re always here when you need us, however you need us. You get many services
under one roof at most of our locations and can call an advice nurse 24/7. Online or
through mobile, you can manage your family’s health needs anytime, anywhere.
It’s easy to stay
connected
A website full
of healthy ideas
Good health on the go
Members registered on kp.org
have secure access to My
Health Manager, the online tool
that helps you manage your
family’s health care anytime,
anywhere.
Get informed and inspired on
our award-winning website,
kp.org. Take charge of your
health with articles, wellness
topics, and health calculators.
Our music channels, podcasts,
fitness videos, and recipes from
world-class chefs can help you
find new and interesting ways
to live well and thrive.
Manage your care at home,
work, or play with our mobile
app, which puts all the
convenient features of My
Health Manager right in the
palm of your hand. You can
download the free Kaiser
Permanente app from the
App StoreSM or Google Play ®.
With My Health Manager,
you can:
Email your doctor’s office
with routine questions.
Refill most prescriptions.
View most lab test results.
Schedule or cancel routine
appointments.
g
g
g
g
App Store is a service mark of
Apple, Inc., and Google Play
is a trademark of Google, Inc.
For a guided tour of My Health Manager, visit kp.org/experience.
Top reasons to join
Kaiser Permanente
4
You can choose
Excellent care
and change your doctor
anytime, for any reason.
for conditions like cancer,
heart disease, and diabetes,
leads to healthier tomorrows.
Healthy extras
Good health starts with helpful information and resources. That’s why you get lots
of healthy extras that can help you stay educated on ways to live healthier in body,
mind, and spirit.
Learn something new
Help to quit smoking
Maximize your health
Fit wellness into your schedule,
no matter how busy you are.
With the many health classes
offered at our facilities, there’s
something for everyone. Try
classes on yoga, eating well,
baby care, ongoing health
conditions, and much more.
Classes vary by location and
some may require a fee.
If you’re ready to quit, we’ll
make it easier. As a FEHB
member, you pay nothing for
tobacco-cessation programs
and prescriptions, including
prescribed over-the-counter
tobacco-cessation drugs
approved by the FDA to
treat tobacco dependence.
Talk to your physician about
your treatment options. For
more information about your
coverage, refer to your Federal
Brochure (RI 73-003).
Our personalized online
wellness programs can help
you lose weight, stay active,
reduce stress, sleep better,
and much more. You can also
download the free Every Body
Walk! app for your smartphone
or mobile device from the
App Store or Google Play. It’s
a fun, interactive tool to help
you create and maintain a daily
walking routine.
Find tools, tips, and information for living well at kp.org/livehealthy.
Under-one-roof
convenience
and care online or by phone
means you can manage
your health needs anytime,
anywhere.
Healthy extras
like on-site classes*
and farmers markets
help you stay well.
*Some classes may require
a fee.
5
NEW
Rewards benefit
With cash rewards for taking healthy steps, you’ve got a plan that can help you
feel your best. You can get reward cards worth up to $75 for taking steps to
improve your health.
Challenge yourself and earn up to $75:
g
$50
for completing a Total Health Assessment
This online questionnaire gives you a picture of your overall
health, plus an action plan that’s based on your answers.
g
$25
for completing an online healthy lifestyle program
Get help to reduce stress, quit smoking, lose weight, and more. You
can take a program when it’s convenient for you, at your own pace.
Starting January 1, 2015, visit kp.org/feds to get started. There
you’ll find information and links to the Total Health Assessment
and healthy lifestyle programs.
The rewards program runs from January 1, 2015, through
December 31, 2015, and is open to all Kaiser Permanente FEHB
subscribers and their enrolled spouses who are 18 and older. You
can take the Total Health Assessment as often as you’d like and
as many healthy lifestyle programs as you’d like, but you can only
earn rewards for them once during the reward period. You must
complete the activities during the calendar year. Rewards will be
issued 4 to 6 weeks after you complete your activity.
6
Choose the plan that’s right for you
Select from the High Option, the Standard Option, or the Basic Option. With each,
you’ll get a wide range of services and resources to help you stay healthy.
g
High Option
g
g
g
g
Standard Option
g
g
g
Basic Option
g
You
pay higher premiums but lower copays for most health care
services and prescription drugs.
You don’t pay a deductible.
You’ll get a 25 percent discount on eyeglasses and contact lenses
at Vision Essentials by Kaiser Permanente optical centers.4
You
pay lower premiums compared to the High Option.
You’ll pay higher copays for office visits and urgent care visits,
compared to the High and Basic Options.
You pay a lower deductible and then copays for certain services,
like inpatient hospital services, labs, and X-rays.
You
pay the lowest premiums.
Compared to the Standard Option, you’ll pay lower copays for
office visits and urgent care visits.
You pay a higher deductible and then coinsurance for certain
services, like inpatient hospital services, labs, and X-rays.
Your supplemental dental options
You can also choose from 2 dental plans to supplement your health coverage.4
Kaiser Permanente Insurance Company
(KPIC) Dental Insurance Plan
DeltaCare USA
This plan gives you the freedom to see any
licensed dentist you choose, with no deductible
for preventive and diagnostic services. When you
visit a participating Delta dentist in California,
all claims paperwork will be handled for you.
With this dental HMO plan, you’ll select a dentist
from the DeltaCare USA network. There are no
claim forms to fill out and no deductibles. Most
preventive and diagnostic services are available at
little or no cost to you. For other covered services,
you’ll pay a simple copay.
2015 Dental Rates
KPIC
DeltaCare USA
Monthly
Monthly
Quarterly
Self Only
$31.42
$12.83
$38.49
Self + 1
$55.68
$21.48
$64.44
Self + 2 or more
$83.70
$32.56
$97.68
If you’re a new member and want more information, call 1-800-933-9312. Current members, call KPIC
Dental Insurance Plan, 1-800-835-2244 (group number 9874) or DeltaCare USA, 1-800-422-4234 (group
number 1114). You can also view Kaiser Permanente’s dental plans and enrollment materials at kp.org/feds.
7
Your 2015 benefits summary
Benefits and services
High Option
Preventive care (not subject to deductible)
Routine physical exam
$0
Deductible
None
Outpatient services (per visit or procedure)
Primary/specialty care office visit
$15/$25
Most X-rays and lab tests
$0
Outpatient surgery
$50
Chiropractic services
(up to 20 visits per year)5
Inpatient hospital care
Room and board, surgery, anesthesia,
X-rays, lab tests, medications
Maternity
Routine prenatal care visit,
first postpartum visit
$250 per admission
Delivery
$250 per admission
$15
$0
Standard Option
Basic Option
$0
$200 (up to $400
per family)
$0
$500 (up to $1,000
per family)
$30/$40
$25/$35
20% of our allowance
$10 after deductible
after deductible
20% of our allowance
$200 after deductible
after deductible
$15
$15
$500 per admission 20% of our allowance
after deductible
after deductible
$0
$0
$500 per admission 20% of our allowance
after deductible
after deductible
Emergency and urgent care (per visit or trip)
Emergency care
$100
Urgent care
$15
Ambulance
$50
20% of our allowance
after deductible
$30
$25
20% of our allowance
$150 after deductible
after deductible
$150 after deductible
Most prescription drugs
At Plan pharmacy, up to a 30-day
supply (mail-order service: up to a
100-day supply for 2 copays)
Maximum out-of-pocket
per person/family
Your premium share*
Non-Postal
Self Only
Self and
Family
Postal 1
Postal 2
Non-Postal
Postal 1
Postal 2
Biweekly
Monthly
Biweekly
Biweekly
Biweekly
Monthly
Biweekly
Biweekly
Generic: $10
Brand: $30
Generic: $15
Brand: $35
Generic: $15
Brand: $35
$1,500/$3,000
$2,000/$4,000
$5,500/$11,000
High Option
$157.80
$341.90
$143.77
$157.80
$410.32
$889.03
$379.17
$410.32
Standard Option
$99.77
$216.17
$85.74
$99.77
$257.59
$558.11
$226.44
$257.59
Basic Option
$79.10
$171.38
$65.07
$79.10
$209.23
$453.33
$178.08
$209.23
*These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to your special
Guide to Federal Benefits or contact the agency or Tribal Employer which maintains your health benefits enrollment.
8
Benefit highlights
With care anywhere you go, prescription drugs savings, and chiropractic care
without a referral, you’ll have a plan that gives you more.
Worldwide coverage
Save on
prescription drugs
Chiropractic without
a referral
Wherever life takes you, we’ve
got you covered. As a Kaiser
Permanente Federal Employees
Health Benefits (FEHB) member,
your benefit goes even further
than your home service area.
Save time and money by
ordering prescription refills
online, on your smartphone,
or by calling the phone number
on your prescription label.
You can visit any American
Specialty Health Plans of
California, Inc. (ASH) participating
provider with no referral.
Chiropractic services are covered
if they’re needed to diagnose
or treat neuromusculoskeletal
disorders, as prescribed and
provided by an ASH Plans
participating provider.
You’ll get:
Coverage for emergency
care worldwide at emergency
departments and urgent care
centers.
Care from any Kaiser
Permanente facility in another
region through the Visiting
Member Program.
Coverage for certain outpatient
follow-up care and outpatient
continuing care outside of
Kaiser Permanente service areas
through the FEHB travel benefit.
g
g
Prescription refills can be
mailed to your home at no
extra charge. And when you
order refills by mail order, you
get a 100-day supply and pay
only twice the 30-day supply
Plan pharmacy copay.
g
Find a participating provider
by calling 1-800-678-9133,
Monday through Friday from
5 a.m. to 6 p.m. For TTY for
the hearing/speech impaired,
call 1-877-710-2746.
Improvements to your benefits:
g
You
g
can earn up to $75 in rewards for participating in healthy living activities.
More
services, like prescription drugs, now apply to your out-of-pocket maximum.
9
Kaiser Permanente Senior Advantage (HMO) for Federal Members
If you’re eligible for Medicare, you have an option to choose Kaiser Permanente
Senior Advantage (HMO) for Federal Members.
If you decide to enroll in Senior Advantage (HMO) for Federal
Members, you’ll get richer benefits than with your FEHB coverage
alone. You’ll get all of your FEHB benefits, plus:
Lower copays for office visits and for most other services,
such as inpatient hospital admissions and most prescription drugs.
Up to a 100-day supply of prescription drugs at Plan pharmacies
for one copay (High Option only).
Extra credit toward the purchase of eyeglasses and
contact lenses.
Extra coverage for preventive dental care through DeltaCare® USA
with no additional premium (High and Standard Option only).
g
Added benefits
g
g
g
Get more information
Download our free brochure, Your Guide to Choosing a
Kaiser Permanente Medicare Health Plan, at kp.org/feds,
or to have one sent to you, call our licensed sales specialists
at 1-855-366-9013, 8 a.m. to 8 p.m., 7 days a week. For TTY
for the deaf, hard of hearing, or speech impaired, call 711.
Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends
on contract renewal. To join a Kaiser Permanente Medicare Health Plan, you must reside in the Kaiser
Permanente Senior Advantage service area in which you enroll. Benefits, formulary, pharmacy network,
provider network, premium and/or copayments/coinsurance may change on January 1 of each year and
at other times in accord with your group’s contract with us. The benefit information provided is a brief
summary, not a complete description of benefits. For more information contact the plan. Limitations,
copayments, and restrictions may apply. You must pay the Medicare Part B premium to join a Kaiser
Permanente Medicare health plan. Enrolling in Senior Advantage for Federal Members will not affect
the benefits you receive through the Federal Employees Health Benefits (FEHB) Program, although the
network and other rules of Medicare may apply.
10
How to enroll
Becoming a member is easy. Just follow the 3 simple steps below.
1. Choose an option
2. Select the type of
enrollment you want
3. Enroll in
Kaiser Permanente
Select our High, Standard, or
Basic Option.
Select “Self Only” or “Self
and Family.”
Self Only enrollment provides
benefits for you.
Self and Family enrollment
provides benefits for you and
your eligible family members.
Find your enrollment code in
the chart below.
Brief descriptions of these
options are on page 7. Find
details about benefits and
rates on page 8.
g
g
Most employees and annuitants
can enroll online. Visit opm.gov
or contact your employing
agency or retirement office for
FEHB enrollment procedures
and other information.
Annuitants can contact the
Retirement Information
Center at 1-888-767-6738
or for TTY, 1-855-887-4957,
or retire@opm.gov.
If you’re eligible for Medicare, or will be soon, see page 10 for additional information.
Enrollment Code
High Option
Standard Option
Basic Option
Self Only
591
594
KC1
Self and Family
592
595
KC2
This brochure summarizes the features of the Kaiser Permanente health plan. Before making a final
decision, please read the Plan’s Federal brochure (RI 73-003). All benefits are subject to the definitions,
limitations, and exclusions set forth in the Federal brochure.
This page contains highlights of the FEHB enrollment process. Please refer directly to opm.gov and
your employing agency or retirement office for FEHB coverage effective dates, enrollment procedures
and deadlines, and other information. To add an eligible family member to your Kaiser Permanente
Self and Family enrollment, complete and return an Enrollment Change Form to us. These forms can
be obtained at kp.org/feds or by calling Member Services.
11
Our locations
What’s new in Northern California:
g
akland Medical Center:
O
Our expanded facility features
a new, 12-story hospital with a
comprehensive pediatric center
and 14 inpatient operating rooms.
g
an Leandro Medical Center:
S
The new hospital includes a
24-hour pharmacy and a 24-hour
Emergency Department, with
40 private treatment rooms.
g
edwood City Hospital
R
(scheduled to open late 2014):
The new hospital will include
our world-class neuroscience
center, which treats members
for brain and spine conditions.
San Mateo
Fresno County
nKaiser Permanente medical centers (hospital and medical offices)
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
12
Maps not to scale
Our locations
City
Facility
Address
Alameda
● Alameda Medical Offices
2417 Central Ave.
Antioch
n Antioch Medical Center
4501 Sand Creek Road
● Delta Fair Medical Offices
3400 Delta Fair Blvd.
Bolinas
Bolinas Family Practice
88 Mesa Road
Campbell
● Campbell Medical Offices
220 E. Hacienda Ave.
Clovis
● Clovis Medical Offices
2071 E. Herndon Ave.
Daly City
● Daly City Medical Offices
395 Hickey Blvd.
Davis
● Davis Medical Offices
1955 Cowell Blvd.
Elk Grove
● Elk Grove Medical Offices
9201 Big Horn Blvd.
● Elk Grove Promenade
10305 Promenade Pkwy.
Fairfield
● Fairfield Medical Offices
1550 Gateway Blvd.
Folsom
● Folsom Medical Offices
2155 Iron Point Road
Fremont
n Fremont Medical Center
39400 Paseo Padre Pkwy.
Fresno
n Fresno Medical Center
7300 N. Fresno St.
● First Street Medical Offices
4785 N. First St.
Gilroy
● Gilroy Medical Offices
7520 Arroyo Circle
Hayward
● Sleepy Hollow Medical Offices
27303 Sleepy Hollow Ave.
Lincoln
● Lincoln Medical Offices
1900 Dresden Drive
Livermore
● Livermore Medical Offices
3000 Las Positas Road
Manteca
n Manteca Medical Center
1777 W. Yosemite Ave.
● Manteca Medical Offices
1721 W. Yosemite Ave.
Martinez
● Martinez Medical Offices
200 Muir Road
Mill Valley
● Mill Valley Medical Offices
750 Redwood Hwy.
Milpitas
● Milpitas Medical Offices
770 E. Calaveras Blvd.
Modesto
n Modesto Medical Center
4601 Dale Road
● Bangs Avenue Medical Offices
4125 Bangs Ave.
Medical Offices
nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
13
Our locations
City
Facility
Address
Modesto (continued)
● Modesto Medical Offices
4601 Dale Road
● Standiford Avenue
1320 Standiford Ave.
Medical Offices
Cornerstone Family Practice
Medical Group
1444 Florida Ave.
Family Health Care
Medical Group
1320 Celeste Drive
Mountain View
● Mountain View Medical Offices
555 Castro St.
565 Castro St.
Napa
● Napa Medical Offices
3285 Claremont Way
1675 Permanente Way
Novato
● Novato Medical Offices
97 San Marin Drive
Oakhurst
● Oakhurst Medical Offices
40595 Westlake Drive
Oakland
n Oakland Medical Center
3600 Broadway
Patterson
First Care Medical Center
Petaluma
● Petaluma Medical Offices
3900 Lakeville Hwy.
Pinole
● Pinole Medical Offices
1301 Pinole Valley Road
Pleasanton
● Pleasanton Medical Offices
7601 Stoneridge Drive
Point Reyes Station
101 N. Third St.
Point Reyes Medical Clinic
3 Sixth St.
West Marin Medical Center
11150 State Route 1
Rancho Cordova
● Rancho Cordova Medical Offices 10725 International Drive
Redwood City
n Redwood City Medical Center
1150 Veterans Blvd.
Richmond
n Richmond Medical Center
901 Nevin Ave.
Rohnert Park
● Rohnert Park Medical Offices
5900 State Farm Drive
Roseville
n Roseville Medical Center
1600 Eureka Road
● Roseville Medical Offices –
1001 Riverside Ave.
Riverside
nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
14
Our locations
City
Facility
Address
Sacramento
n Sacramento Medical Center
2025 Morse Ave.
n South Sacramento
6600 Bruceville Road
● Fair Oaks Boulevard
2345 Fair Oaks Blvd.
● Point West Medical Offices
1650 Response Road
● Bayhill Medical Offices
801 Traeger Ave.
851 Traeger Ave.
● San Bruno Medical Offices
901 El Camino Real
● Sneath Lane Medical Offices
1001 Sneath Lane
1011 Sneath Lane
San Francisco
n San Francisco Medical Center
2425 Geary Blvd.
San Jose
n San Jose Medical Center
250 Hospital Pkwy.
San Leandro
n San Leandro Medical Center
2500 Merced St.
San Mateo
● San Mateo Medical Offices
1000 Franklin Pkwy.
San Rafael
n San Rafael Medical Center
99 Montecillo Road
● Downtown San Rafael Medical
1033 3rd St.
San Ramon
● San Ramon Medical Offices
2300 Camino Ramon
Santa Clara
n Santa Clara Medical Center
700 Lawrence Expwy.
● Santa Clara Arques
1263 Arques Ave.
● Santa Clara Medical Offices
710 Lawrence Expwy.
n Santa Rosa Medical Center
401 Bicentennial Way
● Santa Rosa Richard Stein
3925 Old Redwood Hwy.
3975 Old Redwood Hwy.
● Selma Medical Offices
2651 Highland Ave.
Medical Center
Medical Offices
San Bruno
Offices – 3rd St.
Medical Offices
Santa Rosa
Medical Offices
Selma
nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
15
Our locations
City
Facility
Address
South San Francisco
n South San Francisco
1200 El Camino Real
Stinson Beach
Stockton
Medical Center
Stinson Beach Medical Center
● Stockton Medical Offices
Dameron Hospital*
Tracy
Turlock
● Tracy Medical Offices
3419 State Route 1
7373 West Lane
525 W. Acacia St.
2185 W. Grant Line Road
Rodney Avilla, DO
2101 Geer Road
Jagmohan Bhinder, MD
1860 Colorado Ave.
Maryam Esho, MD
1729 N. Olive Ave.
Nirbhai Hundal, MD
1516 Colorado Ave.
Puliadi Kumar, MD
1110 Delbon Ave.
Turlock Pediatric Medical Group
1100 Delbon Ave.
Union City
● Union City Medical Offices
3551 Whipple Road
3553 Whipple Road
3555 Whipple Road
Vacaville
n Vacaville Medical Center
1 Quality Drive
Vallejo
n Vallejo Medical Center
975 Sereno Drive
Walnut Creek
n Walnut Creek Medical Center
1425 S. Main St.
● Park Shadelands Medical Offices
320 Lennon Lane
nKaiser Permanente medical centers (hospital and medical offices) — Locations are in bold.
●Kaiser Permanente medical offices
Affiliated plan hospitals
Affiliated medical offices
*Affiliated plan facilities provide selected inpatient and/or outpatient hospital and emergency services.
The information in this guide is current as of the date of publication. If you have questions
about the information in this guide, please contact our Member Service Contact Center at 1-800-464-4000
(1-800-777-1370 for the hearing/speech impaired), 24 hours a day, 7 days a week (closed holidays).
16
Footnotes
1Online features available when you get care at Kaiser Permanente facilities.
2Ratings based on Breast Cancer Screening, Cervical Cancer Screening, Colorectal Cancer Screening,
and Controlling High Blood Pressure 2012 ratings for commercial and Medicare plans from the
Healthcare Effectiveness Data and Information Set (HEDIS) published by the National Committee
for Quality Assurance. For more information, visit ncqa.org.
3Kaiser Permanente program average is the weighted average of each regional health plan’s screening
rate and its eligible population.
4These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are
made available to all enrollees and family members who become members of Kaiser Permanente.
5For chiropractic services, you don’t need a referral to a participating American Specialty Health (ASH)
network chiropractor. To find a participating chiropractor, call 1-800-678-9133.
17
Kaiser Foundation Health Plan, Inc.
1950 Franklin St.
Oakland, CA 94612
It’s time to choose better
Learn more about Kaiser Permanente at kp.org/feds. You’ll find your Kaiser Permanente 2015
enrollment materials, including the Federal Employees Health Benefits brochure (RI 73-003).
You can also connect to our facility and physician directories and learn more about our services.
Notice of Summary of Benefits and Coverage (SBC):
Availability of Summary Health Information
The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and
coverage options. Choosing a health plan and coverage option is an important decision. To help
you make an informed choice, each FEHB plan makes available a Summary of Benefits and Coverage
(SBC) about each of its health coverage options, online and in paper. The SBC summarizes important
information in a standard format to help you compare plans and options.
This plan’s SBC is available on the Internet at kp.org/feds. A paper copy is also available, free of
charge, by calling 1-800-464-4000 (a toll-free number).
To find out more information about plans available under the FEHB Program, including SBCs for
other FEHB plans, please visit opm.gov.
kp.org/feds
Please recycle. This material was produced from eco-responsible resources.
Member and Marketing Communications 60228223 October 2014