Kaiser Permanente Medical Insurance Plans

Benefits

Kaiser Permanente Overview

You Asked, We Listened!

Kaiser will now be offered to employees that live and work in Colorado. If you live in the Kaiser service area, you have access to Kaiser’s provider network. The Kaiser provider network has 13,000+ Kaiser Permanente primary care physicians and over 14,000 affiliated plan providers across Colorado. At most Kaiser Permanente medical offices, you can see a doctor, fill a prescription, and have lab and imaging services done in the same place.

Kaiser New Member Connect Team

We understand that joining a new health care organization can be disruptive which is why we want to make sure each member has an enjoyable experience. All new Kaiser members will have access to the New Member Connect Team to help with transitioning your care. Connect at anytime by using the following:

Which Plan Is Best For You?

The DHMO Plus Plan

  • Cover 100% of the cost for preventive care services like annual physicals and routine immunizations.
  • Set copays for less expensive and most utilized services and a coinsurance for higher cost and lesser utilized services.
  • Copays and coinsurance apply towards your annual out-of-pocket maximum. 
  • The plan splits higher costs services with you (80% paid by the plan and 20% paid by you) up to the out-of-pocket maximum.
  • If you reach your out-of-pocket maximum, all services are paid at 100% for the remainder of the year. 

The High Deductible Health Plan (HDHP)

  • Cover 100% of the cost for preventive care services like annual physicals and routine immunizations.
  • Tax-qualified plan for a Health Savings Account (HSA). With an HSA you are able to set aside pre-tax funds into an account to be used for qualified medical expenses. For more information on how your HSA works, please see the HSA Benefit Webpage.
  • You pay the full negotiated cost for medical services and prescription drugs until you meet your annual deductible (with the exception of preventive care which is covered at 100%).
  • There are no copays with the exception of prescription drugs (once your deductible has been met).
  • After the deductible is met, you and the plan share the costs (80% paid by the plan and 20% paid by you) until you reach the annual out-of-pocket maximum. If you reach your out-of-pocket maximum, all services are paid at 100% for the remainder of the year.

Kaiser Permanente DHMO Plus Plan

Click links below for the Kaiser Permanente DHMO Plan summary and Summary of Benefits and Coverage guides:

Kaiser Permanente HDHP Plus Plan

Click links below for the Kaiser Permanente HDHP Plus Plan summary and Summary of Benefits and Coverage guides:

Kaiser Away From Home Care

If you are traveling or have dependents that will be living outside of the Kaiser Colorado service area, you have full access to the Kaiser Away From Home Care program. This program provides coverage at the same in-network cost you would pay at home. Outside of the Kaiser Permanente Colorado Service area, members can get urgent and emergency care through Cigna’s PPO network providers and urgent care at various MinuteClinic (in select CVS and Target stores) and Concentra urgent care centers. For the most up-to-date information, visit kp.org/travel or call the Away From Home Travel Line at 951.268.3900. Note: There are no out-of-network benefits other than urgent and emergency care for the Kaiser Network.

For the most up-to-date list of providers and facilities included in your plan, visit kp.org/locations or call:

  • Denver/Boulder: 303.338.3800
  • Northern Colorado: 844.201.5824
  • Southern Colorado: 888.681.7878
  • TTY 711

Virtual Care Options

Get the Right Care—When You Need It and How You Want It

You may not always feel like you have time to visit the doctor. Kaiser’s doctors are committed to getting you care however it works best for you — from home, work, or in person.

Phone

Call 303-338-4545 (TTY 711) or your local Kaiser Permanente to schedule an appointment.

eVisit

Fill out a short online questionnaire about your symptoms and a nurse will get back to you - usually within 6 hours. Great for coughs, colds, nausea, allergies and more.

Chat Online

Connect in real time with a physician by logging into www.kp.org and click “Chat”. Available Mon-Fri 7am to 10pm and Sat-Sun 8am to 10pm.

Virtual Behavioral Health

Everyone needs support for total health — mind, body, and spirit. These wellness apps can help you navigate life’s challenges, and make small changes to improve your sleep, mood, relationships, and more. It’s self-care made easy, designed to help you live well and thrive. Apps suggested by Kaiser:

Calm

The number one app for sleep and mediation—designed to help lower stress, anxiety, and more.

Headspace Care

Text one-on-one with an emotional support coach anytime, anywhere. Support is just a text message away

myStrength

Build a personalized plan to strengthen your emotional health whenever, wherever you need to.

Additional Resources

Kaiser Permanente App

Manage Your Health through Kaiser’s Website and App Managing your health online has never been more convenient. Whether you’re at home or on the go, kp.org and the Kaiser Permanente app give you a simple, secure way to keep up with your care. Schedule, view, and cancel routine appointments and see information about past visits. View your medical history, including allergies and immunizations, ongoing health conditions, and most lab test results. Refill most prescriptions, check the status of a prescription order, and see a list of all your medications.

Kaiser Permanente DigiDeck - Digital Resource Guide

With Kaiser, you have access to the University of Denver Digideck to help you make an informed healthcare decision for you and your family with resources available in one convenient location. Resources include: Easy ways to transition care through New Member Connect Wellness Resources Benefits And much more!

Kaiser Permanente DigiDeck

Contact

 

Benefits Advocate Center