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| Take a Fresh Look at Kaiser Permanente |
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Exclusive access to top-quality care providers
At Kaiser Permanente, you have access to our team of physicians, dentists, and allied clinicians. You choose your own physician and dentist, and we’re here to help you make that choice. Once you enroll, just call our OEBB service line at 1-866-223-2375 and we’ll help you get started.
Lower out-of-pocket costs
In addition to offering affordable premiums, we help limit your out-of-pocket expenses to a modest copayment. There are no claim forms to fill out or deductibles to keep track of. There’s just high quality care at a reasonable price.
Convenient access to services
In these challenging economic times, our integrated model of care can save you time and money. Most of our medical offices include lab, pharmacy, X-ray, and vision care on-site so you don’t have to run all over town for services. We’re adding more primary care appointments and new facilities to meet your health care needs.
Save even more time and money by visiting my.kp.org/nw/oebb to manage your health online. E-mail your doctor’s office, request appointments, view most lab results, and refill prescriptions—any time, day or night.
Getting started
With Kaiser Permanente, getting started is easy. Our dedicated OEBB membership services team is here to help you:
- Choose a primary care provider and dentist.
- Transfer your medical and dental records.
- Transfer existing prescriptions.
- Arrange for transition of care for on-going conditions.
Just call 1-866-223-2375 once you receive your Kaiser Permanente membership ID card in the mail. If you need to access services prior to receiving your card, just have your enrollment form or confirmation handy when you call. Visit my.kp.org/nw/oebb for more information.
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| Value-added Services |
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Value-Added Services
Take a look at the services that are available to you, at no extra charge, when you choose Kaiser Permanente:
Tobacco Cessation – Are you ready to kick the habit? Our Tobacco Cessation Program for OEBB members can help. Start by talking to a health consultant to access the benefit. Learn more here.
CHP Active & Healthy – Save money on nearly everything active, health, and fun. Our members get a discount on hundreds of fitness, wellness, and entertainment activities including:
- Ski and snowboard lift tickets at great locations like Mt. Hood Meadows.
- Gym memberships at over 270 clubs in Oregon and southwest Washington.
- Trail Blazers games and other professional sporting events.
- First-run movies.
- Live theatre and symphony tickets.
- Weight loss programs.
To take advantage of these great deals, go to www.CHPActiveandHealthy.com
Massage Therapy – did you know your benefit includes up to 12 visits for massage therapy, for only a $25 copay per visit? See your benefit summary for details.
Take charge of your health online – at my.kp.org/oebb/nw, you can email your doctor’s office, request appointments, view most lab results, and refill prescriptions – any time, day or night.
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| Frequently Asked Questions |
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For decades, Kaiser Permanente has provided for the health care needs of Oregon educators. We look forward to continuing this partnership in the future with OEBB.
When do you plan to open more facilities?
Kaiser Permanente is expanding services in fast-growing Washington County. Two new facilities will help meet the health care needs of Portland’s west side—and stimulate the local economy.
Construction has begun on the Kaiser Permanente Westside Medical Center in Hillsboro. The 280,000-square-foot floor plan includes a 126-bed hospital that will serve members and the community.When it opens in 2013, the center will house the first new hospital in Washington County in four decades. We will offer a 24-hour Emergency Department; surgical care; general medical hospitalizations; labor and delivery care; and diagnostic and support services.
Murrayhill Medical Office is set to open in Beaverton in October 2009. Located at 11200 SW Murray Scholls Place, this convenient neighborhood office will offer family medicine and pediatric care. On-site services will include limited lab testing, blood draw services, new prescription fills, and next day refills.
How do you handle transition of care?
When you come to Kaiser Foundation Health Plan of the Northwest (KFHPNW) from another plan, we’ll ensure a seamless transition. That includes helping you choose a primary care provider, transfer any prescriptions, and register on kp.org so you can use our many online features.
To discuss transition of care, you can call our OEBB service line at 1-866-223-2375. Alternatively, you can provide your prescription information on a Transition of Care form, available at my.kp.org/nw/oebb/. Once we receive the form, we’ll schedule a phone conference between you and one of our pharmacists. Together, you’ll develop a transition plan.
How do you handle chronic disease management?
Members with chronic conditions are automatically enrolled in a care management program at no additional cost.
The primary care team serves as the medical home for most of our members living with chronic illness. When more intense evaluation and management are needed, primary care works in partnership with specialty care.
Do I need a referral to see a specialist?
Members may self-refer for outpatient drug and alcohol treatment, outpatient mental health, cancer counseling, optometry, obstetrics/gynecology, occupational health, and social work. For other specialty services, a referral is generally needed to see a specialist for the first time.
How does the pharmacy program work?
We own and operate our own pharmacies, including our mail-delivery program. Plan pharmacies are located in most of our medical offices, enabling our pharmacy program to use highly automated and integrated information systems. As a result, we are able to track and evaluate all medications dispensed. Our computerized data system allows us to generate patient-specific medication profiles; perform drug interaction screening; compile drug use and management reports; and track inappropriate drug usage. Patient drug profiles are available to physicians at the time they are making prescription decisions.
We manage drug product selection with our formulary process. The prescription formulary process is part of our commitment to provide our customers with affordable, quality health care. The formulary is updated monthly and currently includes more than two thousand drugs, both generic and brand. We fill about 83 percent of prescriptions with generic products, which saves our patients money.
Do I have to choose KFHPNW dental coverage if I have KFHPNW medical coverage?
You’re not required to choose KFHPNW dental coverage, but we think you’ll appreciate the personalized care provided by our skilled dental professionals. We have 16 dental offices in our service area, most of which are conveniently located in or near our medical offices. In addition to general dentists, we have our own specialists, including orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons.
You must have medical coverage with us in order to enroll in our dental program. Our dentists know that your oral health is an important part of your overall health. Our dentists and dental staff work together with our doctors and medical staff because they are all part of Kaiser Permanente.
How does my vision benefit work?
When you need an eye exam, you will only have to pay your primary office visit copayment. OEBB members get an allowance of $75 for frames every two years. Your lens allowance ranges from $58.50 for single vision to $109 for trifocals. You also get an allowance of $192.50 for contact lenses every year. You will be responsible for any cost beyond your allowance.
Our optical services department, called Vision Essentials by Kaiser Permanente has 13 optical centers throughout the region. We have an in-house manufacturing lab that can fill high-powered prescriptions and manufacture specialty lenses. Since the lab is local, most members receive their glasses in three to five days.
How can I find out more?
For specific questions about the plans offered through OEBB, please contact OEBB at 1-888-4MY-OEBB
(1-888-469-6322), or visit oregon.gov/das/oebb.
For questions about Kaiser Permanente, please visit
my.kp.org/nw/oebb/, call our OEBB service line at
1-866-223-2375, or contact your benefits administrator.
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| Care Away From Home |
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For information about Kaiser Permanente's Care Away From Home program, click here: Care Away From Home.
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| Healthcare Cost Calculator |
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Need to know what an exam, test, or procedure may cost? Need to see how costs compare between Kaiser Permanente practitioners and out-of-network health care providers?
This tool can help you:
- Calculate the approximate cost of selected health care services.
- Discuss treatment options with your doctor.
Follow these steps to compare costs, gather information, and make more informed decisions.*
*Note: Do not avoid getting health care or make health care decisions solely based on the cost estimates displayed on this Web site. These estimates are based on averages. Actual costs may be higher or lower depending on a number of factors including the severity of your condition or the type of facility where treatment is sought.
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