New Member Orientation Santa Clara County Office of Education

What to expect as a new member of Kaiser Permanente

Getting Started with Kaiser Permenente New-member materials Kaiser Permanente ID card(s) New-member handbook And other information to help you get started kp.org/newmember As a new member you will be receiving the following items in the mail. For additional information visit kp.org/newmembers 3 | © Kaiser Permanente. All Rights Reserved. November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 3

Getting Started with Kaiser Permenente Learn how to… Transfer prescriptions Transfer medical records Make your first appointment November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..

Excellent care Your choice of top doctors Great specialists What you want, when you need it November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 5

Your choice of great doctors You can choose your own personal physician. Browse our physician profiles at kp.org/mydoctor to find a doctor who’s right for you. Search by location, language, and more. Get training and certification details. Read personal statements. 6 November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. | © Kaiser Permanente. All Rights Reserved.

Great specialists See highly trained specialists ready to serve you Your doctor and specialists work together, making referrals simple No referrals necessary for certain specialty departments, including Obstetrics-Gynecology, Psychiatry, and Chemical Dependency Services November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 7

What you want, when you need it Easy-to-schedule appointments Same-day, after-hours, and weekend services at many locations 24-hour telephone health advice from registered nurses Medical information and most test results online Emergency care coverage anywhere in the world November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 8

Personalized care at convenient locations Find a facility near your home or work at kp.org/facilities Most of our facilities offer multiple services under one roof— primary care lab and X-ray Pharmacy 9 | © Kaiser Permanente. All Rights Reserved. November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..

Online access anytime, anywhere It’s easy to stay connected Good health on the go A website full of healthy ideas November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 10

It’s easy to stay connected My Health Manager on kp.org Manage your care online or from your web enabled mobile device: Email your doctor’s office View most lab test results as soon as they’re available Refill most prescriptions Schedule or cancel routine appointments Help take care of a family member, like a child or parent, using these features and more November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 11

Good health on the go Mobile apps Use your smartphone or mobile device to fit wellness into your schedule. Manage your care, find nearby facilities, and more Stay fit with the free Every Body Walk! app— a fun, interactive tool to help you create and maintain a daily walking routine Just download our free apps from the App StoreSM or Google Play* *App Store is a service mark of Apple Inc. November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 12

A website full of healthy ideas kp.org Get informed and inspired on our award-winning website. You’ll find: Articles Wellness topics Health calculators Recipes from world-class chefs Music channels Podcasts Videos November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 13

Learn something new Health classes Most facilities offer something for everyone, including classes on: Yoga Eating well Baby care Specific health conditions Classes vary by location and some may require a fee. November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 14

Maximize your health Wellness coaches Experienced coaches are available by phone, at no cost to members. Your coach will work one-on-one with you to help you set goals to improve your health Get a personalized plan to help you lose weight, quit smoking, manage stress, eat right, and more Coaching is available in English and Spanish and no referral is needed November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc.. 15

Benefit Summary HMO DHMO HSA Annual Deductible None Individual $1,000 / Family $2,000 Annual Out-of-Pocket Maximum Individual $1,500 / Family $3,000 Individual $1,000 / Family $6,000 Individual $2,000 / Family $4,000 Office Visits $30 per visit $20 per visit (Deductible doesn’t apply) $30 after Deductible Routine Physical Exam No Charge Lab & X-Ray $10 per encounter after Deductible Emergency Room $100 per visit 20% Coinsurance after Deductible $250 per admission after Deductible Outpatient Surgery $30 per procedure $150 per procedure after Deductible Inpatient Hospitalization $250 per admission $250 per procedure after Deductible Prescription Drugs (30 day supply) $10 generic / $20 brandname $10 generic / $30 brandname (Deductible doesn’t apply) $10 generic after Deductible / $30 brandname after Deductible November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..

Sample hospital bill November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..

Sample physician bill November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..

Questions? Visit kp.org/deductibleplans Contact Member Services Understand your costs Learn how deductible plans work Use tools such as the out of pocket summary tool and estimation calculator Contact Member Services 1-800-464-4000 Health Plan questions Estimations for services Billing questions November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..

kp.org/experience November 13, 2018 | © 2011 Kaiser Foundation Health Plan, Inc..