1. New Member Orientation
Santa Clara County Office of Education

2. What to expect as a new member of Kaiser Permanente

3. 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

4. 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..

5. 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

6. 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.

7. 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

8. 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

9. 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..

10. 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

11. It’s easy to stay connected
My Health Manager on kp.org
Manage your care online or from your web enabled mobile device:
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

12. 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

13. 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

14. 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

15. 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

16. 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..

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

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

19. 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
Health Plan questions
Estimations for services
Billing questions
November 13, 2018
| © 2011 Kaiser Foundation Health Plan, Inc..

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