Footnotes
1This number can be dialed inside and outside the United States. Before the phone number, dial “001” for landlines and “+1” for mobile lines if you’re outside the country. Long-distance charges may apply, and we can’t accept collect calls. The phone line is closed on major holidays (New Year’s Day, Easter, Memorial Day, July Fourth, Labor Day, Thanksgiving, and Christmas). It closes early the day before a holiday at 10 p.m. Pacific time (PT), and it reopens the day after a holiday at 4 a.m. PT.
2If you believe you have an emergency medical condition, call 911 or go to the nearest hospital. For the complete definition of an emergency medical condition, please refer to your Evidence of Coverage or other coverage documents.
3When appropriate and available. If you are out of state, phone appointments and video visits may not be available in select states due to licensing laws. Laws differ by state.
4Availability of on-demand video visits through “Get Care Now” varies by region.
5Medicare and Georgia commercial members are required to pay upfront and seek reimbursement for any urgent and emergency care or pharmacy services received outside of Kaiser Permanente states.
6Only commonly prescribed acute care medications made during an urgent or emergency care visit outside of Kaiser Permanente states are included in this benefit. Maintenance medications (like for blood pressure, diabetes, or cholesterol) and high-cost or specialty medications aren’t included, so you’ll have to pay upfront for them and file a claim for reimbursement.
7The amount members are reimbursed will depend on what their copays or coinsurance are, whether they have a deductible, and other plan limitations, consistent with the terms of the member’s Evidence of Coverage or other coverage documents.
8Kaiser Permanente prescription delivery is not available in Arkansas, Kansas, Louisiana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, South Carolina, or South Dakota.
9You can add an area of care to your own account only. You won’t be able to add an area of care for someone else if you’re acting as their caregiver.
10Online features change when children reach age 12. Teens are entitled to additional privacy protection under state law. When your child turns 12 years old, you will still be able to manage care for your teen, with modified access to certain features. For the Kaiser Permanente Washington region, online features change when children reach age 13, not 12.
11These services are covered as long as they’re provided or referred by a Kaiser Permanente provider or affiliated provider in the area you’re visiting. These services are subject to the terms and conditions, including prior authorization, approval, and copay, coinsurance, or deductible requirements, of your plan coverage issued in your home area.
12When appropriate and available. If you are out of state, phone appointments and video visits may not be available in select states due to licensing laws. Laws differ by state. The “Get Care Now” option is only for virtual urgent care services.
13Coverage applies only to Kaiser Permanente members in California. The amount members are reimbursed will depend on the cost of the out-of-network services provided, the prevailing market rate set by state regulators, any deductible that may need to be met, and other plan limitations, consistent with the terms of your Evidence of Coverage or other plan documents.
14See footnote 2.
15When you access Cigna, MinuteClinic, and Concentra providers, your coverage will vary by the type of Kaiser Permanente health plan.
16The Cigna HealthcareSM PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.
17When appropriate and available. If you travel out of state, phone appointments and video visits may not be available in select states due to licensing laws. Laws differ by state.
18In-area urgent care is covered, consistent with the terms of the member’s coverage document (like an Evidence of Coverage), only when care is obtained from a Kaiser Permanente provider.
19See footnote 7.
20See footnote 1.
21See footnote 7.
22See footnote 7.
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