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    Kaiser

    Kaiser Permanente - Group Medical Insurance and Prescription Coverage

    New for 2021! HMO Plus plan, with the Signature SM Network

    This plan replaces the previous HMO Signature SM plan.

    The Kaiser Permanente HMO plan with the SignatureSM network gives you quality care from Mid-Atlantic Permanente Medical Group, P.C. (Permanente) of physicians. That's over 1,600 physicians located in more than thirty medical centers located in Maryland, the District of Columbia, and Virginia—including 14 Urgent Care centers (six opened 24/7).

    This plan also gives you the flexibility of using ten out-of-network medical visits for certain physician, laboratory and radiology services, and five pharmacy refills a year with any licensed provider outside of the Kaiser Permanente care delivery system, anywhere in the United States.

    Plan Benefits

    • Keep relationships with your current providers (up to 10 outpatient physician visits)
    • Prescription, vision, and preventive dental all included in a single plan—no additional premiums
    • PGCPS pays 75% of the monthly premium (80% after 8 years of service)
    • The employee pays the remainder on pre-tax basis, through payroll deduction
    • Maintain predictable monthly costs with no deductibles to meet, and low, fixed copayments for most covered   services
    • $0 copay for preventive care services, such as routine physicals and well-child visits
    • $0 copay for video visits, 24/7 advice line, phone appointments, or e-visits—quality care, in the time it takes for a lunchbreak
    • Virtually no claims to file
    • Voluntary plan whereby employees must enroll within 35 days from date of hire or during Open Enrollment using Oracle Self Service

    About Your plan

     

     Benefits-At-A-Glance

    Wellness and Preventive Services

    • Talk to a pre-enrollment specialist at 1-800-324-9208 or 711 (TTY) Monday through Friday 10:00 a.m. to 9:00 p.m. or visit my.kp.org/pgcps
    • Member Service at Kaiser Permanente (DC metro area): 301-468-6000 or 711 (TTY) Monday through Friday 7:30 a.m. to  9:00 p.m.
    • Member Service at Kaiser Permanente (Outside DC metro area): 800-777-7902 or 711 (TTY) Monday through Friday 7:30 a.m. to 9:00 p,m.
    • Medicare Members: 888-777-5536 or 711 (TTY) open 7 days a week from 8:00 a.m. to 8:00 p.m.
    • Appointments and Advice: 800-777-7904 or 711 (TTY)