Can I go to any hospital with Kaiser insurance?

Asked by: Verner Kris  |  Last update: August 12, 2022
Score: 4.1/5 (58 votes)

As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world. It's important to remember that how you get care can vary depending on where you are.

Will Kaiser reimburse me for out of network therapy?

Although some plans do provide coverage or partial coverage for out of network mental health services, not all Kaiser plans provide out of network coverage. Therefore, prior to the rendering of any type of therapy services it is best to verify with the provider that they are in-network and accept your plan.

How is Kaiser Permanente different from other hospitals?

We serve our members using a unique business model that combines health coverage and care delivery into one coordinated experience. Unlike a traditional insurance company, we are a membership-based, prepaid, direct health care system.

How does Kaiser work out of state?

If you're outside the U.S., go to the nearest hospital or any facility that can give you the care you need. We'll cover urgent care at non–Kaiser Permanente facilities anywhere in the world as long as it can't wait until you get back home.

What is out of pocket maximum Kaiser?

What is the out-of-pocket limit for this plan? $3,500 Individual / $7,000 Family The out-of-pocket limit is the most you could pay in a year for covered services. If you have other family members in this plan, they have to meet their own out-of-pocket limit until the overall family out-of-pocket limit has been met.

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What is Kaiser deductible?

What is the overall deductible? $500 Individual/$1,000 Family (See chart starting on page 2 for when deductible is waived.) You must pay all the costs up to the deductible amount before this plan begins to pay for covered services you use.

Does Kaiser Cover 911?

Kaiser Permanente covers the cost of an ambulance only when: The transportation is medically necessary; or. A Kaiser Permanente physician or other authorized staff member orders an ambulance or instructs you to call 911.

Can you use Kaiser in other states?

As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world. Whether you're traveling in the United States or a foreign country, this brochure will explain what to do if you need emergency or urgent care during your trip.

Is Kaiser in all 50 states?

As of 2017, Kaiser Permanente operates in eight states (Hawaii, Washington, Oregon, California, Colorado, Maryland, Virginia, Georgia) and the District of Columbia, and is the largest managed care organization in the United States.

How do I change my location with Kaiser?

If you're looking for a new plan in a new location, you can view plans at buy.kp.org or contact us at 1-800-295-8660 or 711 (TTY).

Can I use Kaiser in Florida?

As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world.

Why is Kaiser Permanente so cheap?

Kaiser Permanente opened its doors to the public in 1945 -- and offered health coverage that was considerably less expensive than conventional insurers like Blue Cross. The strategy worked because it owned and operated its own hospitals and clinics and directly employed physicians.

Is Kaiser healthcare good?

The BBB gives Kaiser Permanente an A rating. The company has closed just seven complaints in the past three years, all related to billing issues or problems with coverage. NCQA reflects very high customer satisfaction ratings for Kaiser Permanente. All reviewed plans are rated as high-performing.

Can you use Kaiser Northern California in Southern California?

If you're enrolled in one of these plans in either the Northern California or Southern California region, you may receive visiting member services in the other California region. When you visit any Kaiser Permanente region, your coverage is the same as it is in your home region. The 90-day limit does not apply.

Is Kaiser a Medicare?

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. Call a Kaiser Permanente Medicare specialist toll-free 7 days a week, 8 a.m. to 8 p.m. Kaiser Permanente is an HMO plan with a Medicare contract.

Does Kaiser accept Medicaid in California?

All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment. Your child can get regular check-ups – including shots and vaccines. Get prescriptions that fit within our list of covered drugs.

Does Kaiser have coverage in Texas?

Top 10 Kaiser Permanente Provider Specialties in Texas:

Emergency Doctor (150 providers) Family Doctor (134 providers) Internist (109 providers) Obstetrician / Gynecologist (OBGYN) (54 providers)

Will Kaiser Permanente expand to Arizona?

The facility will have an internal medicine hospital, ED, and digital imaging suite, and it's currently slated to open in the fall of 2021. Exceptional Healthcare also is planning to build hospitals in Prescott, Yuma, and other cities in Arizona (Paavola, Becker's Hospital Review, 11/5).

Who owns Kaiser?

Ownership: Kaiser Permanente is a privately held, notfor-profit organization. Principal Subsidiary Companies: Kaiser Permanente is an organization of three business segments that are linked by exclusive contracts: Kaiser Foundation Health Plans, Inc.; Kaiser Foundation Hospitals; and Permanente Medical Groups.

Is there a Kaiser Permanente hospital in Florida?

Kaiser Permanente 1111 S Orange Ave Orlando, FL Home Health Service - MapQuest.

Is Kaiser Permanente available in New York?

Top 10 Kaiser Permanente Provider Specialties in New York:

Emergency Doctor (68 providers) Family Doctor (60 providers) Radiologist (51 providers) Pediatrician (Kids / Children Specialist) (49 providers)

What cities in California have Kaiser Permanente?

Service areas
  • Service areas.
  • Napa-Solano Greater San Francisco Marin-Sonoma Diablo Greater Sacramento Redwood City Central Valley East Bay Fresno Greater Southern Alameda County South Bay.
  • Grants.
  • Community programs.
  • Medical Financial Assistance Program.
  • Programa de Asistencia Financiera para Gastos Médicos.

What happens if you don't have health insurance and you go to the hospital?

However, if you don't have health insurance, you will be billed for all medical services, which may include doctor fees, hospital and medical costs, and specialists' payments. Without an insurer to absorb some or even most of those costs, the bills can increase exponentially.

How much is an ambulance ride with insurance in California?

They and their insurance companies together are billed, on average, $1,274 for an ambulance transport to subsidize Medi-Cal and Medicare losses. This cost-shifting results in higher deductibles and health insurance costs. Some private insurers are refusing to pay the billed amount.

How much does an ambulance cost?

The average charge for BLS emergency ground ambulance services rose almost 18% from $800 to $940 between 2017 and 2020, according to the analysis. The average allowed amount for the same services rose 40%, from $373 to $522, during that period.