|
 
Customer Service Phone Number: 1-800-464-4000
Information about Kaiser Permanente in California
What's New In Northern California: Kaiser Permanente Northern California
is proud to announce our service area expansion into the County of Stanislaus. In
Stanislaus County, Kaiser Permanente will use a network of community physicians and
other local health care providers for health care services to our members. In Modesto,
The Permanente Medical Group has formed an alliance with five local medical groups:
Cornerstone Family Practice Group; Valley Fertility and Gynecology; Valley Oak Pediatrics;
McHenry Medical Group; Family Health Medical Group and Memorial Medical Center. We
will also provide physician services in Escalon, Oakdale, Waterford, Patterson and
Turlock.
Kaiser Permanente has a downtown Modesto office for administration, member services,
pharmacy and health education at 1625 I Street in Modesto. If members need further
assistance, they can contact the Kaiser Permanente Customer Service Center at 1-800-464-4000.
Other Northern California expansions include Marin, Madera and Mariposa counties.
Who Provides Care: All care provided by Kaiser doctors and hospitals.
Medical Necessity: Services covered only if Plan determines medical necessity
exists.
Reimbursement Procedures: No claim forms or deductible; you pay copayment,
if any, at time of visit.
Hospital Services
|
North California |
South California |
| Room and Board |
No charge |
No charge |
| Surgery and Anesthesia |
No charge |
No charge |
| Maternity |
No charge |
No charge |
| Emergency Room |
$5 copayment;
waived if admitted |
$5 copayment |
Outpatient Services
|
North California |
South California |
| Office Visits |
$5 copayment per visit |
$5 copayment per visit |
Well-Woman Exam;
Pap Smear;
Mammograms |
$5 copayment per visit |
$5 copayment per visit |
| Prenatal Care |
No charge |
$5 copayment per visit |
| Prostate Exam |
$5 copayment per visit |
$5 copayment per visit |
Well-Child Exams;
Inoculations |
No charge up to age 2;
then $5 copayment per visit |
$5 copayment per visit |
| Prescription Drugs |
$5 copayment/up to 34-day supply |
$5 copayment/up to 100-day supply |
| Chiropractic Care |
Not covered |
Not covered |
| Ambulance |
No charge |
No charge |
Mental Health/
Substance Abuse
|
North California |
South California |
| Mental Health - Inpatient |
No charge;
45-day maximum per year |
No charge;
30-day maximum per year |
| Mental Health - Outpatient |
$20 copayment per visit;
20 visits maximum per year |
$20 copayment per visit;
20 visits maximum per year |
| Substance Abuse - Inpatient |
Detoxification only; no charge |
Detoxification only; no charge |
| Substance Abuse - Outpatient |
$5 copayment per visit |
$5 copayment per visit |
|