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