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Customer Service Phone Number: (303)-338-3800
Information about Kaiser Permanente in Colorado
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
| Room and Board |
No charge |
| Surgery and Anesthesia |
No charge |
| Maternity |
No charge |
| Emergency Room |
$5 copayment |
Outpatient Services
| Office Visits |
$5 copayment per visit |
Well-Woman Exam;
Pap Smear;
Mammograms |
No charge |
| Prenatal Care |
No charge |
| Prostate Exam |
No charge |
Well-Child Exams;
Inoculations |
No charge |
| Prescription Drugs |
$5 copayment/up to 60-day supply |
| Chiropractic Care |
Not covered |
| Ambulance |
$25 copayment |
Mental Health/
Substance Abuse
| Mental Health - Inpatient |
No charge first 20 days;
then 50% copayment per day;
45-day maximum per year |
| Mental Health - Outpatient |
$5 copayment per visit
for first 10 visits;
then $25 copayment per visit |
| Substance Abuse - Inpatient |
Detoxification only; no charge |
| Substance Abuse - Outpatient |
50% copayment per visit;
$650 maximum benefit |
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