Customer Service Phone Numbers: For questions or a complete packet including Physician Directory, please call: From Raleigh, Durham, or Chapel Hill - (919) 319-3070 elsewhere - 1-800-755-1925 Who Provides Care: Members may choose a primary care doctor from either a Kaiser Permanente Medical Office or a participating community physician. Medical Necessity: Your primary care physician will arrange & coordinate all your care. Reimbursement Procedures: No claim forms or deductible; you pay copayment, if any, at time of visit. Hospital Services: Contracting Hospitals: Rex Healthcare, UNC Hospitals, & Duke Hospital. Room and Board No charge Surgery and Anesthesia No charge Maternity No charge Emergency Room $25 copayment; waived if admitted. Covered anywhere in the world. Outpatient Services Office Visits $5 copayment per visit Well-Woman Exam; Pap Smear; Mammograms $5 copayment per visit Prenatal Care No charge Prostate Exam $5 copayment per visit Well-Child Exams; Inoculations No charge up to age 2; then $5 copayment per visit Prescription Drugs $5 copayment/up to 30-day supply Chiropractic Care $5 copayment per visit; 2 month maximum Ambulance No charge Mental Health/ Substance Abuse Mental Health - Inpatient No charge; 30-day maximum per year Mental Health - Outpatient $10 copayment per visit; 20 visits maximum per year Substance Abuse - Inpatient Plan pays up to $100 per day; you pay remaining charges; 30-day maximum per year Substance Abuse - Outpatient $10 copayment per visit; 20 visits maximum per year For a complete listing of covered benefits and exclusions, please refer to your Company Service Agreement, or call Customer Service.