Customer Service Phone Numbers:
- From Portland - (503) 813-2000
- elsewhere - 1-800-813-2000
Information about Kaiser Permanente Oregon
What's New: Kaiser Foundation Health Plan of the Northwest has added the following zip codes to our service area i n 1997: Benton County - 97331; Marion County - 97313, 97314; Washington County - 97077, 97078. In addition, we have deleted zip code 98646 in Skamania County.
We've expanded to offer our members more choices and more convenience. We've added new facilities, new services and new partners to provide our members with high quality health care.
In the past year, we've opened two new medical offices and two new dental offices, and now offer our members the choice of seven plan hospitals strategically located throughout the Northwest Division. We have also entered into a new affiliation called Kaiser/Group Health, which is being formed by three health care organizations currently serving over one million members in the northwest:
- Group Health Cooperative, which serves much of Western Washington.
- Group Health Northwest, which serves Eastern and Central Washington and North Idaho.
- Kaiser Permanente in the Northwest, which serves Northwest Oregon and Southwest Washington.
The new organization will enable the organizations to work more effectively with
national and regional groups and will also benefit current and future members of
the three organizations. At present we are awaiting regulatory approval on this affiliation
and do not have specific information about how this will impact existing service
areas or new areas where we may be operational within the next year.
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 | $25 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 30-day supply |
| Chiropractic Care | $5 copayment per visit if authorized |
| Ambulance | $25 copayment |
Mental Health/
Substance Abuse
| Mental Health - Inpatient | 20% copayment; $4,000 maximum benefit |
| Mental Health - Outpatient | $15 copayment per visit; 40-visit maximum per year |
| Substance Abuse - Inpatient | $20 copayment per day; $4,000 maximum benefit |
| Substance Abuse - Outpatient | $5 copayment per visit; 40-visit maximum per year |