GOOD - Kaiser Permanente by zhouwenjuan


									              Southern California Region | Federal Employees and Annuitants
                                        2011 Rates and Benefits

  IS EvErythIng.
                                                                                                                                     Kaiser Permanente                          Kaiser Permanente Senior Advantage
                                                                                                                                                                                     for Federal Members (HMO)
                                                    Services                                                              High Option               Standard Option                High Option               Standard Option
                               Routine physical exams, routine mammograms, and preventive screenings
 Preventive care,              that include colorectal cancer screenings, routine prostate-specific antigen                      $0                          $0                           $0                          $0
 adults                        (PSA) tests, and routine Pap tests
 Preventive care,              Well-child preventive care and immunizations                                                     $0                          $0                          N/A                         N/A
 Diagnostic and                Primary and specialty office visits                                                              $15                         $30                           $5                         $15
 treatment services
 Lab and X-ray                 Nonroutine Pap tests and nonroutine mammograms                                                   $0                         $10                           $0                         $10
 Prenatal care                 Prenatal care and first scheduled postpartum visit                                                $5                          $5                          N/A                         N/A
 Urgent care                   Office visit                                                                                     $15                         $30                           $5                         $15
                               The emergency copayment is waived if you are admitted to the hospital and the
 Emergency care                hospitalization copayment will apply. Covered services are provided in and out                  $50                        $100                          $50                         $50
                               of the service area.
 Ambulance                     Medically necessary transport in a licensed ambulance                                       $50 per trip                $150 per trip                $50 per trip                $125 per trip
 Hospitalization               Inpatient services                                                                      $250 per admission          $500 per admission                    $0                 $250 per admission
 MRI/CT/PET scans                                                                                                               $0                         $50                           $0                         $50
                                                                      Picked up from a Plan pharmacy              $10 (up to 30-day supply)     $15 (up to 30-day supply)           $10 (up to           $10 (up to 30-day supply)
                               Generic drugs
                                                                      Delivered by our mail-order service         $20 (31- to 100-day supply)   $30 (31- to 100-day supply)       100-day supply)        $20 (31- to 100-day supply)
 Prescription drugs1
                                                                      Picked up from a Plan pharmacy              $30 (up to 30-day supply)     $35 (up to 30-day supply)           $20 (up to           $25 (up to 30-day supply)
                               Brand-name drugs
                                                                      Delivered by our mail-order service         $60 (31- to 100-day supply)   $70 (31- to 100-day supply)       100-day supply)        $50 (31- to 100-day supply)
                                                                                                                                                                               $200 allowance every
                                                                                                                                                                                                           $150 allowance every
                                                                                                                                                                                24 months toward
                                                                                                                          Not covered;                                                                      24 months toward
 Eyewear                                                                                                              25% eyewear discount2
                                                                                                                                                       Not covered                eyeglasses and
                                                                                                                                                                                                             eyeglasses and
                                                                                                                                                                                  contact lenses;
                                                                                                                                                                                                              contact lenses
                                                                                                                                                                              25% eyewear discount2, 3
 Chiropractic                  Up to 20 visits per calendar year                                                           $15 per visit               $15 per visit                $15 per visit               $15 per visit
                                                                                                                                                                               $0 monthly premium;         $0 monthly premium;
                                                                                                                                                                                free oral exams and         free oral exams and
 Dental services               Coverage through DeltaCare                                                                 Not covered                  Not covered
                                                                                                                                                                               X-rays; $15 cleanings       X-rays; $15 cleanings
                                                                                                                                                                                     (2 per year)                (2 per year)
 This is a summary of the features of the Kaiser Permanente health plan, including Kaiser Permanente Senior       2
                                                                                                                    These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made
 Advantage for Federal Members. Before making a final decision, please read the Federal Employees Health            available to all enrollees and family members who become members of the Kaiser Permanente plan.
 Benefits (FEHB) brochure, RI 73-003, and the Kaiser Permanente Senior Advantage for Federal Members              3
                                                                                                                    The products and services described above are neither offered nor guaranteed under our contract with the
 Evidence of Coverage (EOC). All benefits are subject to the definitions, limitations, and exclusions set forth     Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding
 in the FEHB brochure and the Kaiser Permanente Senior Advantage for Federal Members EOC.                           these products and services may be subject to the Kaiser Permanente grievance process.
  If you request a brand-name drug in place of a generic drug prescribed by your doctor, you may be required
  to pay full charges.
      GOOD hEALth is in our DnA

At Kaiser Permanente,                        What’s new in your region
we support good health                       California is growing, and so are we. We’re opening new
by promoting prevention.                     facilities throughout Southern California to meet the needs of
                                             our members. Construction has begun on our new South Los
This common-sense approach                   Angeles Medical Offices, and we’re expanding our South Bay
is as old as our organization,               Medical Center with the addition of the Coastline Medical Office
                                             Building. In San Diego County, our new Garfield Specialty Center
and it informs everything
                                             will house 58 specialists when its final phase is complete.
we do for our members. From
personal doctors who provide                 More facilities make it more convenient to get the care you
                                             need to stay healthy. And no matter which Kaiser Permanente
the right care for you, to                   health plan option you choose, most preventive care services,
interactive technology that                  including routine physical exams, certain health screenings,
                                             and well-child visits, are available to you without a copayment.
connects you to your entire
                                             That’s good for your health and your pocketbook.
health care team, we provide
the resources you need to                    In this brochure
help you get healthy and                     Inside you’ll find all the information you need to choose the
stay that way.                               right Kaiser Permanente plan for you and your family. Whether
                                             you need to know just the basics or want to get the full picture,
                                             this brochure can help you make your decision.

                                             We understand that cost is often a top consideration when you’re
                                             choosing a health plan. That’s why we’ve put your benefits
TaBle of ConTenTs                            summary right inside the front cover. Next are your rates and
                                             the information you’ll need to enroll or make a change to your
Your Benefits                                plan. If you want to know even more, just read on or use the
Summary ........................ cover       table of contents to find the specific details you’re looking for.
Your Rates ............................. 1
                                             For more information
About Kaiser
Permanente ........................... 2     At you’ll find your Kaiser Permanente 2011
                                             enrollment materials, including the Federal Employees Health
About Your                                   Benefits Program brochure (RI 73-003). From here you can
Plan Options ......................... 4     connect to our facility and physician directories and learn
Additional                                   more about our services.
Benefit Highlights................. 6
                                             You can also call our Member Service Call Center at
Our Locations........................ 8      1-800-464-4000, weekdays from 7 a.m. to 7 p.m. and
                                             weekends from 7 a.m. to 3 p.m. For TTY for the deaf,
Other Resources ................. 13
                                             hard of hearing, or speech impaired, call 1-800-777-1370.
Your RATES for 2011 – Southern California

    These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to
    your special FEHB Guide or contact the agency that maintains your health benefits enrollment.

                                                 Non-Postal Premium1                   Postal Premium1
                                         Biweekly Share        Monthly Share            Biweekly Share
               Enrollment Code          Gov’t       You       Gov’t      You           USPS        You

                   Self          621   $165.79      $55.26    $359.21    $119.73      $186.79      $34.26

               Self + Family     622   $383.15     $127.72    $830.17    $276.72      $431.69      $79.18

                   Self          624   $106.22      $35.41    $230.15     $76.72      $119.68      $21.95

               Self + Family     625   $245.51      $81.84    $531.95     $177.31     $276.61      $50.74

How to enroll                                                 Enroll.
                                                              To enroll, go to
        Choose the option that meets your needs.
                                                              enrollment. Employees and annuitants of
        You’ll find brief descriptions of your plan
                                                              participating agencies may be able to enroll
        options (high and standard) on page 4. If you’re
                                                              online. For more information, visit the website
        eligible for Medicare, or will be soon, take a
                                                              or contact your personnel office. If your
        look at page 5 for additional details. If you’re
                                                              agency does not provide online enrollment,
        already a member, you don’t need to do
                                                              see footnote 2. Annuitants may call OPM’s
        anything to continue your coverage.
                                                              Retirement Information Center toll free at
        Select the type of coverage you want.                 1-888-767-6738. For TTY, call 1-800-878-5707.
        If you’re single or only need coverage for
                                                              If you already have family enrollment
        yourself, choose “self.” If you want coverage
                                                              and need to add a dependent, call us at
        for yourself and a spouse, child, or other
                                                              1-800-464-4000, weekdays from 7 a.m. to
        dependents, choose “self and family.” Then
                                                              7 p.m. and weekends from 7 a.m. to 3 p.m.
        note the enrollment code for your choice.
                                                              For TTY, call 1-800-777-1370.

    To sign up, fill out a Health Benefits Registration Form (Standard Form 2809) from your personnel office
    indicating the enrollment you want. The enrollment codes for Kaiser Permanente are: High Option Self
    Only (621); High Option Self and Family (622); Standard Option Self Only (624); Standard Option Self and
    Family (625). The form must then be returned to your personnel office before the December 13, 2010,
    deadline. Your Kaiser Permanente coverage will begin the first pay period in January 2011. If you are a
    retired Federal employee and need forms, contact the Office of Personnel Management at P.O. Box 809,
    Washington, D.C. 20044. You can also e-mail or visit the website at

                                                                        Visit us online at         1

    Good health takes teamwork                                   Good health at your fingertips
    It’s funny. Some people share more with their                Turn your computer into a 24-hour health tool
    personal trainers and hairstylists than their doctors.       with My Health Manager. When you’re a member
    At Kaiser Permanente, we think it’s time to change           registered on our website, you can use this suite
    that. As a member, you’ll have many ways to team             of secure online features to help manage your
    up with your personal physician and build a lasting          care at Kaiser Permanente facilities.
    partnership for good health.
                                                                  •   E-mail your doctor’s office, saving time,
        •   Choose the right doctor for you. Don’t just               gas, and money.
            pick from a list. Look up our physicians’ profiles
                                                                  •   Order prescription refills, most of which
            at There, you can
                                                                      can be mailed to you—at no extra charge.
            read their personal statements and review their
            credentials to find the right doctor for you.         •   Request or cancel routine appointments
                                                                      to fit your busy and ever-changing schedule.
        •   Make positive changes. Stressed out? Ready
            to quit smoking? Want to lose a few pounds?           •   View most lab test results and get
            Assess your health at            summaries of your office visits online.
            and get a customized health improvement               •   Help take care of another family member,
            plan.1 Attach the results to your personal                like your child, using the features above.
            electronic health record, and your doctor
            can help monitor your progress.
                                                                 Good health, morning and night
        •   More than medicine. For additional support,
                                                                 For many of us it’s go, go, go until our heads
            find local health classes and programs (many
                                                                 hit our pillows. You might try to grab nutritious
            of which are free) at
                                                                 meals, squeeze in a brisk walk, and take five
            Most of our classes are taught by our own
                                                                 minutes to decompress every day, but sometimes
            health educators and staff, and some are
                                                                 you need a little more to be your healthiest.
            led by our physicians—maybe yours!

        These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made
        available to all enrollees and their family members who are members of Kaiser Permanente.

2            Visit us online at
 •   if you need health advice, just e-mail your       •   Then your health care team. Featuring
     doctor’s office through My Health Manager.            your personal physician—and your nurse,
     Or call to talk with one of our registered            optometrist, pharmacist, surgeon … everyone
     nurses, who can access your electronic health         you receive care from at Kaiser Permanente
     record to assess your concern.                        facilities. And they’re connected to one another
                                                           through your electronic health record.
 •   Get the care you need on your schedule,
     with same-day, after-hours, or weekend            •   Location, location, location. Put our skilled
     services offered at many of our facilities.           practitioners and electronic health record
                                                           system into a facility near you. Then add
 •   No matter where you are, rest assured that
                                                           multiple services, like lab, X-ray, and pharmacy,
     you’re covered for emergency care anywhere
                                                           so you can get more done during your visit.
     in the world. Call us to request a travel kit
     that explains how to get care when you’re         •   Well. Connected. Then stay engaged with
     away from home.                                       My Health Manager. From e-mailing your
                                                           doctor’s office to ordering prescription refills,
                                                           your electronic health record keeps up with
Good health brings it all together
                                                           everything you do. And it’s all done securely
An apple a day is a great place to start. But to be        to help your information stay safe.
your healthiest, it also takes a team of doctors you
trust, convenient locations, modern technology, and    •   One seamless package. Our medical offices
a spirit of teamwork pulling everything together.          and medical centers are designed with you in
                                                           mind, and every Kaiser Permanente facility in
This is our philosophy at work:                            your region is linked to your electronic health
                                                           record. That means you can get personalized
 •   First there’s you. You’re the center of this
                                                           care where and when you need it. And there
     health care universe. Your well-being is
                                                           you are again, right back at the center.
     fostered through preventive care, helpful
     resources online and off, and your partnership
     with your doctor.

                                                                      Visit us online at          3
    About Your PLAN OPTiONS

    Your choice made simple                                   Use the benefits summary and rates information in
    At Kaiser Permanente, we believe getting                  the front of this brochure to compare copayments
    good health care shouldn’t be complicated.                and premiums for your plan options. Also check
    Our HMO plan options make it easy. For office             out the Kaiser Permanente Health Plan Advisor
    visits and most other services, you’ll pay a simple       at This interactive tool can help you
    copayment. There are no deductibles to keep               decide which option is best for you.
    track of and no percentages to figure out.
                                                              We’re here for your health
    We also give you a choice of doctors and the
                                                              For more information, call us at 1-800-464-4000,
    flexibility to see certain specialists without a
                                                              weekdays from 7 a.m. to 7 p.m. and weekends from
    referral. For other specialities, your personal
                                                              7 a.m. to 3 p.m. For TTY, call 1-800-777-1370.
    physician can easily refer you—so you get
    the care that’s right for you.                            To view the Federal Employees Health Benefits
                                                              brochure (RI 73-003) and other plan information
    As a Federal employee, you can choose between
                                                              online, go to If you’d like to receive
    two HMO plan options:
                                                              a copy of the FEHB brochure in the mail, return
     •   Kaiser Permanente FEHB High Option                   the reply card in the back of this brochure.
         With the High Option, you’ll pay higher
         premiums but lower copayments for most
         health care services and prescription drugs.
         If you expect to receive care often, the High
         Option might be right for you.
     •   Kaiser Permanente FEHB Standard Option
         With the Standard Option, you’ll pay lower
         premiums but higher copayments for most
         health care services and prescription drugs.
         If you and your family are in good overall health,
         the Standard Option might be right for you.

4         Visit us online at
Enjoy all the advantages                                sharing may change on January 1, 2012. Anyone
of Kaiser Permanente Senior                             who has Medicare Parts A and B (or Part B only),
Advantage for Federal Members                           including some people under the age of 65 with
                                                        disabilities, may apply. You must reside in the Kaiser
If you qualify for Medicare, the Kaiser Permanente
                                                        Permanente Senior Advantage service area in which
Senior Advantage for Federal Members plan
                                                        you enroll. You must continue to pay your Part B
might be right for you. As a Medicare-eligible
                                                        premiums. Kaiser Permanente is a health plan with
Federal annuitant, when you enroll in Kaiser
                                                        a Medicare contract. You must use plan providers
Permanente Senior Advantage for Federal
                                                        except in emergency or urgent care situations or
Members, your Federal plan and your Federal
                                                        for out-of-area renal dialysis. If you obtain routine
Employees Health Benefits (FEHB) premiums
                                                        care from out-of-network providers, neither
are the same, but you get better benefits.
                                                        Medicare nor Kaiser Permanente will be responsible
You’ll enjoy all the benefits of Original Medicare,     for the costs. Services received under the Travel
all the benefits of your FEHB Program, and more,        Benefit do not need to be authorized or provided
without any increase in your FEHB premium.              by Kaiser Permanente. This plan includes Medicare
With Kaiser Permanente Senior Advantage for             Part D prescription drug coverage that is available
Federal Members, you’ll get:                            only to Kaiser Permanente Senior Advantage
                                                        members. You must use network pharmacies to
 •   No copays for most preventive care for both
                                                        fill your prescriptions, except under non-routine
     our High Option and Standard Option plans.
                                                        circumstances, and quantity limitations and
 •   Reduced copays on both plans for most              restrictions may apply. You may be able to get
     other services such as vision care, prescription   extra help to pay for your prescription drug
     drugs, and many other benefits.                    premiums and costs. To see if you qualify for
 •   Up to a 100-day supply of prescription drugs       extra help, call:
     for one copay with the High Option plan.            •   1-800-MEDiCARE (1-800-633-4227). TTY
 •   Additional credit toward the purchase                   users should call 1-877-486-2048, 24 hours
     of eyewear, including eyeglasses.                       a day, 7 days a week.
                                                         •   The Social Security Office at 1-800-772-1213,
Review the 2011 benefits information chart in this
                                                             between 7 a.m. and 7 p.m., Monday through
brochure for a summary about the lower cost
                                                             Friday. TTY users should call 1-800-325-0778.
sharing you pay and extra benefits you receive
with Kaiser Permanente Senior Advantage for              •   Your State Medicaid Office.
Federal Members.
                                                        This information is available in a different format
The benefit information provided herein is a brief      by calling our Member Service Call Center at
summary, not a comprehensive description of             1-800-443-0815 from 8 a.m. to 8 p.m., seven
benefits. For more information, contact the plan.       days a week. For TTY for the deaf, hard of hearing,
Benefits, formulary, pharmacy network, and cost         or speech impaired, call 1-800-777-1370.

                                                                       Visit us online at           5
    AdditionAl BENEFiT HiGHLiGHTS

    Dental benefits                                       DeltaCare USA
    Healthy teeth and gums are an important part          DeltaCare USA is a dental HMO program
    of your total health. That’s why we offer you a       administered by Delta Dental of California.
    choice of two dental plans to supplement your         With this plan, you can choose a dentist from
    Kaiser Permanente health coverage.1                   the DeltaCare USA network. Your dentist will
                                                          provide general dental care for you and your
    Kaiser Permanente insurance Company (KPiC)            family and can refer you for specialty care when
    Dental insurance Plan                                 you need it.
    Administered by Delta Dental of California and
                                                          There are no claim forms to fill out and no
    underwritten by KPIC, this plan gives you the
                                                          deductibles to meet. Most preventive and
    freedom to see any licensed dentist you choose.
                                                          diagnostic services are available to you at
    To make getting care simpler, when you visit a
                                                          no out-of-pocket cost. For other covered
    participating Delta Dentist in California, all your
                                                          services, including orthodontic services,
    claims paperwork will be handled for you.
                                                          you’ll pay a simple copayment.
    The KPIC dental plan helps you budget for
                                                          If you have questions about DeltaCare USA,
    your and your family’s care with a Table of
                                                          call Delta Dental at 1-800-422-4234, Monday
    Allowances. This tool tells you how much KPIC
                                                          through Friday from 5 a.m. to 6 p.m., and
    will pay for each covered service, after you
                                                          reference your Kaiser Permanente Federal
    meet your deductible. There’s no deductible
                                                          group number, 1114.
    for preventive and diagnostic services.
                                                          For more information about your choices for dental
    If you have questions about the KPIC dental plan,
                                                          coverage, visit or return the reply
    call Delta Dental toll free at 1-888-335-8227,
                                                          card in the back of this brochure. Details about
    Monday through Friday from 8 a.m. to 4 p.m.,
                                                          your dental benefits are included in the Federal
    and reference your Kaiser Permanente Federal
                                                          Employees Health Benefits brochure (RI 73-003).
    group number, 9874.

                                  Kaiser Permanente
                              insurance Company (KPiC)                       DeltaCare USA
                                 Dental insurance Plan
                                                                   Monthly                 Quarterly
                                   Monthly Premium
                                                                   Premium                 Premium

             Self                        $29.03                     $11.89                   $35.67

          Self + One                     $51.44                     $19.90                   $59.70

     Self + Two or More                  $77.32                     $30.17                   $90.51

6        Visit us online at
Chiropractic benefits                                      Travel benefits
Your Kaiser Permanente health plan includes                Your plan comes with travel benefits to give you
coverage for chiropractic services administered            peace of mind.1 When you’re temporarily outside
by American Specialty Health Plans of California,          your home service area by more than 100 miles
Inc. (ASH Plans). If you need chiropractic care, you       and outside any other Kaiser Permanente service
can see any ASH Plans participating provider               area, you’re covered for the following types of care:
without a referral. Just follow these simple steps:
                                                            •   Outpatient follow-up care to complete a
   Find an ASH Plans participating provider                     course of treatment after a covered emergency
   near you:                                                    (for example, the removal of stitches or a cast).

   •   Online at                        •   Outpatient continuing care for covered
                                                                services related to conditions diagnosed
   •   By phone at 1-800-678-9133. ASH
                                                                and treated within the previous 12 months
       Plans Member Services representatives
                                                                by a Kaiser Permanente provider or affiliated
       are available Monday through Friday
                                                                provider (for example, dialysis or prescription
       from 5 a.m. to 6 p.m. For TTY, call
                                                                drug monitoring).
       1-877-710-2746 toll free.
                                                           These benefits are in addition to the emergency
   Schedule an appointment with the
                                                           benefits that are available to you within or outside
   chiropractor of your choice.
                                                           your service area. For details about your travel
   Pay for your office visit when you arrive               benefits, see the Federal Employees Health
   for your appointment.                                   Benefits brochure (RI 73-003).

Your chiropractic services are covered if they’re
medically necessary to diagnose or treat
neuromusculoskeletal disorders, as prescribed
and provided by an ASH Plans participating
provider. For definitions, limitations, and
exclusions, see the Federal Employees Health
Benefits brochure (RI 73-003).


                             $15 copay per visit
       Office visits        Limit of 20 visits per
                               calendar year
  X-rays and lab tests           No charge             1
                                                           These benefits are neither offered nor guaranteed
       Chiropractic        $50 benefit maximum             under contract with the FEHB Program, but are
        appliances           per calendar year             made available to all enrollees and their family
                                                           members who are members of Kaiser Permanente.

                                                                          Visit us online at           7
    our LOCATiONS

    With medical offices and hospitals close to where you live, Kaiser Permanente is making Southern
                                             Sierra Nevada

    California a healthier place to be. To receive a full list of providers in your area, fill out the reply card
                                                                                                 China Lake
                                                                                           Naval Weapons Center

    in the back of this brochure, or call us at 1-800-464-4000, weekdays from 7 a.m. to 7 p.m. and
    weekends from 7 a.m. to 3 p.m. For TTY, call 1-800-777-1370.

    You can also find our physician and facility directories online at


                         Kern County area
                                                                                                                   Southern California
                                                             Edwards Air Force Base

                                                                                                          San Bernardino
                                                                                                          National Forest

                                                                                                                        San Bernardino

                                                                         National Forest

                                                                                                                                    San Jacinto

                                                                                                           San Bernardino
                                                                                                           National Forest

                                                                                                                                                        Santa Rosa

                                                                                                                                                       Anza-Borrego Desert

         n Kaiser Permanente medical centers
                                                                                                                                                            State Park

           (hospital and medical offices)
         ● Kaiser Permanente medical offices

           Affiliated plan hospitals                                                                                                 National Forest

           Affiliated medical offices

    Maps not to scale

8          Visit us online at
    CiTY                       FACiLiTY                            ADDRESS
    Aliso Viejo            ●    Aliso Viejo Medical Offices          24502 Pacific Park Drive
    Anaheim                n    Orange County–Anaheim
                                Medical Center                       441 N. Lakeview Ave.
                           ●    Anaheim Hills Medical Offices        5475 E. La Palma Ave.
                           ●    Anaheim Kraemer Medical              3460 E. La Palma Ave.
                                Office Building1
                           ●    Euclid Medical Offices               1188 N. Euclid St.
                           ●    Lakeview Medical Offices             411 N. Lakeview Ave.
    Bakersfield            ●    Central Medical Offices              3733 San Dimas St.
                           ●    Chester Avenue Medical Offices       2531 Chester Ave.
                                (Scheduled to open in fall 2010.)
                           ●    Coffee Road Medical Offices          4801 Coffee Road
                           ●    Discovery Plaza Medical Offices      1200 Discovery Drive
                           ●    East Hills Medical Offices           3700 Mall View Road
                           ●    Ming Medical Offices                 8800 Ming Ave.
                           ●    Stockdale Medical Offices            3501 Stockdale Hwy.
                                San Joaquin Community Hospital –
                                Emergency services1                  2615 Chester Ave.
    Baldwin Park           n    Baldwin Park Medical Center          1011 Baldwin Park Blvd.
    Bellflower             ●    Bellflower Medical Offices           9400 E. Rosecrans Ave.
    Bonita                 ●    Bonita Medical Offices               3955 Bonita Road
    Brea                   ●    Brea Medical Offices                 1900 E. Lambert Road
    Camarillo              ●    Buenaventura Camarillo
                                Medical Offices                      2620 E. Las Posas Road
    Carlsbad               ●    Carlsbad Medical Offices             6860 Avenida Encinas
    Chino                  ●    Chino Medical Offices                11911 Central Ave.
    City of Industry       ●    Crossroads Parkway Medical Offices   12801 Crossroads Pkwy. S.
    Claremont              ●    Indian Hill Medical Offices          250 W. San Jose St.
    Colton                 ●    Colton Medical Offices               789 E. Cooley Drive
    Corona                 ●    Corona Medical Offices               2055 Kellogg Ave.
    Cudahy                 ●    Cudahy Medical Offices               7825 Atlantic Ave.
    Culver City            ●    Playa Vista Medical Offices          5620 Mesmer Ave.
    Diamond Bar            ●    Diamond Bar Medical Offices          1336 Bridgegate Drive
    Downey                 n    Downey Medical Center                9333 E. Imperial Hwy.
                           ●    Garden Medical Offices               9353 E. Imperial Hwy.
                           ●    Orchard Medical Offices              9449 E. Imperial Hwy.
    Affiliated plan facilities provide selected inpatient and/or outpatient hospital and emergency services.
    Kaiser Permanente medical center locations are in bold and shaded.

                                                                        Visit us online at        9
         CiTY                       FACiLiTY                            ADDRESS
         El Cajon               ●    Bostonia Medical Offices             1630 E. Main St.
                                ●    El Cajon Medical Offices             250 Travelodge Drive
         Escondido              ●    Escondido Medical Offices            732 N. Broadway
                                     Palomar Medical Center –
                                     Emergency services1                  555 E. Valley Pkwy.
         Fontana                n    Fontana Medical Center               9961 Sierra Ave.
         Garden Grove           ●    Garden Grove Medical Offices         12100 Euclid St.
         Gardena                ●    Gardena Medical Offices              15446 S. Western Ave.
         Glendale               ●    Glendale Medical Offices             444 W. Glenoaks Blvd.
         Harbor City            n    South Bay Medical Center             25825 S. Vermont Ave.
         Huntington Beach       ●    Huntington Beach Medical Offices     18081 Beach Blvd.
         Indio                  ●    Indio Medical Offices                81-719 Doctor Carreon Blvd.
                                     John F. Kennedy Memorial
                                     Hospital – Emergency services1       47111 Monroe St.
         Inglewood              ●    Inglewood Medical Offices            110 N. La Brea Ave.
         Irvine                 n    Orange County–Irvine                 6640 Alton Pkwy.
                                     Medical Center
                                ●    Alton/Sand Canyon Medical Offices    6650 Alton Pkwy.
                                                                          6670 Alton Pkwy.
                                ●    Barranca Medical Offices             6 Willard
         Joshua Tree                 Hi-Desert Medical Center –
                                     Emergency services1                  6601 White Feather Road
         La Mesa                ●    La Mesa Medical Offices              8080 Parkway Drive
                                ●    Rancho San Diego Medical Offices     3875 Avocado Blvd.
         La Palma               ●    La Palma Medical Offices             5 Centerpointe Drive
         Lancaster              ●    Lancaster Medical Offices            43112 N. 15th St. W.
                                     Antelope Valley Hospital –
                                     Emergency services1                  1600 W. Avenue J
         Long Beach             ●    Long Beach Medical Offices           3900 E. Pacific Coast Hwy.
         Los Angeles            n    Los Angeles Medical Center           4867 Sunset Blvd.
                                n    West Los Angeles Medical Center      6041 Cadillac Ave.
                                ●    Culver Marina Medical Offices        12001 W. Washington Blvd.
                                ●    East Los Angeles Medical Offices     5119 E. Pomona Blvd.
                                ●    South Los Angeles Medical Offices    1550 W. Manchester Ave.
                                     (Scheduled to open in early 2011.)

         Affiliated plan facilities provide selected inpatient and/or outpatient hospital and emergency services.
         Kaiser Permanente medical center locations are in bold and shaded.

10           Visit us online at
    CiTY                    FACiLiTY                                   ADDRESS
    Lynwood                ● Lynwood Medical Offices                     3830 Martin Luther
                                                                         King Jr. Blvd.
    Mission Hills          ●    Mission Hills Medical Offices            11001 Sepulveda Blvd.
    Mission Viejo          ●    Mission Viejo Medical Offices            23781 Maquina Ave.
    Montebello             ●    Montebello Medical Offices               1550 Town Center Drive
    Moreno Valley          ●    Moreno Valley Community Hospital –
                                Emergency services                          27300 Iris Ave.
                           ●    Moreno Valley Medical Offices               12815 Heacock St.
    Murrieta                    Rancho Springs Medical Center               25500 Medical Center Drive
    Norwalk                ●    Norwalk Medical Offices                     12501 E. Imperial Hwy.
    Oceanside              ●    Oceanside Medical Offices                   3609 Ocean Ranch Blvd.
    Ontario                ●    Ontario Vineyard Medical Offices            2295 S. Vineyard Ave.
    Oxnard                 ●    Buenaventura Oxnard Medical Offices         2200 E. Gonzales Road
                           ●    Oxnard Medical Offices                      2103 E. Gonzales Road
    Palm Desert            ●    Palm Desert Medical Offices                 75-036 Gerald Ford Drive
    Palm Springs           ●    Palm Springs Medical Offices                1100 N. Palm Canyon Drive
                                Desert Regional Medical Center –
                                Emergency services1                         1150 N. Indian Canyon Drive
    Palmdale               ●    Palmdale Medical Offices                    4502 E. Ave. S
    Panorama City          n    Panorama City Medical Center                13651 Willard St.
    Pasadena               ●    Pasadena Medical Offices                    3280 E. Foothill Blvd.
    Rancho Cucamonga       ●    Rancho Cucamonga Medical Offices            10850 Arrow Route
    Redlands               ●    Redlands Medical Offices                    1301 California St.
    Riverside              n    Riverside Medical Center                    10800 Magnolia Ave.
    San Bernardino         ●    San Bernardino Medical Offices              1717 Date Place
    San Diego              n    San Diego Medical Center/
                                Kaiser Foundation Hospital                  4647 Zion Ave.
                           ●    Clairemont Mesa Medical Offices             7060 Clairemont Mesa Blvd.
                           ●    Mission Bay Medical Offices                 3033 Bunker Hill St.
                           ●    Otay Mesa Outpatient                        4650 Palm Ave.
                                Medical Center                              4660 Palm Ave.
                           ●    Point Loma Medical Offices                  3250 Fordham St.
                                                                            3420 Kenyon St.

                           ●    Rancho Bernardo Medical Offices             17140 Bernardo Center Drive
                           ●    Vandever Medical Offices                    4405 Vandever Ave.

    Affiliated plan facilities provide selected inpatient and/or outpatient hospital and emergency services.
    Kaiser Permanente medical center locations are in bold and shaded.

                                                                        Visit us online at        11
         CiTY                       FACiLiTY                             ADDRESS
         San Dimas              ●    San Dimas Medical Offices              1255 W. Arrow Hwy.
         San Juan Capistrano    ●    San Juan Capistrano Medical Offices    30400 Camino Capistrano
         San Marcos             n    San Marcos Outpatient                  400 Craven Road
                                     Medical Center
         Santa Ana              ●    Harbor–MacArthur Medical Offices       3401 S. Harbor Blvd.
                                ●    Tustin–Santa Ana Medical Offices       1900 E. 4th St.
         Santa Clarita          ●    Canyon Country Medical Offices         26415 Carl Boyer Drive
                                ●    Santa Clarita Medical Offices          27107 Tourney Road
         Simi Valley            ●    Simi Valley Medical Offices            3900 Alamo St.
         Temecula               ●    Temecula Medical Offices               27309 Madison Ave.
         Thousand Oaks          ●    Thousand Oaks I Medical Offices        365 E. Hillcrest Drive
                                ●    Thousand Oaks II Medical Offices       145 Hodencamp Road
         Torrance               ●    Torrance Medical Offices               20790 Madrona Ave.
         Upland                 ●    Upland Medical Offices                 1183 E. Foothill Blvd.
         Ventura                ●    Buenaventura Hill Road Medical Offices 888 S. Hill Road
                                ●    Buenaventura Vista Medical Offices     2601 E. Main St.
                                     Community Memorial Hospital
                                     of San Buenaventura –
                                     Emergency services1                    147 N. Brent St.
         Victorville            ●    High Desert Medical Offices            14011 Park Ave.
         Vista                  ●    Vista Medical Offices                  780 Shadowridge Drive
         West Covina            ●    West Covina Medical Offices            1249 Sunset Ave.
         Whittier               ●    Whittier Medical Offices               12470 Whittier Blvd.
         Wildomar               ●    Wildomar Medical Offices               36450 Inland Valley Drive
                                     Inland Valley Medical Center           36485 Inland Valley Drive
         Woodland Hills         n    Woodland Hills Medical Center          5601 De Soto Ave.
                                ●    Erwin Street Medical Offices           21263 Erwin St.
         Yorba Linda            ●    Yorba Linda Medical Offices            22550 E. Savi Ranch Pkwy.

         Affiliated plan facilities provide selected inpatient and/or outpatient hospital and emergency services.
         Kaiser Permanente medical center locations are in bold and shaded.

12           Visit us online at

Find your healthy place                             Get information by mail
Whether you’re new to Kaiser Permanente or a        If you’d like to receive certain materials by mail,
longtime member, make your online       simply fill out and return the reply card attached
home for good health. This special website, just    to the back cover of this brochure.
for Federal employees, gives you the resources
                                                     •   Check off the materials you’d like to receive
you need to get enrolled and get the most out
                                                         and complete your mailing information.
of your benefits.
                                                     •   Tear off the card and fold it in half with your
 •   Frequently asked questions: Find out
                                                         information inside.
     what makes Kaiser Permanente different.
                                                     •   Seal the card and drop it in the mail.
 •   Plans and services: View detailed
     information about your Kaiser Permanente       You can also call us at 1-800-464-4000, weekdays
     health plan options.                           from 7 a.m. to 7 p.m. and weekends from 7 a.m. to
 •   My Health Manager: See how easy it is          3 p.m. For TTY, call 1-800-777-1370.
     to stay on top of your health online.
 •   Health and wellness: Link to information
     that can help you feel your best.

You can also link to our physician and facility
directories, current health information, regional
news, and more.

                                                                     Visit us online at       13
               Kaiser Foundation Health Plan, Inc.
               1950 Franklin St.
               Oakland, CA 94612

      WhAt’s importAnt to your heAlth AnD Well-being?
  ❑ Being able to choose a personal physician                                ❑ E-mailing my doctor’s office so I can get
         who has the background and training to take                            answers to my health questions without having
         care of me and my family.                                              to schedule an appointment.

  ❑ having access to state-of-the-art facilities                             ❑ having a secure electronic health record
         so I can get advanced medical care if I need it.                       that shows my doctor a complete and current
                                                                                picture of my health at every visit.
  ❑ going to one location, close to my home
         or work, to see my doctor, have lab tests done,                     ❑ Knowing that my health care team works
         pick up prescriptions, and more.                                       together, sharing information and expertise
                                                                                to keep me healthy.
  ❑ getting advice anytime, day or night, by calling
         a registered nurse to talk about my health concerns.

                                             see how all this works for you at

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