endstream endobj 1849 0 obj <>stream Fee: $48 members; $60 nonmembers Registration: Call or visit any of the Healthy Living Centers at: Fremont (510-248-3455), San Leandro (510- 454-4531), or Union City (510-675-4531) Labor & … X��}z{톑�I�:�@�B)��}��U#��p�ow��Y'�ʈleZles�O�7��C8�$�Y���ˏ��cE��-��JC���ۭ��b @dѬ=����Qٓ�ߕ�%���X�#�[��2q��̜�6�����7�-ոe�.8%�؟bI��!�U0���g���Ω#U�o�A��� ��>�J"B�t5)�Q����v}i\9��fm��z0K��� Emergency care by a physician, level 3 $300. A referral is not necessary to visit Kaiser Permanente’s Centers for Complimentary Medicine. Colorado - Denver/Boulder. endstream endobj 1848 0 obj <>stream Stress test $190. Well-adult office visit, new patient (40–64 years)* $274. �p���px�*�h�L��dk�G>>�O�i�,���/�[�=)gq��'x ��j�d�����^ζ�o�b�E\����}�)���շ� ֮p �d>mϽRE~�� For a current and complete list, call the Member or Customer Service ... Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California . Oregon/Washington. The services and fees you see are not based on any information gathered from your medical record but are the fees that Kaiser Permanente would charge members for the listed services. Since medical information changes constantly, this information might not be totally current or complete. Get help making health care decisions that are right for you, whether they are about everyday concerns or serious health conditions. Removal of abnormal areas of skin $16. Punch biopsy of skin, single lesion $351. This is only a sample list, and it may change. *Services described here are provided on a fee-for-service basis. Eye exam, routine visit, new patient* $168 Eye exam and treatment, new patient $302 Eye exam, routine visit, established patient* $177 Eye exam and treatment, established patient $253 Vision screening test* $8. [S�C X7�i��A4"x=����)#"4�@vOhY���& �U����vK�17���灸o��Ap�I8�vw��`��NY(}"Z�h�����Kw���Z�sR�+�Aڸ�K�Tc]3���c>��_O��9Wj�K�WF%n��M6�_�֎���4�-��R\K��r+�Wji��ɬ�Y|�B�D�����aI+#4�!�8Ȭ�7AĖ�)��զg*�����5C���;��3�K�0YY=r�MdCO�o$�-��/�� �����L�㿖��̺kMX�}Q�)�m�g/5a5�w�`�xԬC~o���X;��������4uE � ��$N�Ǝj��p���r�ú������B���S�T���Љ'����mAzN%�����1��Q˵���Z�-�M�Uτc�Fi�~� %PDF-1.3 %���� These services are not provided or covered by Kaiser Foundation Health Plan, Inc. (Health Plan), … Fi ����q8BQ��k��Lo������E���c�\dh�Z�C5��a`�^��4G.J���B��=����enn��[��+�$��G���"��/�5��ҴA�p���Cx�i�!�� Q�Uy�E��Oi2���h��>�|�WA4�޽���C�"�h�z��)�1�B�z6��B�ƀ�b@}���N�q Emergency care by a physician, level 1 (low severity) $135. Open mobile menu. You can view the fee for a specific service or get a general estimate of your family's potential out-of-pocket medical costs for the year. Well-adult office visit, new patient (18–39 years)* $237. Hawaii. Kaiser Foundation Health Plan, Inc., and Kaiser Foundation Hospitals may receive compensation for providing facilities and/or other support in connection with these services. Kaiser Permanente’s Centers for Complimentary Medicine provides chiropractic services for members with chiropractic benefits and fee for service for members and nonmembers that do not have chiropractic benefits. Fee: $15.00 per session. Emergency care by a physician, level 2 $205. You can download our list of fees♦ to see charges for common services. Kaiser Permanente of Southern California believes when we collaborate and support each other, our work improves the quality of health and life in our communities. The Kaiser Permanente Sample Fee List provides price information regarding certain Kaiser Permanente health care services you may use. In Southern California, Health Plan, Kaiser Foundation Hospitals, and/or Southern California Permanente Medical Group, shall be served with a Demand for Arbitration by mailing the Demand for Arbitration to that Respondent(s) in care of: Kaiser Foundation Health Plan, Inc. Legal Department 393 East Walnut Street Pasadena, CA 91188 *Depending on your plan, these services may be preventive and covered at no cost or at a copay. 2019 Kaiser Permanente Estimated Fees Southern California 2 SERVICE ESTIMATED FEES Office Visits New patient visit, level 1 (low severity)* $75 New patient visit, level 2* $125 New patient visit, level 3* $180 New patient visit, level 4* $275 New patient visit, level 5 (high severity)* $340 Established patient visit, level 1 (low severity)* $35 Surgically destroying an abnormal area of skin $182. o�1�P���Ӕ0�UXA�P�?��H�J���4ړ+L0���q"8b3�2,�+6���c������׳����1�"@���e�"/�����lT{��|�2��*���V[#I`GQ��ov��D�z�Y�F�bp�+w�k��>��a;�\���!� Just enter some basic information about an upcoming visit, and you'll receive a general estimate of your appointment fee. Northern Colorado. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll. Drug prices are estimates only and do not state the exact amount of your benefit payment or out-of-pocket costs, if any. Access to the Kaiser Permanente Sample Fee List does not guarantee that you will be accepted for coverage under a Kaiser Permanente health plan. Southern California. Emergency care by a physician, level 4 (high severity) $455. The Kaiser Permanente Sample Fee List shows the fees we charge for certain Kaiser Permanente services. Eye Examinations. Kaiser Permanente is an HMO plan with a Medicare contract. ��V�}�u���nMn�Ĩe4��w��r9�0SUS�3JHY�Kh�ȕb�0�2J� z�;��|��b�̢֏���Dv8����9g�+�$ 汞A��9�'��� Look up detailed information on thousands of drugs, including precautions, side effects, and how to use medications. 1847 0 obj <>stream Mid-Atlantic States. �N )������l�UWq�'X��u���O������bB8�\��br��$B���4j�g�JB'�Xɧ��N[��p_������0��5�ړ�m��XO�5}$e��,zoT�S�H�(���.�������~݄Obu��4!�P�c0z�z�R���\��t�^����vɸ�6��U�-�–�G$'D����x�E���e�����0A�~^��-���Ǚ錋ӛ����/0#�������� ��G=kbq� ER��e}��K�P�� �D�3��F;�;�y VEGETABLES (fresh, frozen, or canned without added sodium, fat, or sugar) FRUITS (fresh, frozen, or canned without added sugar) NONSTARCHY • Artichokes • Asparagus • Beans (green, wax, Italian) Your actual out-of-pocket expenses for health care will depend on the care you receive, the charges for that care, whether your health care provider is a Kaiser Permanente clinician, and the terms of your specific benefit plan. Important note: Please read below to understand the Kaiser Permanente Sample Fee List. Enrollment in Kaiser Permanente depends on contract renewal. ���p������с��P�þ��-�s��ip�.U�CfR���n��5�P�1��G�߂ Six Kaiser Permanente hospitals have been recognized among the world’s best hospitals by Newsweek magazine. Colorado-Mountain Area. Group psychological therapy $49 Therapy $163. �/N��v����+)? Sigmoidoscopy and removal of tissue for examination* $768. View your health care fees. When you're estimating your yearly health care expenses, our tools can help you understand the cost of treatment and manage your deductible plan. About Kaiser Permanente Home ... December 17, 2020 Colorado schools receive $196,000 to address health needs. b. Georgia. ♦ You will need the free Adobe Acrobat Reader to read this file. While we update this information periodically, the information on this site may not reflect all information regarding approval or withdrawal of drugs by the U.S. Food and Drug Administration (FDA) or voluntary withdrawal of drugs by pharmaceutical manufacturers. Well-adult office visit, new patient (65 and older)* $297. The Kaiser Permanente Sample Fee List shows the fees we charge for certain Kaiser Permanente services. Patients must meet the eligibility requirements below to qualify. Tangential biopsy of skin (e.g., shave, scoop, saucerize, curette), single lesion $279. You can view the fee for a specific service or get a general estimate of your family's potential out-of-pocket medical costs for the year. Kaiser Foundation Hospitals and Kaiser Foundation Health Plans, collectively referred to as Kaiser Permanente, are committed to providing programs that facilitate access to care for vulnerable populations. This is a Fee-for-service workshop, call 1-866-883-0119 for more information on fees. The list is updated periodically, so you should check back from time to time to see if there are changes in the fees for services of interest to you. Discover Kaiser Permanente in: For specific information about your covered health plan benefits, please see your Evidence of Coverage (EOC) or for Kaiser members, please contact Member Services at 1-800-464-4000. For accommodations of persons with special needs at meetings, call 1-877-220-3956 (toll free) or TTY 711. The recently published World’s Best Hospitals 2020 report lists Kaiser Permanente Moanalua in Hawaii, as well as Kaiser Permanente Los Angeles, San Diego, San Diego Zion, Woodland Hills, and Santa Clara in California, among the hospitals at the forefront of patient care and experience. �b�3,l����s���K�����M)��O�I���?_Z�Nu;f��dq�o��_��4$���ա��%ϟꑿx��]�5���V[�����o�>�!�ތ@��v����C��K֘��pZAܚ��A�X��E��}-� ��u{��V�[��ba�����ٔh�x 3�Q��p Your Membership Agreement contains a complete explanation of benefits, exclusions, and limitations. Learning more about treatments and medications. We've created a simple, three-step tool that lets you estimate fees for common health care services. SERVICE ESTIMATED FEES Psychotherapy Visits. Find answers to questions♦ you may have about estimating your health care expenses. The information provided here is not intended or designed to serve as your Membership Agreement. The services and fees you see are not based on any information gathered from your medical record but are the fees that Kaiser Permanente would charge members for the listed services. Southern Colorado. Kaiser Permanente Sample Fee List. Well-child office visit, new patient (12–17 years)* $245. Well-baby office visit, established patient (under 1 year)* $181. �����u�'Nc�M�ʜ���|�����l�q�aY�&e���_��f�sQ ��� �2����8z�귍\ݩ�m�ի�H*���H����k���rDiQ���u����Z7+��ޑݶ�*Ѥ]�Q��>� ���P��P99�m{�'X��'���e#�������7A���㒤ЯD%����l�8��+�����P[7{��x�h5�K����#A�fh2���"��ퟺ�aN]~�yD j^�`���`\|v'!9�I�������q���[̤f��W2�}���x�.��?���8�a. This commitment includes providing financial assistance to qualified low income, uninsured and underinsured patients when the ability to pay for services is a barrier to accessing emergency and medically necessary care. 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