2020 Enrollment | Georgia

Your enrollment guide to the only plan with $1,000 IN REWARDS.* $0 DEDUCTIBLE. CARE UNDER ONE ROOF.

*up to $1,000 in rewards per household.

maximum size h : 0.9812 my.kp.org/shbp Kaiser Permanente

Care and coverage that fits your life

Your doctor, your choice Choose your doctor based on what’s important to you. Go to kp.org/searchdoctors for details about education, specialties, languages spoken, and more. You can also change doctors at any time. Convenient More care options cost estimates How you get care Get an idea of what is up to you. Choose a you’ll pay before you phone appointment, come in for care. E-visit, or video visit,1 For a personalized email your doctor’s estimate based on office with nonurgent your plan details, visit questions, or come see kp.org/costestimates. us in person.2

Right care, right time Many services Get the care you need under one roof when you need it with Do more in less time. routine, specialty, urgent, In most of our facilities, and emergency care. If you can see your doctor, you’re ever unsure where get a lab test, and pick to go, call us for 24/7 care up prescriptions — all advice by phone. in a single trip.

1When appropriate and available. 2These features are available when you get care at Kaiser Permanente facilities.

2 Care and coverage that fits your life

Experience the Kaiser Permanente difference

To be healthy, you need quality care that’s simple, personalized, and hassle-free. At Kaiser Permanente, care and coverage come together — so you get everything you need to stay on top of your health in one easy-to-use package.

State Health Benefit Plan 4

Five Simple Activities to earn up to $1,000 7

Great care, great results 9

Your care, your way 11

Healthy resources 13

Pharmacy 15

Care when and where you need it 17

Medical offices and specialties 18

3 Kaiser Permanente

State Health Benefit Plan (SHBP)1 Effective Dates: January 1, 2020 - December 31, 2020

Deductible, Co-insurance & Out-of-Pocket Maximums Annual Deductible: Co-insurance Lifetime Benefit Maximum Individual/Family $0 $0 Unlimited

Office Visits (Outpatient) Lab & X-Ray Primary Care $35 co-pay Laboratory Specialty Care $45 co-pay Covered at 100% for services performed in a Kaiser Permanente Medical Center or a freestanding laboratory contracted with Kaiser Scheduled Prenatal Visits and Routine care covered Permanente; $100 co-pay for services performed in an outpatient 1st Postpartum Visit at 100% setting. X-Ray $0 co-pay, includes Vision Exam refractions Covered at 100% for services performed in a Kaiser Permanente Medical Center or a freestanding imaging center contracted with Telemedicine/Virtual Visit Covered at 100% Kaiser Permanente; $100 co-pay for services performed in an $25 co-pay, up to outpatient hospital setting. Physical/Occupational/Speech 40 visits per MRI/CT/PET/Nuclear Medicine Therapy, Cardiac Rehab calendar year for each therapy $45 co-pay per scan for services performed in a Kaiser Permanente Medical Center or a freestanding imaging center contracted with Outpatient/Ambulatory Surgery $100 co-pay Kaiser Permanente; $100 co-pay when imaging is performed in outpatient hospital setting. Routine Preventive Care2

Wellness Exams—Physical and Covered at 100% Emergency Care Well Woman exams $100 co-pay Ambulance (Ground or Air) Mammography Screening (per trip) • Mammography screening for breast cancer for women over 40. $150 co-pay (per visit); Emergency Room • Mammography screening for Covered at 100% waived if admitted breast cancer in other age groups as jointly determined by patient $35 co-pay, at and physician Urgent Care designated facilities Pap Smear Covered at 100% Hospital Care (Inpatient) Prostate Specific Antigen (PSA) Test Prostate cancer screenings Covered at 100% $250 co-pay, per Inpatient (PSA and digital rectal exams) admission Covered at 100% Sigmoidoscopy/Colonoscopy Delivery and Inpatient $250 co-pay, per Well Child Care Covered at 100% Baby Care admission Breast Cancer Medications Covered at 100% (Tamoxifen & Raloxifene only) Live or work

Need help? The State Health Benefit Plan members (and eligible dependents) are eligible to enroll in Call your Dedicated Member Services line at Kaiser Permanente if they live or work within 1-855-512-5997 Monday–Friday, 7 a.m.–7 p.m. EST the Service Area at the time of enrollment.3 and learn how to get the most of your membership.

4 Care and coverage that fits your life

Mental Health and Chemical Dependency Mental Health Outpatient (Individual) $35 co-pay, unlimited visits per calendar year

Mental Health Outpatient (Group) $17 co-pay, unlimited visits per calendar year

Mental Health Inpatient $250 co-pay, unlimited days per calendar year

Chemical Dependency Outpatient (Individual) $35 co-pay, unlimited visits per calendar year

Chemical Dependency Outpatient (Group) $35 co-pay, unlimited visits per calendar year

Chemical Dependency Inpatient $250 co-pay, unlimited days per calendar year Prescription Drugs Day Supply 30-Day Supply $20 co-pay at KP Pharmacies Generic Preferred $30 co-pay at Network Pharmacies for 1x fill4

$50 co-pay at KP Pharmacies Brand Preferred $60 co-pay at Network Pharmacies for 1x fill4

$80 co-pay at KP Pharmacies Non-Preferred $90 co-pay at Network Pharmacies for 1x fill4

Mail Order – Day Supply 90-Day Supply

Mail Order – Generic Preferred $50 co-pay through Kaiser Permanente Pharmacies only

Mail Order – Brand Preferred $125 co-pay through Kaiser Permanente Pharmacies only

Mail Order – Non-Preferred $200 co-pay through Kaiser Permanente Pharmacies only Other Skilled Nursing Facility (SNF) Plan pays 100%, up to 120 days per calendar year Hospice Care Covered at 100% Home Health Care Plan pays 100%, unlimited. Private Duty Nursing is not covered. Durable Medical Equipment (DME) Covered at 100%, unlimited Chiropractic Care $45 co-pay, up to 20 visits per calendar year

Hearing (Non-routine Exams, Tests & Fittings) • Hearing Aids limited to $1,500 every 5 yrs for Adults Covered at 100% • Combined Benefit Maximum: $3,000 per aid; per ear; every 48 months for Children 18 years and younger

Infertility Diagnosis Office Visit Limited to diagnostic services for the diagnosis of $45 co-pay involuntary infertility only.

Infertility Diagnosis Only Laboratory, Radiology and Tests Covered at 100% for services performed in a Kaiser Permanente Limited to diagnostic services for the diagnosis of involuntary infertility. Tests covered under Medical Center or a freestanding laboratory contracted with “Diagnosis Only” are those only to rule out underlying medical issues. Tests and treatment Kaiser Permanente; $100 co-pay for services performed in an related to reproductive issues are not covered. outpatient hospital setting.

Enroll today! mySHBPga.adp.com 5 KaiserSTAY Permanente WELL, GET REWARDED “If it hadn’t been for Kaiser’s pre-screening options, and the $500 gift card, who knows where I would be today.”

Gina, Elementary School Nurse

Hear more care stories from real Kaiser Permanente members at kp.org/carestories.

6 Care and coverage that fits your life

FIVE SIMPLE ACTIVITIES TO EARN UP TO $1,000

2020 Wellness Program Each member and covered spouse who completes the Kaiser Permanente Wellness Program will receive a $500 reward card—$1,000 per household to spend on anything you choose!

Step 1: Accept your Wellness Program Agreement Sign on to kp.org/engage to accept your Wellness Program Agreement — check “yes,” then click submit. If you check “no” or if you don’t complete this step, you will not earn credit for your Kaiser Permanente Wellness Program activities.

Step 2: Take Your Total Health Assessment Complete your Kaiser Permanente Total Health Assessment (THA) online. The questionnaire is confidential and takes about 10 minutes.

Step 3: Know Your Numbers Complete a Biometric Screening either at a Kaiser Permanente medical office, or by a Kaiser Permanente clinician at an SHBP-sponsored screening event. Visit kp.org/wellnessevent and use the signup code SHBP for a list of upcoming events. ONLY those screenings performed by Kaiser Permanente are eligible for the reward.

Step 4: Get Yourself Screened Complete all age and gender appropriate preventive screenings for breast, cervical, or colorectal cancer.

Step 5: Make A Lifestyle Change Your choice—complete one healthy lifestyle program or partner with a coach through Wellness Coaching by Phone.

7 Kaiser Permanente WE'RE ALL ABOUT THE BIG PICTURE Mom-centered maternity care every step of the way • Kaiser Permanente • Emory University Hospital Midtown •

8 Care and coverage that fits your life

Great care, great results

From preventive screenings that keep you healthy to world-class care if you get sick, we’ve got you covered.

Preventive care to Support for keep you healthy ongoing conditions

Preventive care is key to how we practice medicine. If you have a condition like diabetes or heart It can help you avoid some health issues and catch disease, you’re automatically enrolled in a others before they become serious. disease management program for personal coaching and support. With a well-rounded Your electronic health record plays a vital role. approach backed by proven best practices It tracks your preventive care services and sends and advanced technology, we’ll help you get reminders when you’re due for your next screening. the care you need to continue living life We’ll let you know when to come in so you’re free to the fullest. to focus on living your life.

A leader in Specialty care clinical quality when you need it In 2018, Kaiser Permanente led the nation as We’re also here for you if you get sick or need the top performer in 30 effectiveness-of-care specialty care. In fact, you'll get great care from measures — the most of any health plan.5 These Kaiser Permanente experts in more than 40 measures include: specialties — most without a referral. If needed, you'll have access to certain affiliated • Prevention and screening specialists too. • Cardiovascular care

From high-quality maternity care to treatment • Comprehensive diabetes care for cancer, heart problems, and more, you • Medication monitoring get great doctors, the latest technology, and evidence-based care — all combined to help you recover quickly.

Through our culturally responsive care programs, we’ve improved health outcomes among diverse populations for conditions like high blood pressure, diabetes, and colon cancer.6

9 Kaiser Permanente CHOOSE THE DOC FOR YOU AT EVERY TURN

Over 600 top docs and specialists in metro Atlanta

10 Care and coverage that fits your life

Your care, your way

Get care where, when, and how you want it. With more options to choose from, it’s easier to stay on top of your health.

Choose how you get care

Visit your doctor for routine care, preventive services, care when you’re not feeling well, and more. You may also be able to In person schedule same-day appointments for many services at several of our locations.

Have a condition that doesn’t require an in-person exam? Save Phone yourself a trip to the office by scheduling a telephone visit with a Kaiser Permanente doctor at no co-pay.7,8

Want a convenient, secure way to see a doctor wherever you are? Video Meet face-to-face online.7,8 Call us or email your doctor’s office to see if video visits are available to you at no co-pay.

For certain common ailments, you can complete an online questionnaire and — depending on your responses and E-visit symptoms — you'll be prompted with recommended self-help or over-the-counter remedies at no co-pay.

Other ways to get care in the moment

24/7 Call us for advice when you need it most. We’ll help you find out Nurse advice what care is right for you, schedule appointments, and more.

Message your doctor’s office anytime with nonurgent questions.8 Email You’ll get a response usually within 2 business days, if not sooner.

Manage your health, find nearby locations, and take advantage Online of health guides and other resources. You can also download the Kaiser Permanente app to keep up with your care on the go.9

11 KaiserCALL Permanente IN. CLICK IN. OR COME IN. Same-day care on your terms. Telephone Visits, E-visits, 24/7 Nurse Advice, Video Visits, Express Care, 24/7 Urgent Care

12 12 Care and coverage that fits your life

Healthy resources

Good health goes beyond the doctor’s office. Explore all the convenient resources available to members and choose the ones that fit your life.

Get the most out of your health plan

Visit kp.org/healthyliving for wellness information, health Online calculators, fitness videos, podcasts, and recipes from wellness tools world-class chefs.

Connect to better health with online programs to help you lose Health engagement weight, quit smoking, reduce stress, and more — all at no cost. tools Learn more at kp.org/healthylifestyles.

Sign up for health classes and support groups at many of our Health classes facilities. See what’s available near you at kp.org/classes — some may require a fee.

Get help reaching your health goals. Work one-on-one Personal wellness with a wellness coach by phone at no cost. Find out more at coaching kp.org/wellnesscoach.

Enjoy reduced rates on services that can help you stay Special rates healthy — like acupuncture, chiropractic care, massage therapy, for members and more. Explore your options at kp.org/choosehealthy or call 1-877-335-2746.

We’ll help you succeed in quitting. You pay nothing additional out-of-pocket for Kaiser Permanente classes, telephone Help to quit tobacco coaching, online programs, and certain prescriptions, including prescribed over-the-counter tobacco-cessation drugs. Ask your doctor about your treatment options.

13 Kaiser Permanente

OUR PHARMACY DELIVERS

Most Kaiser Permanente medical centers feature full-service pharmacies for under-one-roof convenience, but for most prescriptions you can save time and money by letting us deliver right to your door

14 Care and coverage that fits your life

Pharmacy

Our award-winning pharmacy system is the very heart of our ‘under one roof’ care experience. In most of our 25 medical offices, you can pick up your prescription or consult a Kaiser Permanente pharmacist on your way out the door. No more traffic. No more stops.

Getting started Getting refills

Whether you’re transitioning from another You have three easy options for getting refills: provider or simply starting out fresh, it’s easier • Order online at kp.org/rxrefill. than you think to get started at Kaiser Permanente. • Order from your mobile device by visiting m.kp.org or through the Kaiser Permanente STEP 1 – Make the call app (download for free from your preferred Once you get your Kaiser Permanente ID Card, app site). call the dedicated New Member Desk number • Call our 24-hour refill line at 770-434-2008. at 404-365-0966. We'll help schedule your first You can even skip the trip! Most refills can be office visit with your new Kaiser Permanente mailed directly to your home in about three doctor. If you need medication to last until business days. You’ll usually receive them within then, we can usually help with that, too. After three to five business days, and can save a scheduling your doctor visit, we’ll also arrange co-pay on a 90-day supply. for a pharmacy telephone consult (before you run out of your current medications).

? Questions STEP 2 – Visit your doctor If you have questions or would like a copy of At your visit, we’ll help make sure you have a our preferred drug list, call us directly at medication plan that’s right for you and available 404-261-2590 or visit kp.org/formulary and at your co-pay. select "Formulary for 2019 HMO Members".

STEP 3 – Fill your prescription

You can get your prescription filled at any one of the pharmacies located in our many Kaiser Permanente medical offices throughout metro Atlanta.

15 Kaiser Permanente PARTNERS IN HEALTH

When your care requires a trip to the hospital, we’re proud of our long-standing partnerships with some of Atlanta’s very best.

As of 2018, Kaiser Permanente doctors are on-site 24/7 at Emory Saint Joseph’s Hospital and Emory University Hospital Midtown. This exciting collaboration ensures our members benefit from one of the most effective and proven models of integrated care in the industry.

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For a full list of our hospital partners, see page 28. Care and coverage that fits your life

Care when and where you need it

It’s easy for you and your family to get the care you need when you need it. Have an urgent care need? Want health advice after hours? To make any type of appointment or to get 24/7 nurse advice, just call 404-365-0966.

Convenient care Getting care near you anytime, anywhere

With multiple locations to choose from, it’s easy Urgent care to find one near home or work. We offer same- In addition to our many affiliated urgent care day, next-day, after-hours, and weekend services locations, we have three Kaiser Permanente at many of our locations, along with ob-gyn, Comprehensive Medical Centers. These pediatrics, and other specialty departments. state-of the-art facilities feature 24/7 advanced You can also see different doctors at different urgent care for situations that — while not locations — whatever works best for you. exactly emergencies — require prompt medical attention.11

Finding the Emergency care right location If you ever need emergency care, you’re covered. You have access to any hospital Choosing a convenient place to get care emergency room — anywhere in the world — is simple — just hop online or grab your whether it's affiliated with Kaiser Permanente smartphone. or not.12

• Visit kp.org/facilities to search by ZIP Care away from home code, keyword, or the type of service If you get hurt or sick while traveling, or have a you need. student going to school outside the area, we’ll • Search on your smartphone with the help you get care. We can also help you before location finder on the Kaiser Permanente you leave town by checking to see if you need mobile app.10 a vaccination, prescription refills, and more. Just call our 24/7 Away from Home Travel Line13 at 951-268-3900 or visit kp.org/travel.

17 Kaiser Permanente MEDICAL OFFICES AND SPECIALTIES

18 Care and coverage that fits your life

Care that's close by

With your choice of great doctors and convenient locations throughout metro Atlanta, it’s easy to get the care you need. Most locations offer multiple services under one roof — so you can see your doctor, get a lab test or X-ray, and pick up your medications, all without leaving the building.

ALPHARETTA BROOKWOOD AT PEACHTREE CASCADE CONYERS CRESCENT

CUMBERLAND DOWNTOWN DECATUR DOUGLASVILLE FAYETTE FORSYTH

24/7 URGENT CARE

GLENLAKE GWINNETT HENRY TOWNE CENTER HOLLY SPRINGS LAWRENCEVILLE

24/7 URGENT CARE

NEWNAN PANOLA SANDY SPRINGS SNELLVILLE SOUTHWOOD

24/7 URGENT CARE

SOUTHWOOD SPECIALTY STONECREST SUGAR HILL-BUFORD TOWNPARK WEST COBB

19 Kaiser Permanente

Care when and where you need it

PICKENS

DAWSON

575

BARTOW CHEROKEE

985 KP Forsyth 75 KP Holly Springs FORSYTH Sugar Hill-Buford KPKP TownPark FULTON KP 85 KP Alpharetta

400 BARROW

COBB KP Lawrenceville 316 316 KP 75 KP Glenlake KP KP KP GWINNETT 10 ATHENS- West Cobb 78 KP Sandy Springs Gwinnett 78 CLARKE KP PAULDING 400 Snellville Cumberland KP 85 KP Crescent 78 KP Brookwood HARALSON Douglasville 285 20 KP Decatur KP 285 WALTON KP Panola Cascade KP 166 KP KP Conyers DOUGLAS DEKALB 285 Stonecrest

20 75 FULTON 675 ROCKDALE CARROLL KPKP NEWTON Southwood KP Southwood Specialty HENRY CLAYTON COWETA Fayette KP KP 85 75 FAYETTE KP Newnan Henry Towne HEARD Centre

BUTTS

SPALDING

KP Kaiser Permanente Medical Facilities Skip the trip.

KP Kaiser PermanenteMERIWETHER Comprehensive Medical Centers Ask about a video visit. PIKE LAMAR Call 404-365-0966.

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KP Kaiser Permanente Medical Facilities

Affiliated Community Urgent Care Centers Affiliated Care and coverage that fits your life

Locations near you

With 25 Kaiser Permanente offices and over 600 doctors throughout metro Atlanta — plus pharmacy, lab, and X-ray usually right in the same building — you’ll enjoy convenience you won’t find with other plans. Plus, you won't have to pay for parking.

HOLLY SPRINGS MEDICAL OFFICE Cherokee 684 Sixes Road, Suite 275, Holly Springs, GA 30115 County Phone: 770-852-2440 • Adult Medicine • Lab Services • Pharmacy • Family Medicine • Pediatrics/Adolescent Medicine

SOUTHWOOD COMPREHENSIVE MEDICAL CENTER Clayton 2400 Mt. Zion Parkway, Jonesboro, GA 30236 County Phone: 770-603-3649

• 24/7 Advanced Care • Lab Services • Podiatry • Adult Medicine • Neurology • Psychiatry • Behavioral Health • Nuclear Medicine • Psychology • Cardiology • Nutrition • Pulmonology • CT/MRI • OB/GYN • Routine • DEXA Scan • Oncology Mammography • Endocrinology • Ophthalmology • Ultrasound • Express Care • Optometry • Urgent Care • General Surgery • Orthopedics • Urogynecology • Geriatrics • Orthopedic Surgery • Urology • Hand Surgery • Palliative Care • Vascular Surgery • Health Education • Pain Management • X-ray • Heart Failure Clinic • Pediatrics/Adolescent • Infectious Diseases Medicine • Infusion Center • Pharmacy

21 Kaiser Permanente

SOUTHWOOD SPECIALTY CENTER 2470 Mt. Zion Parkway, Jonesboro, GA 30236 Phone: 770-603-3969 • Audiology • Gastroenterology (GI) • Dermatology • Geriatrics • Ear, Nose, and Throat • Nephrology • Endocrinology • Rheumatology

Cobb CUMBERLAND MEDICAL CENTER County 2525 Cumberland Parkway, SE, Atlanta, GA 30339 Phone: 770-431-4235 • Adult Medicine • Lab Services • Psychiatry • Behavioral Health • Nephrology • Psychology • Child & Adolescent • Nutrition • Rheumatology Psychiatry • OB/GYN • Routine Mammography • Dermatology • Pain Management • Sleep Medicine • Endocrinology • Palliative Care • X-ray • Express Care • Pediatrics/Adolescent • Geriatrics Medicine • Health Education • Pharmacy • Infectious Diseases • Podiatry

TOWNPARK COMPREHENSIVE MEDICAL CENTER 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5401

• 24/7 Advanced Care • Health Education Medicine • Adult Medicine • Hematology/Oncology • Pharmacy • Behavioral Health • Lab Services • Psychiatry • Cardiology • Neurology • Psychology • CT/MRI • Nuclear Medicine • Pulmonology • Dermatology • Nutrition • Routine Mammography • DEXA Scan • OB/GYN • Sports Medicine • Express Care • Ophthalmology • Ultrasound • Family Medicine • Optometry • Urgent Care • Gastroenterology • Orthopedic Surgery • X-ray • Hand Surgery • Pediatrics/Adolescent

22 Care and coverage that fits your life

WEST COBB MEDICAL CENTER 3640 Tramore Pointe Parkway, Austell, GA 30106 Phone: 770-439-4700 • Adult Medicine • Pediatrics/Adolescent • Pharmacy • Lab Services Medicine • X-ray

Coweta NEWNAN MEDICAL OFFICE County 203 Newnan Crossing Bypass, Newnan, GA 30265 Phone: 770-304-4400 • Adult Medicine • Pediatrics/Adolescent • Pharmacy • Lab Services Medicine • X-ray

DeKalb CRESCENT MEDICAL CENTER County 200 Crescent Centre Parkway, Tucker, GA 30084 Phone: 770-496-3414

• Adult Medicine • Health Education • Psychology • Behavioral Health • Lab Services • Pediatrics/Adolescent • Child & Adolescent • Nephrology Medicine Psychiatry • Neuropsychology • Pharmacy • Dermatology • Nutrition • Routine Mammography • DEXA Scan • OB/GYN • Ultrasound • Express Care • Podiatry • X-ray • Family Medicine • Psychiatry

DOWNTOWN DECATUR MEDICAL OFFICE 201 W. Ponce de Leon Avenue, Suite A, Decatur, GA 30030 Phone: 404-687-7700 • Adult Medicine • Lab Services • Pharmacy • Family Medicine • Pediatrics/Adolescent • Gynecology Medicine

PANOLA MEDICAL CENTER 5440 Hillandale Drive, Lithonia, GA 30058 Phone: 770-322-2777 • Adult Medicine • Nutrition • Pharmacy • Health Education • OB/GYN • Routine Mammography • Lab Services • Pediatrics/Adolescent • X-ray • Nephrology Medicine

23 Kaiser Permanente

STONECREST MEDICAL CENTER 8011 Mall Parkway, Lithonia, GA 30038 Phone: 678-323-7500 • Adult Medicine • Lab Services • Pharmacy • Behavioral Health • MRI • Psychiatry • Family Medicine • Pediatrics/Adolescent • Psychology • Gynecology Medicine • X-ray

Douglas DOUGLASVILLE MEDICAL OFFICE County 6875 Douglas Boulevard, Suite A, Douglasville, GA 30135 Phone: 678-838-2225

• Adult Medicine • Maternal Child Health/ • Pharmacy • Family Medicine Lactation • X-ray • Gynecology • Pediatrics/Adolescent • Lab Services Medicine

Fayette FAYETTE MEDICAL OFFICE County 101 Banks Station, Fayetteville, GA 30214 Phone: 678-610-3700 • Adult Medicine • Pediatrics/Adolescent • Pharmacy • Lab Services Medicine

Forsyth FORSYTH MEDICAL OFFICE County 1400 Northside Forsyth Drive, Suite 350, Cumming, GA 30041 Phone: 678-455-1407 • Adult Medicine • Pediatrics/Adolescent • Pharmacy • Lab Services Medicine • X-ray

Fulton ALPHARETTA MEDICAL CENTER County 3550 Preston Ridge Road, Alpharetta, GA 30005 Phone: 770-663-3110

• Adult Medicine • Lab Services • Pharmacy • Behavioral Health • Nutrition • Routine Mammography • Child & Adolescent • OB/GYN • X-ray Psychiatry • Pediatrics/Adolescent • Health Education Medicine

24 Care and coverage that fits your life

BROOKWOOD AT PEACHTREE MEDICAL OFFICE 1745 Peachtree Road, Suite U, Atlanta, GA 30309 Phone: 404-888-7688 • Adult Medicine • Genetic Counseling • Pediatrics/Adolescent • Behavioral Health • Infectious Disease Medicine • Cosmetic Dermatology • Lab Services • Pharmacy Services • Maternal Fetal Medicine • Plastic Surgery (Perinatology) • Express Care • Psychiatry

CASCADE MEDICAL CENTER 1175 Cascade Parkway, Atlanta, GA 30311 Phone: 404-505-4006

• Adult Medicine • Nephrology • Psychiatry • Behavioral Health • Nutrition • Routine Mammography • Cardiology • OB/GYN • Weight Management • DEXA Scan • Pediatrics/Adolescent • X-ray • Health Education Medicine • Lab Services • Pharmacy

GLENLAKE COMPREHENSIVE SPECIALTY CENTER 20 Glenlake Parkway, Sandy Springs, GA 30328 Phone: 770-677-6075

• Audiology • Neurology • Pulmonology • Breast Care Center • Nuclear Medicine • Routine Mammography • Cardiology • OB/GYN • Sleep medicine • CT/MRI • Ophthalmology • Ultrasound • DEXA scan • Optometry • Urodynamics • Ear, Nose, and Throat • Orthopedics • Urology • Gastroenterology • Orthopedic Surgery • Urogynecology • General Surgery • Pain Management • Vascular Surgery • Health Education • PET Scan • Vascular Ultrasound • Infectious Disease • Pharmacy • Wound Care • Lab Services • Plastic Surgery • X-ray • Maternal Fetal Medicine • Podiatry (Perinatology)

25 Kaiser Permanente

SANDY SPRINGS MEDICAL OFFICE 1100 Lake Hearn Drive, NE, Suites 250 and 500, Sandy Springs, GA 30342 Phone: 404-845-4500

• Adult Medicine • Dermatology • Pharmacy • Behavioral Health • Lab Services • Psychiatry • Chemical Dependency • Nutrition • Psychology • Child & Adolescent • Pediatrics/Adolescent • X-ray Psychiatry Medicine

Gwinnett LAWRENCEVILLE MEDICAL OFFICE County 455 Philip Boulevard, Suite 130, Lawrenceville, GA 30046 Phone: 678-985-5000 • Adult Medicine • Pharmacy • Lab Services • X-ray

GWINNETT COMPREHENSIVE MEDICAL CENTER 3650 Steve Reynolds Boulevard, Duluth, GA 30096 Phone: 770-931-6012

• 24/7 Advanced Care • Hand Surgery • Pharmacy • Audiology • Health Education • Podiatry • Adult Medicine • Infectious Disease • Psychiatry • Behavioral Health • Lab Services • Psychology • Cardiology • Nephrology • Pulmonology • Child & Adolescent • Neurology • Rheumatology Psychiatry • Nuclear Medicine • Routine • Dermatology • Nutrition Mammography • DEXA Scan • OB/GYN • Sports Medicine • CT/MRI • Oncology • Ultrasound • Ear, Nose, and Throat • Ophthalmology • Urgent Care • Endocrinology • Optometry • Urology • Express Care • Orthopedic Surgery • Weight Management • Family Medicine • Pain Management • X-ray • Gastroenterology • Palliative Care • General Surgery • Pediatric/Adolescent • Geriatrics Medicine

26 Care and coverage that fits your life

SNELLVILLE MEDICAL OFFICE 2240 Fountain Drive, Snellville, GA 30078 Phone: 770-978-5400

• Adult Medicine • Lab Services • Family Medicine • Maternal Child Health/ • Gynecology Lactation

SUGAR HILL–BUFORD MEDICAL CENTER 1435 Broadmoor Boulevard, Sugar Hill, GA 30518 Phone: 678-765-5700

• Adult Medicine • Lab Services • Pharmacy • Family Medicine • Nutrition • X-ray • Gynecology • Pediatrics/Adolescent • Health Education Medicine

Henry HENRY TOWNE CENTRE MEDICAL CENTER County 1125 Towne Centre Village Drive, McDonough, GA 30253 Phone: 678-583-6600 • Adult Medicine • Nutrition • Routine • Gynecology • Pediatrics/Adolescent Mammography • Health Education Medicine • X-ray • Lab Services • Pharmacy

Rockdale CONYERS MEDICAL OFFICE County 1478 Dogwood Drive, Conyers, GA 30013 Phone: 678-413-4320

• Adult Medicine • Pediatrics/ • Family Medicine Adolescent Medicine • Lab Services • Pharmacy

27 Kaiser Permanente

More care options when you need them

Kaiser Permanente has partnered with several leading hospitals and many urgent care facilities. In fact, our own doctors practice at some of Atlanta’s top hospitals. For medical emergencies, you have access to any hospital emergency room, even if it’s not affiliated with Kaiser Permanente.14

Our hospital partners include:15

Children’s Healthcare Gwinnett Medical Piedmont Fayette Hospital of Atlanta at Egleston Center – Duluth 1255 Highway 54 West 1405 Clifton Road, NE 3620 Howell Ferry Road Fayetteville, GA 30214 Atlanta, GA 30322 Duluth, GA 30045 770-719-7000 404-785-6000 678-312-6800 Piedmont Henry Hospital Children’s Healthcare of Gwinnett Medical 1133 Eagle's Landing Parkway Atlanta at Scottish Rite Center– Lawrenceville Stockbridge, GA 30281 1001 Johnson Ferry 1000 Medical Center 770-389-2200 Road, NE Boulevard Piedmont Mountainside Atlanta, GA 30342 Lawrenceville, GA 30045 Hospital 404-785-5252 678-312-4321 1266 Highway 515 South Emory Johns Creek Northside Hospital Jasper, GA 30143 Hospital 1000 Johnson Ferry 706-692-2441 6325 Hospital Parkway Road, NE Piedmont Rockdale Hospital Johns Creek, GA 30097 Atlanta, GA 30342 1412 Milstead Avenue, NE 678-474-7000 404-851-8000 Conyers, GA 30012 Emory Saint Northside Hospital 770-918-3000 Joseph's Hospital Cherokee 5665 Peachtree 450 Northside Cherokee 745 Poplar Road Dunwoody Road Boulevard Newnan, GA 30265 Atlanta, GA 30342 Canton, GA 30115 770-400-1000 678-843-7001 770-224-1000 Piedmont Newton Hospital Emory University Hospital Northside Hospital 5126 Hospital Drive 1364 Clifton Road, NE Forsyth Covington, GA 30014 Atlanta, GA 30322 1200 Northside Drive 770-786-7053 404-712-2000 Cumming, GA 30041 770-844-3200 Piedmont Walton Hospital Emory University 2151 West Spring Street Hospital Midtown Monroe, GA 30655 550 Peachtree Street, NE 1968 Peachtree Road, NW 770-267-8641 Atlanta, GA 30308 Atlanta, GA 30309 404-686-4411 404-605-5000

28 Locations are subject to change. Visit kp.org/locations for the most up-to-date listing. Care and coverage that fits your life

Kaiser Permanente Urgent Care

Gwinnett Comprehensive Southwood Comprehensive TownPark Comprehensive Medical Center Medical Center Medical Center 3650 Steve Reynolds Boulevard 2470 Mt. Zion Parkway 750 Townpark Lane Duluth, GA 30096 Jonesboro, GA 30236 Kennesaw, GA 30144 24 hours a day, 24 hours a day, 24 hours a day, 7 days a week 7 days a week 7 days a week

Plus additional affiliated community urgent care locations throughout metro Atlanta:

Affiliated Community Urgent Care Locations

Northside Family Medicine & Concentra Urgent Care Barrow County Urgent Care of Holly Springs 220 N. Cobb Parkway Regional FirstCare 684 Sixes Road, Suite 25-A Suite 400 340 Exchange Boulevard Holly Springs, GA 30115 Marietta, GA 30062 Bethlehem, GA 30620 678-426-5450 770-424-7125 678-963-7171 Peachtree Immediate Care Northside Family Medicine & Bartow County 720 Transit Avenue, Suite 101 Urgent Care of East Cobb Canton, GA 30114 4800 Old Towne Parkway Peachtree Immediate Care 770-720-7000 Suite 150-A 122 North Morningside Drive Marietta, GA 30068 Cartersville, GA 30121 Clayton County 770-509-1025 678-723-6721 Concentra Urgent Care Peachtree Immediate Care Carroll County 4223 Moreland Avenue 3540 North Cobb Parkway Hwy. 42 Acworth, GA 30101 Peachtree Immediate Care Conley, GA 30288 770-974-3911 209 Cooley Drive, Suite 101 404-366-2900 Villa Rica, GA 30180 Peachtree Immediate Care 770-456-0911 Concentra Urgent Care 2481 George Busbee Parkway 1500 Mount Zion Road Kennesaw, GA 30144 Cherokee County Morrow, GA 30260 770-423-0000 678-422-8824 Children's at Cherokee Peachtree Immediate Care Urgent Care Cobb County 1025 Veterans Memorial 1558 Riverstone Parkway Highway, Suite 720 Suite 100 Children's at Town Center Mableton, GA 30126 Canton, GA 30114 625 Big Shanty Road, NW 770-732-0720 404-785-5437 Kennesaw, GA 30144 404-785-8010

Locations are subject to change. Visit kp.org/locations for the most up-to-date listing. 29 Kaiser Permanente

Peachtree Immediate Care Peachtree Immediate Care Forsyth County 3295 South Cobb Drive 1829 Lawrenceville Highway Smyrna, GA 30080 Decatur, GA 30033 Children's at Forsyth 678-679-6471 678-679-6471 410 Peachtree Parkway Suite 300 Summit Urgent Care at Urgent Care at Druid Hills Cumming, GA 30041 Marietta 2882 North Druid Hills Road, NE 404-785-8900 3120 Johnson Ferry Road Suite B Marietta, GA 30062 Atlanta, GA 30329 Northside Family Medicine & 770-832-4147 678-805-7981 Urgent Care of Cumming 5610 Bethelview Road Coweta County Douglas County Suite 500 Cumming, GA 30040 Peachtree Immediate Care Get Well Urgent Care 770-205-2804 371 Newnan Crossing 6842 Douglas Boulevard Bypass, Suite 103 Suite K Peachtree Immediate Care Newnan, GA 30265 Douglasville, GA 30135 2575 Peachtree Parkway 770-400-8410 404-937-3508 Cumming, GA 30041 770-888-8777 Summit Urgent Care Peachtree Immediate Care 1825 Highway 34 East 9390 The Landings Drive Fulton County Suite 1200 Douglasville, GA 30135 Newnan, GA 30265 770-947-1112 Children's at North Point 770-502-2021 3795 Mansell Road Fayette County Alpharetta, GA 30022 Dawson County 404-785-3020 Peachtree City Urgent Care Northside Family Medicine & 8 Eastbrook Bend Concentra Urgent Care Urgent Care of Dawsonville Suite B 5670 Fulton Industrial 81 Northside Dawson Drive Peachtree City, GA 30269 Boulevard Suite 100-A 770-487-2273 Atlanta, GA 30336 Dawsonville, GA 30534 404-344-3930 706-216-6000 Peachtree Immediate Care 1275 Highway 54 West Concentra Urgent Care DeKalb County Suite 201 688 Spring Street, NW Fayetteville, GA 30214 Atlanta, GA 30308 Children's at Chamblee 770-461-3776 404-881-1155 Brookhaven 5080 Peachtree Boulevard Summit Urgent Care Concentra Urgent Care Suite 100 749 West Lanier Avenue 10820 Abbotts Bridge Road Chamblee, GA 30341 Suite 118 Suite 3000 404-785-5437 Fayetteville, GA 30214 Duluth, GA 30097 770-835-4925 770-441-0444 Peachtree Immediate Care 1834 Clairmont Road Summit Urgent Care Concentra Urgent Care Decatur, GA 30033 100 Line Creek Drive 3580 Atlanta Avenue 404-634-4443 Peachtree City, GA 30269 Hapeville, GA 30354 770-847-8786 404-768-3351

30 Locations are subject to change. Visit kp.org/locations for the most up-to-date listing. Care and coverage that fits your life

Concentra Urgent Care Peachtree Immediate Care 6330 Roswell Road, NE Gwinnett County 3551 Satellite Boulevard Suite C Children's at Hamilton Creek Duluth, GA 30096 Sandy Springs, GA 30328 2240 Hamilton Creek Parkway 770-476-3000 678-812-2277 Suite 600 Dacula, GA 30019 Peachtree Immediate Care North Atlanta Urgent Care II 404-785-5437 696 Grayson Highway 2701 Holcomb Bridge Road Lawrenceville, GA 30046 Alpharetta, GA 30022 Children's at Satellite 770-936-0927 404-327-8744 Boulevard 2660 Satellite Boulevard Peachtree Immediate Care Northside Family Medicine & Duluth, GA 30096 3720 Holcomb Bridge Road Urgent Care of Midtown 404-785-8330 Norcross, GA 30092 1110 West Peachtree Street, NW 770-263-1000 Suite 200-A ChoiceOne Urgent Care Atlanta, GA 30309 2690 Hamilton Mill Road Peachtree Immediate Care 404-575-2000 Suite 100 3991 Highway 78, Suite 100 Buford, GA 30519 Snellville, GA 30039 Northside Family Medicine & 470-326-7300 678-786-8677 Urgent Care of Roswell 11685 Alpharetta Highway ChoiceOne Urgent Care Sugarloaf Urgent Care Suite 150-A 5910 Suwanee Dam Road 4835 Sugarloaf Parkway Roswell, GA 30076 Suite 100 Suite 200 770-619-3860 Sugar Hill, GA 30518 Lawrenceville, GA 30044 470-326-7600 470-375-5940 Peachtree Immediate Care 10905 Haynes Bridge Road Concentra Urgent Care Henry County Alpharetta, GA 30022 755 Lawrenceville Suwanee 770-343-9898 Road, Suite 1600 Children's at Hudson Bridge Lawrenceville, GA 30043 1510 Hudson Bridge Road Roswell Urgent Care 770-995-1500 Stockbridge, GA 30281 660 West Crossville Road 404-785-8660 Suite 110 Concentra Urgent Care Roswell, GA 30075 6475 Jimmy Carter Boulevard Muscogee County 770-992-4700 Suite 200 Norcross, GA 30071 Concentra Urgent Care Summit Urgent Care 770-242-7744 1051 Talbotton Road 3515 Camp Creek Parkway Columbus, GA 31904 East Point, GA 30344 Gwinnett Urgent Care 706-322-2511 404-344-7337 1300 Peachtree Industrial Boulevard, Suite 4101 MedCare Urgent Care Urgent Care at Peachtree Suwanee, GA 30024 5612 Whitesville Road 2140 Peachtree Road 770-831-5525 Columbus, GA 31904 Suite 232 706-322-2223 Atlanta, GA 30309 Peachtree Immediate Care 678-805-7425 3425 Buford Drive, Suite 200 Midtown Acute Care Buford, GA 30519 3465 Macon Road 678-546-0200 Columbus, GA 31907 706-243-3051

Locations are subject to change. Visit kp.org/locations for the most up-to-date listing. 31 Kaiser Permanente

MyCare Urgent Care 7301 Blackmon Road Oconee County Rockdale County Columbus, GA 31909 Regional First Care Concentra Urgent Care 706-321-3750 1010 Village Drive 1680 GA Hwy. 138 Watkinsville, GA 30677 Suites E and F MyCare Urgent Care 706-769-0000 Conyers, GA 30013 101 13th Street, Suite 200 866-944-6046 Columbus, GA 31901 Paulding County 706-494-4949 New Hope Urgent Care Troup County Urgent Care & Occupational 49 Hosiery Mill Road Peachtree Immediate Care Medicine Suite 124 1495 LaFayette Parkway 4328 Armour Road Dallas, GA 30157 LaGrange, GA 30241 Columbus, GA 31904 770-443-6111 706-884-7822 706-507-1213 Peachtree Immediate Care Walton County 3827 Jimmy Lee Smith Parkway Monroe Reddy Urgent Care Hiram, GA 30141 500 Great Oaks Drive 770-222-8900 Suite 9 Monroe, GA 30655 Endnotes 706-363-9228 1 This is a summary of your benefits and their co-pays. This is not a 4 For immediate service after an emergency visit, prescriptions may contract. A complete list, exclusions and limitations are contained be filled at Rite Aid or Walgreens at a co-pay $10 higher than those in the Evidence of Coverage. In the case of a conflict between this listed above. This is for a first fill ONLY per prescription. Subsequent benefit summary and the Evidence of Coverage, the Evidence of refills must be filled through Kaiser Permanente Pharmacies, either Coverage will prevail. For specific questions about coverage, please at our facilities or through our mail order/home delivery option. contact Kaiser Permanente Member Services at 1-855-512-5997. Please note: Kaiser Permanente has extended pharmacy hours at 2 Preventive Services are based on recommendations by the United our Southwood, TownPark, and Gwinnett Comprehensive Medical States Preventive Services Task Force, the Health Resources and Centers: Monday – Sunday, 7:00 a.m.–11:00 p.m. ET. Most Kaiser Service Administration and the Centers for Disease Control and Permanente medical offices have a pharmacy located on-site, several Prevention. Additional services are mandated by the State of Georgia. with evening and weekend hours. For details, please contact Kaiser We will cover all federal–and state–mandated benefits as required by Permanente Member Services at 1-855-512-5997. law. Kaiser Permanente health professionals will determine if services 5 Kaiser Permanente 2018 HEDIS® scores. Benchmarks provided by the are medically necessary for each member. A service is considered National Committee for Quality Assurance (NCQA) Quality Compass® medically necessary if it’s medically required to prevent, diagnose or and represent all lines of business. Kaiser Permanente combined treat a member’s condition or clinical symptoms and it’s consistent region scores were provided by the Kaiser Permanente Department with generally accepted professional standards of care in the of Care and Service Quality. The source for data contained in this community. (Preventive Services must be coded as preventive, state- publication is Quality Compass 2018 and is used with the permission mandated, a screening, age-appropriate, meet frequency guidelines of NCQA. Quality Compass 2018 includes certain CAHPS® data. Any and be delivered by a network provider.) data display, analysis, interpretation, or conclusion based on these 3 You must live or work in one of the below 27 counties within the data is solely that of the authors, and NCQA specifically disclaims Metro Atlanta Service Area to be eligible to enroll in KP: Barrow, responsibility for any such display, analysis, interpretation, or Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, conclusion. Quality Compass® and HEDIS® are registered trademarks DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, of NCQA. CAHPS® is a registered trademark of the Agency for Heard, Henry, Lamar, Meriwether, Newton, Paulding, Pickens, Pike, Healthcare Research and Quality. Rockdale, Spalding, or Walton. 6 Kaiser Permanente improved blood pressure control in our black/ African-American members with hypertension, raised colorectal 32 cancer screening rates in our Hispanic/Latino members, and Care and coverage that fits your life improved blood sugar control in our members with diabetes. An emergency medical condition is a medical or psychiatric Self-reported race and ethnicity data are captured in KP condition that requires immediate medical attention to prevent HealthConnect, and HEDIS® measures are updated quarterly serious jeopardy to your health. For the complete definition of an in the interregional CORE Datamart. emergency medical condition, please refer to your Evidence of 7 When appropriate and available. Coverage or other coverage documents. 13  8 These features are available when you get care at Kaiser This number can be dialed inside and outside the United States. Permanente facilities. Before the phone number, dial “001” for landlines and “+1” for mobile lines if you’re outside the country. Long-distance charges 9  To use the Kaiser Permanente app, you must be a Kaiser may apply, and we can’t accept collect calls. The phone line is Permanente member registered on kp.org. closed on major holidays (New Year’s Day, Easter, Memorial Day, 10 See note 9. July Fourth, Labor Day, Thanksgiving, and Christmas). It closes 11 An urgent care need is one that requires prompt medical attention, early the day before a holiday at 10 p.m. Pacific time (PT), and it usually within 24 or 48 hours, but is not an emergency medical reopens the day after a holiday at 4 a.m. PT. condition. This can include minor injuries, backaches, earaches, 14 See note 12. sore throats, coughs, upper-respiratory symptoms, and frequent 15 The hospital you will be admitted to for inpatient care is urination or a burning sensation when urinating. determined by the primary care physician you select. Some 12 If you reasonably believe you have an emergency medical locations are available only in specific cases. In an emergency, condition, call 911 or go to the nearest emergency department. you have access to any hospital emergency room.

Nondiscrimination Notice Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats • Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these services, call 1-888-865-5813 (TTY: 711) If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). 33 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also:

• Provide no cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats

• Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages

If you need these services, call 1-888-865-5813 (TTY: 711)

If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at Kaiser Permanentehttp://www.hhs.gov/ocr/office/file/index.html. ______Help in your language HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are ATTENTION: If you speak English, language assistance services, free of charge, availableare available to you. to you. Call Call 1-888-865-5813 1-888-865-5813 (TTY: (TTY: 711 711).). አማርኛ (Amharic) ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-888-865-5813 (TTY: 711). العربية (Arabic) ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم TTY( 1-888-865-5813: 711(. 中文 (Chinese) 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-865-5813(TTY:711)。 فارسی (Farsi) توجه: اگر به زبان فارسی گفتگو می کنيد، تسهيالت زبانی بصورت رايگان برای شما فراهم می باشد. با TTY) 1-888-865-5813: 711) تماس بگيريد.

Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-865-5813 (TTY: 711). Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen 60577109_ACA_1557_MarCom_GA_2017_Taglineskostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-865-5813 (TTY: 711).

ગજુરાતી (Gujarati) સચુ ના: જો તમે ગજુ રાતી બોલતા હો તો નન:શ쫍ુ ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલ닍ધ છે. ફોન કરો 1-888-865-5813 (TTY: 711). Kreyòl Ayisyen (Haitian Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-865-5813 (TTY: 711).

ﴂदी बोलते िℂ तो आ प के ललए मु굍त मᴂ भाषा सिायता सेवाएﴂहिꅍदी (Hindi) 鵍यान दᴂ: यहद आप हि उपल녍ध िℂ। 1-888-865-5813 (TTY: 711) पर कॉल करᴂ। 日本語 (Japanese) 注意事項:日本語を話される場合、無料の言語支援をご利用い ただけます。1-888-865-5813(TTY: 711)まで、お電話にてご連絡ください。 한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-865-5813 (TTY: 711) 번으로 전화해 주십시오. Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dé̖ é̖ ’, t’áá jiik’eh, éí ná hóló̖ , koji̖ ’ hódíílnih 1-888-865-5813 (TTY: 711). Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-865-5813 (TTY: 711). Pусский (Russian) ВНИМАНИЕ: eсли вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-865-5813 (TTY: 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-865-5813 (TTY: 711). Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-865-5813 (TTY: 711). Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-865-5813 (TTY: 711).

34

60577109_ACA_1557_MarCom_GA_2017_Taglines PICKENS H Care and coverage that fits your life DAWSON U

H 575 U UU

BARTOW CHEROKEE U H 985 U KP Forsyth KP Holly Springs U U 75 U U FORSYTH Sugar Hill–Buford U U U U TownPark KPKP FULTON KP U U U 85 U U U KP Alpharetta H U U U U U U 400 H BARROW U U U U U U U COBB U U U KP H H U U Lawrenceville 316 316 KP Athens 75 U U U KP Glenlake KP U West Cobb KP Gwinnett 10 ATHENS- KP Sandy Springs 78 CLARKE U H GWINNETT HH U KP U PAULDING 400 Snellville Cumberland KP U 85 KP Crescent 78 H KP Brookwood at Peachtree HARALSON U 285 U HH U U KP 20 H Downtown Decatur WALTON KP 285 U Douglasville U U U KP Panola Cascade KP 166 KP KP Conyers DOUGLAS DEKALB U U 285 Stonecrest U U U U 20 75 FULTON 675 ROCKDALE CARROLL H H KPKP NEWTON Southwood KP Southwood Specialty U U HENRY

H CLAYTON U Fayette KP 75 COWETA 85 KP FAYETTE U Henry Towne Newnan KP Centre HEARD H U U U

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KP Kaiser Permanente Medical Facilities All theMERIWETHER care you need PIKE KP Kaiser Permanente Comprehensive LAMAR right around the corner. Medical Centers Affiliated Community Urgent Care Centers Affiliated Hospitals 35

Kaiser Foundation Health Plan of Georgia, Inc. Nine Piedmont Center 3495 Piedmont Road NE Atlanta, GA 30305 404-364-7000

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Learn more Health line my.kp.org/shbp 404-365-0966 Appointment Scheduling or Enroll today Prescription Help, mySHBPga.adp.com Monday—Friday, 7 a.m.—7 p.m. Nurse Advice 24/7 Dedicated member services 1-855-512-5997 Stay connected to good health Monday—Friday, 7 a.m.—7 p.m. facebook.com/kpthrive

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