Choice Premier Physicians and Locations Directory
Total Page：16
File Type：pdf, Size：1020Kb
YOUR INTRODUCTION TO KAISER PERMANENTE Choice Premier® PHYSICIANS and LOCATIONS DIRECTORY Give yourself the power of choice. 2 Contents How Choice Premier Works .................................................. 5 Understanding Your Choice Premier Benefits ................... 5 Make Your Care Personal ...................................................... 8 How to Choose Your Doctor at Kaiser Permanente .......... 8 Appointments .................................................................... 8 Self-Referrals and Specialists ............................................. 9 Island of Oahu ...................................................................... 10 Behavioral Health Services .............................................. 11 Hawaii Kai Clinic .............................................................. 12 Honolulu Medical Office .................................................. 13 Kahuku Clinic ................................................................... 15 Kailua Clinic ..................................................................... 16 Kapolei Clinic ................................................................... 17 Koolau Medical Office ..................................................... 18 Mapunapuna Medical Office ........................................... 20 Moanalua Medical Center and Clinic .............................. 21 Nanaikeola Clinic ............................................................. 25 Pearlridge Clinic .............................................................. 26 Waipio Medical Office ..................................................... 27 Island of Maui ....................................................................... 30 Behavior Health Services ................................................. 31 Kihei Clinic ....................................................................... 32 Lahaina Clinic ................................................................... 33 Maui Lani Medical Office ................................................. 34 Maui Lani Elua Clinic ........................................................ 36 Wailuku Medical Office .................................................... 37 The information in this directory is current as of September 2013 and may be subject to change without notice. A provider’s listing in this directory does not guarantee that the provider is still in the network or accepting new patients. For questions about Choice Premier and the provider network, contact our Kaiser Permanente Customer Service Center at 808-432-5955 (Oahu) or 1-800-966-5955 (Neighbor Islands) or toll free 1-877-447-5990 (TTY). 3 Contents Island of Hawaii .................................................................... 40 Hilo Clinic ........................................................................ 41 Kona Medical Office ........................................................ 42 South Kona Clinic ............................................................ 44 Waimea Clinic .................................................................. 45 Islands of Kauai, Lanai, and Molokai .................................. 47 Kauai ................................................................................ 48 Molokai ............................................................................ 55 Lanai ................................................................................ 56 Hearing aid providers .......................................................... 57 Pharmacies ........................................................................... 58 Optical Centers .................................................................... 60 Hospitals ............................................................................... 62 Contracted Providers - Arranging for Your Care ............ 64 Choosing a Contacted Provider ...................................... 64 Appointments .................................................................. 64 Pharmacy ......................................................................... 64 Contracted Providers By Specialty ..................................... 65 Oahu ................................................................................ 65 Maui ............................................................................... 122 Hawaii ............................................................................ 126 Kauai .............................................................................. 132 Lanai .............................................................................. 138 Contracted Hospitals and Other Services ....................... 139 Interpreter Services At Kaiser Permanente ..................... 145 4 5 How Choice Premier Works HOW CHOICE PREMIER WORKS: The Kaiser Permanente Choice Premier plan offers you additional choice and flexibility with the advantage of Kaiser Permanente care and services. This directory includes information regarding the physicians, medical facilities, hospitals, and pharmacies you can choose for your health care needs. For more details, you can refer to the Choice Premier Member Handbook or your Summary of Benefits. Choice Premier gives you and your family the freedom to choose any of the following options each time you seek care: • Kaiser Permanente’s full-service care delivery system • Choice Premier contracted providers UNDERSTANDING YOUR CHOICE PREMIER BENEFITS Choice Premier Kaiser Permanente Providers Contracted Providers Network of providers You can see Kaiser Permanente You can see more than 2,200 Hawaii physicians at any of our 20 Choice Premier contracted facilities on Oahu, Maui, and the providers and have access to 175 Big Island, and Kaiser Permanente contracted hospitals and care contracted physicians on Kauai, facilities in Hawaii. Lanai, and Molokai. Most Kaiser Permanente locations offer primary care, lab, X-ray, and pharmacy services together in one place. Choosing a doctor You choose your own primary You are not required to choose a care physician (practicing in primary care physician, but must internal medicine, pediatrics, or see a provider within our family medicine) to coordinate contracted network. care and direct your access to specialists. Women may also choose their own obstetrician- gynecologist. Referrals Your personal physician can Referrals are not needed refer you to a Kaiser Permanente when seeking specialty care specialist. from a Choice Premier contracted provider. Precertification Not required Precertification is required for certain services. Failure to obtain precertification may result in a reduction in the benefits that would otherwise be payable. 6 How Choice Premier Works UNDERSTANDING YOUR CHOICE PREMIER BENEFITS Choice Premier Kaiser Permanente Providers Contracted Providers Outpatient prescription drugs Prescriptions written by a Kaiser Permanente or contracted provider must be filled at a Kaiser Permanente pharmacy (subject to our drug formulary). You may also have certain prescription refills mailed to your home for additional convenience and savings. Out-of-pocket costs Lowest Higher than under the Kaiser Permanente provider option. Copayments (Copays) Copayments are fixed dollar amounts you pay for certain services covered by your plan. For example, if you have a $20 office visit copay, you’d pay $20 for each office visit. Coinsurance Coinsurance is a percentage of charges you pay when you receive certain services covered by your plan. For example, if you had a 30 percent coinsurance for hospitalization, you’d pay 30 percent of the charges for covered hospital services. Out-of-pocket maximum The maximum amount you’ll pay in a calendar year for most services covered by your plan. Most copays, coinsurance, and deductible payments apply toward your out-of-pocket maximum. Annual deductibles Varies depending on your plan type. Please refer to your Summary of Benefits. A deductible is a set amount you need to reach each calendar year before you start paying copays or coinsurance for most services covered by your plan. You’ll pay full charges for most services until you reach your deductible. How a deductible works If your family is covered under your plan, you’ll typically have two types of for a family deductible and out-of-pocket maximum that work together. • Each family member has an individual deductible and an individual out- of-pocket maximum. • The family as a whole has a family deductible and a family out-of-pocket maximum. 7 How Choice Premier Works UNDERSTANDING YOUR CHOICE PREMIER BENEFITS Choice Premier Kaiser Permanente Providers Contracted Providers How a deductible works If a family member reaches his That family member will start paying for a family (continued) or her individual deductible copays or coinsurance for services covered by your plan for the rest of the calendar year. All other family members will keep paying full charges for most services until they reach their individual deductible or the family deductible is met. If a family reaches its family All covered family members will deductible start paying copays or coinsurance for most covered services for the rest of the calendar year — even if they haven’t all reached their individual deductibles. The out-of-pocket maximum works in a similar way, for individuals and the family as a whole. When the individual or family out-of-pocket maximum is met, we’ll pay for most covered services for the family member or the entire family for the rest of the calendar year. Services that may require Certain services such