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Kaiser Permanente Overview Colorado—Denver/Boulder

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Kaiser Permanente Overview Colorado—Denver/Boulder Colorado—Denver/Boulder Kaiser Permanente overview Areas served Kaiser Permanente Colorado is the state’s oldest and largest group practice Denver health care organization. The state is divided into two service areas—Denver/ Boulder and Southern Colorado. In the Denver/Boulder area, Kaiser Boulder Permanente health plan employees care for members through an integrated Longmont network of physicians and medical offices. Members in the Denver/Boulder or Southern Colorado service areas must have a referral from their primary care physician to access routine care (primary care, pharmacy, lab, etc.) in the other Colorado service area. See the Southern Colorado insert for details on services in that area. N Map not to scale For more information If you have questions about available products and services in either Colorado Medical centers (hospitals and medical offices) Contracted emergency/ service area, please contact Medical offices urgent care hospitals/ERs Other facilities your Kaiser Permanente sales or account manager. Go to kp.org for exact addresses and contact information. Colorado —Denver/Boulder Medical group Medical facilities Kaiser Permanente Colorado Permanente Medical offices Medical Group, P.C. Member Services Kaiser Permanente Colorado owns • 309 primary care physicians Weekdays, 8 a.m.–5 p.m. and operates 18 medical offices • 530 specialists and three behavioral health and (303) 338-3800 Denver metro area chemical dependency offices Pharmacy throughout the Denver/Boulder (303) 338-3820 TTY for the area. deaf, hard of hearing, or speech We own and operate 18 pharmacies impaired located within our medical Medical centers offices. Members can also order 1-800-632-9700 All other areas and hospitals most prescription refills online We have contracts with three area 1-800-521-4874 TTY for all other and receive their postage-paid hospitals—Exempla Saint Joseph areas medications by mail. Hospital, Exempla Good Samaritan Member Administration Medical Center, and The Children’s Hospital. These three hospitals 1-866-868-7220 toll free provide scheduled inpatient, urgent, and emergency care to members 24 hours a day, 7 days a week. We also have contracts with four HealthONE facilities (Centennial Medical Plaza, Sky Ridge Medical Center, Swedish Medical Center, and Swedish Southwest ER) to coordinate care of our members who use these facilities for urgent or emergency care. Top health plan Affiliated physicians at Exempla According to U.S. News/ Good Samaritan Medical Center, NCQA’s America’s Best Exempla Saint Joseph Hospital, Health Plans 2009–10, Kaiser and The Children’s Hospital Permanente Colorado was can access Kaiser Permanente the highest-ranking Colorado patient information through Kaiser plan—13th in the nation out of Permanente’s electronic medical 239 commercial health plans. record database. U.S. News/NCQA America’s Best Health Plans 2009–10. “America’s Best Health Plans” is a trademark of U.S. News & World Report. Colorado —Denver/Boulder Products and services HMO plans1 Ancillary products Chronic care management programs Traditional, deductible/ • Dental PPO plans coinsurance, and HSA-qualified Delta Dental Colorado In Denver/Boulder, chronic care deductible Large and small groups management programs for these conditions are included • Large and small groups • Dental indemnity plans in our plans at no additional • Individuals and families Delta Dental Colorado charge:2 • Medicare/Senior Advantage Complementary and • Alzheimer’s disease alternative medicine HMO Plus • Asthma • Chiropractic services • Large group • Cancer Centers for POS—2-tier plan Complementary Medicine • Cholesterol ® (Added Choice ) Columbine Chiropractic • Chronic kidney disease • Large groups • Chronic pain • Acupuncture services PHCS Network Centers for • Congestive heart failure POS—3-tier plan Complementary Medicine • Coronary artery disease (MultiChoicesm ) • Massage therapy • Diabetes • Large and small groups Centers for • High-risk pregnancy PHCS Network Complementary Medicine • HIV/AIDS PPO—2-tier plans Independent contractors • Hypertension • Large groups Fee-for-service • Low back pain PHCS Network • Centers for • Migraines • HSA-qualified plans Complementary Medicine • Stroke Large groups • Vision services PHCS Network • Out-of-area plans Large and small groups PHCS Network Colorado —Denver/Boulder Products and services My Health Manager Value-added services3 personal health record • Healthy lifestyle programs from HealthMedia® Members can find a variety of health information, resources, • ChooseHealthy from American and tools online at kp.org. With Specialty Health Networks My Health Manager, one of the Discount off regular rates nation’s leading personal health for chiropractic, acupuncture, records, members in Denver/ and massage therapy; preferred Boulder can access these rates on select fitness club features: memberships, and more. • Act for a family member • International Travel Clinic • Contact a pharmacist • Healthy Solutions personal • E-mail my doctor’s office health coaches (POS/PPO members only) • My allergies • 10,000 Steps® walking program4 • My immunizations ® • Refill prescriptions • Weight Watchers • Request/view/cancel routine appointments • Review past office visit information • Schedule telephone visits with their primary care physician (internal medicine, family medicine, and pediatric physicians) 1 The traditional HMO plan and the in-network portion of the point-of-service (POS) plans are • View most lab results underwritten by Kaiser Foundation Health Plan (KFHP). Kaiser Permanente Insurance Company (KPIC) underwrites the indemnity tiers of the POS plan and PPO benefits. KPIC is a subsidiary of KFHP. KPIC has contracted with Private Healthcare Systems (PHCS) Network to provide ac- Kaiser Foundation cess to hospitals and physicians with a commitment to keep out-of-pocket costs low through contracted rates. Health Plan of Colorado 2 Nationally, some of these programs are available for purchase through Avivia Health,TM a wholly Denver/Boulder Region owned subsidiary of Kaiser Permanente that provides health management and wellness services to Kaiser Permanente members and nonmembers. 10350 E. Dakota Ave. 3 Value-added services are services offered at no charge or at a discount to members. Denver, CO 80247-1309 4 10,000 Steps® is a registered trademark of HealthPartners, Inc. (303) 338-3800 Information in this brochure was accurate at the time of production. However, details may have changed since publication. For the most current information on our plans and services, contact your sales or account manager. kp.org Business Marketing Communications 73657 November 2010.
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