Added Choice Point-of-Service (POS) plan - Georgia Region


      The Kaiser Permanente Added Choice POS Plan is a two-tier employer group plan allowing you to receive care within Kaiser Permanente’s integrated care delivery system or obtain covered medical services through any licensed non-participating provider of your choice.

      Here are some highlights:

      Preventive care—preventive benefits, as defined under the Patient Protection Affordable Care Act (PPACA), are covered at no cost to you when you see a Kaiser Permanente Provider.

      Choice of providers—you can see a Kaiser Permanente physician for a full spectrum of services and specialty care. By seeing a Kaiser Permanente physician, your out-of-pocket costs are lower. You may also seek provider services through any licensed, non-participating provider, hospital, or laboratory that’s convenient to you.

      Specialty care—specialty care is available through Kaiser Permanente. You can see specialists when using any licensed non-participating providers.

      Pharmacy coverage—you can access on-site pharmacies at most Kaiser Permanente locations. You can also get prescriptions filled at any other licensed pharmacy you choose. When filling your prescription at Non-participating Pharmacies, you will have to pay full price for the medication and submit a claim form for reimbursement.

      Utilization management program— for some services, regardless of the benefit level you choose, you are required to get prior authorization by the Kaiser Permanente Utilization Management Program. The Utilization Management Program works with providers to plan, organize, and deliver quality health care services by providing services that are medically necessary.

      Worldwide coverage—you have coverage for emergency care anywhere in the world.

       

      The HMO tier of the POS Plan is underwritten by Kaiser Foundation Health Plan of Georgia, Inc. (KFHP GA). The non-participating tier of the POS Plan is underwritten by Kaiser Permanente Insurance Company (KPIC). KPIC is a subsidiary of Kaiser Foundation Health Plan, Inc.

      The information provided is intended solely for use by Georgia residents. As such, this information neither purports nor should be construed to purport to sell, solicit, offer or advertise to any entity or individual who is not a resident of Georgia.