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Out-of-Area Indemnity Plan


      The Out-of-Area Indemnity Plan is an employer group plan that offers health coverage for group enrollees who live and work outside the Kaiser Permanente HMO service area and Private Healthcare Systems (PHCS) Network of providers.

      Preventive care—preventive benefits, as defined under the Patient Protection Affordable Care Act (PPACA), are offered at no member cost share depending upon your group's benefit plan.

      Choice of providers—you can choose from any licensed provider, hospital, or laboratory.

      Specialty care—you can obtain care from specialists without a referral.

      Pharmacy coverage—Kaiser Permanente Insurance Company contracts with MedImpact to fill your outpatient prescription drugs at retail pharmacies across the country.  You can use any of the nearly 60,000 retail pharmacies nationwide in the MedImpact participating pharmacy network. 

      For more information about the drugs covered under your plan, select the drug formulary below that applies to your plan:

      Standard Formulary
      Formulary with Specialty Drug Tier

      Care management—Permanente Advantage (PA) brings the values and experience of Permanente medicine to our out-of-area members. PA provides care coordination designed to assure the delivery of medically necessary, quality patient care through appropriate utilization of resources in a cost-effective and timely manner. PA is accredited by URAC, previously known as the Utilization Review Accreditation Commission. URAC ensures that health programs meet national quality standards

      Case Management—the Permanente Advantage Case Management program is committed to assisting with serious, complex or high cost illness. Permanente Advantage Case Management will provide care advice customized for your situation, and our team will help you assess your options and arrange the services you need to meet your treatment goals.

      If you have any questions about Permanente Advantage Case Management, please call directly at 1-888-251-7052 x1047.

      Worldwide coverage—you get urgent and emergency care anywhere in the world.

       

      The information provided on this Web site is drafted in compliance with applicable California legislation and regulations and is intended solely for use by California residents. As such, such 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 California.