healthy made easier. - colorado · healthy made easier. care and coverage that ﬁ t your life....

HEALTHY MADE EASIER.

Care and coverage that fi t your life.

60884609_18_StateCO_OEGuide_x1_rev_x1.indd 1 2/26/18 13:47

1,200+KAISER PERMANENTE PHYSICIANS1

Many of our doctors come from top medical schools, including Yale, Johns Hopkins, and Harvard, to name a few. And many are recognized as top doctors by

Colorado’s medical community and publications such as 5280 magazine.

Choose a doctor that meets your needs from over 1,200 Kaiser Permanente physicians. Or, if you live in Mountain, Northern, or Southern Colorado, you can also choose to see one of our network physicians in your service area.1

Working as a team. Our primary care physicians, specialists, nurses, and pharmacists are connected to each other — and to you — through your electronic health record. So they know important things about you and your health, like when you’re due for a screening and what medications you’re taking. That way, you get personalized care that’s right for you.2

Making it easy for you. • Get care the same way you shop.

All in one stop. Visit one of our 31 medical offi ces to see a doctor, or get lab work and X-rays done, all in the same place (in most locations you can even pick up a prescription).2

• Busy day? Call, email, or chat with a doctor without leaving home or work.2

• Not sure what kind of care you need? Call 24/7 for medical advice and care guidance.

• Need urgent or emergency care? You’ll have access to hospitals and urgent care locations across the state. Plus, you’re covered for emergency care, worldwide.3

Your doctor, your choice.

1. Choice of providers varies by plan, service area and availability at the time of selection, and is subject to change. Please see the network provider directory for a list of providers included in your plan at kp.org. 2. Available when you receive care at Kaiser Permanente medical offi ces from Kaiser Permanente providers.3. Important: If you think you or someone you care for is having a medical or psychiatric emergency, call 911 or go to the nearest hospital.

Choose from top doctors.



Many of our doctors come from top medical schools, including Yale, Johns Hopkins, and Harvard, to name a few. And many are recognized as top doctors by

Colorado’s medical community and publications such as 5280 magazine.

Choose a doctor that meets your needs from over 1,200 Kaiser Permanente physicians. Or, if you live in Mountain, Northern, or Southern Colorado, you can also choose to see one of our network physicians in your service area.1

Working as a team. Our primary care physicians, specialists, nurses, and pharmacists are connected to each other — and to you — through your electronic health record. So they know important things about you and your health, like when you’re due for a screening and what medications you’re taking. That way, you get personalized care that’s right for you.2

Making it easy for you. • Get care the same way you shop.

All in one stop. Visit one of our 31 medical offi ces to see a doctor, or get lab work and X-rays done, all in the same place (in most locations you can even pick up a prescription).2

• Busy day? Call, email, or chat with a doctor without leaving home or work.2

• Not sure what kind of care you need? Call 24/7 for medical advice and care guidance.

• Need urgent or emergency care? You’ll have access to hospitals and urgent care locations across the state. Plus, you’re covered for emergency care, worldwide.3

Your doctor, your choice.

1. Choice of providers varies by plan, service area and availability at the time of selection, and is subject to change. Please see the network provider directory for a list of providers included in your plan at kp.org. 2. Available when you receive care at Kaiser Permanente medical offi ces from Kaiser Permanente providers.3. Important: If you think you or someone you care for is having a medical or psychiatric emergency, call 911 or go to the nearest hospital.

Choose from top doctors.


30URGENT CARE locations

15EXTENDED HOURS locations4

+Coverage for EMERGENCY CARE WORLDWIDE5


31MEDICAL OFFICES

2,400+NETWORK PROVIDERS across Colorado4

1. These features are available when you receive care at Kaiser Permanente medical offi ces. 2. Check with your doctor’s offi ce to fi nd out if video visits are available to you.3. Based on Kaiser Permanente Colorado member survey data.4. Choice of providers and locations varies by service area and availability at the time of selection. Members in Mountain, Northern, and Southern Colorado have access to network providers in their service areas. Information is current at the time of publication and is subject to change.5. Important: If you think you or someone you care for is having a medical or psychiatric emergency, call 911 or go to the nearest hospital.

Your care, your way.

CHAT Connect in real time with a Kaiser Permanente physician. Log on to kp.org and click “Chat.”

PHONE Save yourself an offi ce visit by scheduling a call with a doctor.1

VIDEO Ask about this online alternative to an in-person appointment.1, 2

E-MAIL Message your doctor’s offi ce with nonurgent questions anytime.1

E-VISIT Online consultations are available for some medical conditions. Learn more at kp.org/getcare.

Chat can save you time Care options across Colorado

60%+ of members who chatted online with a Kaiser Permanente physician said they AVOIDED A TRIP to their doctor’s offi ce.3

94%+ of them said they are likely to RECOMMEND THE SERVICE to a friend.3

Get care that fi ts into your lifestyle.

Greeley

Loveland

Lafayette

Brighton

Longmont Boulder

Castle Rock

COLORADO SPRINGS

2

FORT COLLINS

2

Eagle/Edwards

Frisco/Breckenridge

Evergreen

Pueblo

DENVER METRO16

map not to scale

Kaiser Permanente Medical Offi ces


Your total health = mind, body, and spirit.

It’s easy to manage your health with Kaiser Permanente wellness resources. Through kp.org you can find:

• Health guides• Videos and podcasts• Tools and calculators• Classes and coaching• Drug and health encyclopedias• A natural medicines database• Information about managing ongoing conditions, such as chronic pain,

depression, diabetes, and insomnia• And more

Your mental health is just as important as your physical health, so you also have access to healthy living classes and tools to manage stress at kp.org/stressmanagement. At MyBrainSolutions.com/soc, you can learn how to train your brain to build resilience and manage stress.

Resources and tools to help take care of the whole you.

READY TO LEARN MORE?Explore your options and pick a plan that's right for you

my.kp.org/stateofcolorado

1-866-635-8743

[email protected]


Deductible HMO (DHMO) HDHP with HSADeductibleIndividual $750 $1,5002

Family $1,500 $3,000Out-of-Pocket MaximumIndividual $2,000 $3,0002

Family $4,000 $6,000Office Visits (no charge for federally mandated preventive care services)Primary Care Covered services during a visit

$30 Copay10% Coinsurance after deductible is met

20% Coinsurance after deductible is met

Specialist Covered services during a visit

$50 Copay10% Coinsurance after deductible is met


Pharmacy (mail order, up to 90-day supply, for two copays) Generic $10 Copay $10 Copay3

Brand Name $30 Copay $30 Copay3

Non-Preferred Not covered Not coveredSpecialty 20% up to $100 per drug, per fill 20% up to $100 per drug, per fill3

Inpatient Hospital 10% Coinsurance after deductible is met 20% Coinsurance after deductible is met Ambulance $500 Copay 20% Coinsurance after deductible is met Emergency Care $500 Copay 20% Coinsurance after deductible is met Urgent Care Covered services during a visit

$75 Copay 10% Coinsurance after deductible is met


Preventive care/screening No charge No chargeDiagnostic Lab 10% Coinsurance after deductible is met 20% Coinsurance after deductible is metDiagnostic X-ray 10% Coinsurance after deductible is met 20% Coinsurance after deductible is met

1. The information provided here is only a summary. Upon enrollment, your Evidence of Coverage will contain a description of your coverage, including benefits, exclusions, and limitations. Your Evidence of Coverage will prevail over this or any other plan summary.2. The amount shown does not apply if there is more than one person on this plan. 3. For HDHP plans, prescription copays and coinsurance apply after deductible is met.

Kaiser Permanente Health Plan Comparisons 2018-20191

60884609_18_StateCO_OEGuide_x1_rev2.indd 5 3/6/18 16:06

Pick a plan that’s right for you.

1. This premium information reflects the State funding level as currently reflected in the Long Bill, which is in the final stages of the legislative process. Should these employer contribution amounts change, the State and employee contributions will be adjusted accordingly among the four coverage levels. If adjusted contributions become necessary, a revised chart will be made available on the State’s website (colorado.gov/dhr/benefits) and sent to your department’s benefits, payroll, and HR staff. However, do not delay your open enrollment until the last minute. Revised February 2018. 2. For HDHP plans, prescription copays and coinsurance apply after deductible is met. 3. Both scenarios assume that Mario and Allison participate in the State's Employee Wellness Program and earned all the points in the 2017-2018 plan year. As a result, they get a discount of $240 per year toward their health insurance premiums for the 2018-2019 plan year.4. The State of Colorado will contribute $720 per year to each eligible employee's Health Savings Account (HSA); in these scenarios Mario would have $703 of his HSA funds remaining, and Allison would have $0 of her HSA funds remaining.

Employee Coverage

Mario is an active 47-year-old who enjoys hiking and biking. He may need an occasional office visit, but overall is in good health.

Deductible HMO (DHMO) HDHP with HSA

Expenses

Annual Premium1 $1,070 $419

Preventive Visit $0 $0

Pharmacy Generic RX $10 $172

Savings

Wellness ProgramParticipation3

$240 $240

HSA funds used4 N/A $17Annual Cost

Total $840 $179

Family Coverage

Allison covers her spouse and son on her plan and is expecting a second child. With a growing family, she’ll have more expenses this year.


Expenses

Annual Premium1 $4,953 $2,975


Hospital Stay(Delivery)

$1,575 $4,2002

Specialist Visit + Procedure

$108 $422


Savings


$240 $240


Total $6,406 $6,267

$3,000 Deductible+$1,200 Coinsurance

Coinsurance

$750 Deductible+$825 Coinsurance

$50 Copayment+$58 Deductible


Start a journey to better health.

As a Kaiser Permanente member, you have access to Omada, a digital lifestyle change program that inspires healthy habits that last.*

The special gear you’ll need to participate — including a wireless scale synced to your account — will be delivered right to your door. Plus, you get a professional health coach and can join an online support group. Weekly interactive lessons transform healthy choices into lifelong habits.omadahealth.com/soc

*Participation is subject to program eligibility requirements. For more information, visit omadahealth.com/soc.


Pick a plan that’s right for you.

1. This premium information reflects the State funding level as currently reflected in the Long Bill, which is in the final stages of the legislative process. Should these employer contribution amounts change, the State and employee contributions will be adjusted accordingly among the four coverage levels. If adjusted contributions become necessary, a revised chart will be made available on the State’s website (colorado.gov/dhr/benefits) and sent to your department’s benefits, payroll, and HR staff. However, do not delay your open enrollment until the last minute. Revised February 2018. 2. For HDHP plans, prescription copays and coinsurance apply after deductible is met. 3. Both scenarios assume that Mario and Allison participate in the State's Employee Wellness Program and earned all the points in the 2017-2018 plan year. As a result, they get a discount of $240 per year toward their health insurance premiums for the 2018-2019 plan year.4. The State of Colorado will contribute $720 per year to each eligible employee's Health Savings Account (HSA); in these scenarios Mario would have $703 of his HSA funds remaining, and Allison would have $0 of her HSA funds remaining.

Employee Coverage

Mario is an active 47-year-old who enjoys hiking and biking. He may need an occasional office visit, but overall is in good health.


Expenses

Annual Premium1 $1,070 $419



Savings


$240 $240


Total $840 $179

Family Coverage

Allison covers her spouse and son on her plan and is expecting a second child. With a growing family, she’ll have more expenses this year.


Expenses

Annual Premium1 $4,953 $2,975


Hospital Stay(Delivery)

$1,575 $4,2002

Specialist Visit + Procedure

$108 $422


Savings


$240 $240


Total $6,406 $6,267

$3,000 Deductible+$1,200 Coinsurance

Coinsurance

$750 Deductible+$825 Coinsurance

$50 Copayment+$58 Deductible


healthy made easier. - colorado · healthy made easier. care and coverage that ﬁ t your life....

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