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CORONAVIRUS/COVID-19 INFORMATION

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CORONAVIRUS/COVID-19: Learn how to protect yourself and get care

CORONAVIRUS/COVID-19

With care and coverage working seamlessly together, Kaiser Permanente is uniquely designed to give you the information and support you need to live healthy.

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Our doctors are among the best, and caring for people is their passion. Plus, you’ve got the power to change doctors anytime.

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You can do more and drive less because most of our locations include a pharmacy, lab, X-ray services, and more.

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Your doctors, nurses, and specialists are connected to your electronic health record, so they can work together to deliver great care that’s right for you.

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Use your computer, smartphone, or mobile device to email your doctor’s office, schedule routine appointments, view lab test results, refill prescriptions, and more.

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CORONAVIRUS/COVID-19 UPDATE:

  • Don’t forget, as a Kaiser Permanente member you have access to virtual care at a $0 co-pay. Schedule an appointment here.

  • As a member of Kaiser Permanente, you will not have to pay for costs related to COVID-19 screening, testing, or receiving the COVID-19 vaccine. Get more information here.
  • Once you are eligible, the COVID-19 vaccine will be covered at 100%. For more information click here or call the dedicated 24/7 COVID-19 vaccine hotline at 1-855-550-0951 for a pre-recorded message.

It’s Open Enrollment time, University System of Georgia employees!

Open enrollment begins October 25 through November 5, and there’s only one health care company that’s refreshingly unlike the others. Kaiser Permanente is a complete health eco-system designed and staffed to help our members thrive.

Discover more about Kaiser Permanente and what makes us DIFFERRENT from the start.

What makes Kaiser Permanente DIFFERENT?

A better way to do care.
DIFFERENT means you’re at the center of a 360-degree care experience. Our physician-led teams work together to tailor the most effective evidence-based care plan for your every need.

Convenient ways to get care. DIFFERENT means access to your doctor your way. Not some doctor, some way. Whether by phone, email, video, or 24/7 advice, your Kaiser Permanente care team has access to your real-time medical record and is ready to see you.

Care that supports your health.
DIFFERENT means preventive care to keep you healthy, specialty care when you need it, and support for ongoing conditions with your doctor as your biggest total health advocate.

Healthy resources and perks.
DIFFERENT means taking care of the whole you, not just the sick you. It also means you get exclusive access to rich content, healthy resources, and members-only perks!

Locations.
DIFFERENT means having state-of-the-art medical facilities with lab, radiology, pharmacy, and more all under one roof.

Never miss a moment. Get your flu shot

The flu is much more serious than the common cold. Protect yourself and your loved ones from serious health risks with a yearly flu shot. They’re available at no cost to all Kaiser Permanente members. Visit the location that’s most convenient to you, no appointment required. For more information, visit kp.org/flu.

Healthy Living Classes

Find healthy living classes, resources, and so much more! Open to members and non-members, explore classes and sign up today.

Check out classes here

Let's Get You Started!

Experience our convenient locations, personalized programs, and online tools to discover a happier, healthier life.

Explore plans and services

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Sours: https://my.kp.org/usg/

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HMO Plan

With your HMO Plan, you get a wide range of care and support to help you stay healthy and get the most out of life. There are no deductibles to keep track of and no paperwork to worry about for the services you receive. And when you come in for care, you’ll pay just a copay for most services covered by your plan.

Simple copays for most covered services, including prescriptions

No paperwork to fill out or bills for the services you receive

No deductibles to keep track of

No referrals for certain specialties, like optometry and obstetrics-gynecology

Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.

HMO Plan Downloads

Effective 1/1/22 - 12/31/22

Supplemental information

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Sours: https://my.kp.org/shbp/plan-details/georgia-active-employees/
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You deserve health care that helps you thrive

At Kaiser Permanente, everyone and everything works together. That makes it easier for you to get the care you need, the way you want it. Your doctor, specialists, and health plan coordinate your care as a team —so you can focus on living your life. You deserve health care that’s simple, personalized, and hassle-free. For our members, it is.

Getting care at Emory Healthcare locations

We work closely with Emory Healthcare to make it easier for members to get the high-quality evidence-based care Kaiser Permanente is known for. At Emory University Hospital Midtown or Emory Saint Joseph’s Hospital, you’ll be cared for by Kaiser Permanente doctors and specialists who are connected to your electronic medical record. So they know your health history — including your medications, lab results, doctors’ notes, and more. That means we can get you the right treatment faster, and you get a seamless care experience every time.

Stay up to date with Kaiser Permanente

Sours: https://thrive.kaiserpermanente.org/care-near-georgia

By Mike Klein

Mike Klein, Editor, Georgia Public Policy Foundation

Kaiser Permanente in Georgia found itself at a crossroads four years ago.  The popular health services and insurance provider was being phased out as a state government employees option, affecting tens of thousands.  Kaiser also admitted internally that it had too few primary care staff physicians, too few specialists of any kind, too few locations and limited service hours.

Further, Kaiser had begun to confuse the health care community by signing service agreements with doctors in downstate locations where it had no offices.  One of Kaiser’s senior executives today puts it this way, “It was impossible to know who we were.  You couldn’t describe it.”

Kaiser did have a loyal following and considerable strengths.  First, it provides insurance and care and no other Georgia provider does both.  Second, as a non-profit it focuses on how to decrease costs.  “The goal is to keep out patients out of the hospital,” said Dr. Alison Wiebe, senior director at Kaiser’s new advanced care center in Kennesaw.  Third, it pushes technology; Kaiser members have access to their medical records on the internet and through mobile apps.

Fast forward since 2008 and Kaiser Permanente in Georgia says it has completed two-thirds of the journey to establish a stronger medical care and insurance footprint in metropolitan Atlanta with an eye to once again become competitive for the state contract that it lost four years ago.

State of Georgia provider contracts that expire next year cover almost 700,000 employees, dependents and retirees.  Georgia reduced the number of vendors during the current five-year contract; it also dropped Blue Cross Blue Shield of Georgia.  The state estimates it saved $47 million in administrative costs.  United Healthcare has 89% of the state business and Cigna has the rest.

Losing the state contract was not the only reason Kaiser recognized it must reinvent, but it was a sizable cannon shot across the bow.  Kaiser has long been very good at practicing Minivan Mom Medicine – the simple diagnose-and-treat procedures that young families typically need.

But often it came up short for patients with advanced medical requirements, for instance, adults who needed cardiology or neurology care.  “Our patients would complain that they would come in for a primary care visit but when they needed a specialty they had to go right back to the community,” said Daniel Styf, Kaiser’s vice president for regional and marketing strategy in Georgia.

Kaiser Permanente’s current Georgia strategy is threefold:  Expand its primary care physician group, expand in-house advanced medicine specialists and offer 24 x 7 x 365 service at some locations.  “We’re about two-thirds of the way to becoming a complete integrated delivery system,” said Styf.  “We need two more years to complete the journey.”  The company has also recommitted to its Atlanta-area strategy; there is no more discussion about downstate service.

Four years ago 80% of primary care physicians who saw Kaiser Permanente in Georgia patients were staff doctors; today that is 99% with 200 new doctors hired.  Advanced care specialists such as cardiologists, neurologists and oncologists were 20% Kaiser and 80% non-Kaiser.  Sixty percent are Kaiser physicians now and that will increase to 80% within two years.

Notably, there are more Kaiser locations – 29 total.  Twelve opened since 2009, including a new Athens location.  Why Athens?  Kaiser has a contract with the University System but until this year it could serve only Atlanta-area university employees.  “They are very aggressive with their pricing,” said University system vice chancellor Tom Scheer.  “Kaiser seems to work for us.”

Access to service was another hurdle that Kaiser needed to address.  Its clinics had limited evening and weekend hours.  That is not a full service medical model and it often forced Kaiser members to rely on hospital emergency rooms or urgent care clinics.

Last month Kaiser debuted all day, all night, every day services in the new $47 million, 80,000 square foot advanced care center in Kennesaw.   Kaiser expected 500 after-hours patients in May; there were 1,200 visits.  “Anytime you open a service like that and within the first week you’ve seen 300 patients you know that the need has been there,” said Dr. Twiggy Harris, lead internal medicine physician at Kaiser in Kennesaw.

The Kennesaw location is similar to the model Kaiser operates in eight other states.  “Our national accounts saw what Kaiser was like in California.  Everything was integrated, everything was housed like this,” Dr. Harris said as we toured last week.  “When they came to Georgia everything was fragmented.  (We) didn’t have any service after six o’clock.  Where do you go if you need to see a specialist?  Now we are able to present that we are a Kaiser delivery model.  That is how we are different.”

Kaiser Permanente has invested $150 million to open and upgrade Georgia facilities since 2008.  Around-the-clock services like those in Kennesaw will be available next year in Duluth, then later in Sandy Springs and Jonesboro.

The Kennesaw facility will keep patients for up to 23 hours before it decides whether they can be discharged or require hospitalization.  Kaiser has agreements with Northside and Piedmont hospitals and Children’s Healthcare of Atlanta.  In emergencies, any doctor can obtain a Kaiser patient’s history by calling a toll free number that is staffed 24 x 7.

With 237,000 members, Kaiser is still a relatively small but aggressive Georgia health insurance player.  It has five percent of the university system employees; Blue Cross Blue Shield has the rest.   Kaiser also has contracts with Cobb, Gwinnett, DeKalb and Clayton counties, and Kaiser is an option for Atlanta-area federal employees.

“The key difference between what the federal government does and what the state government has done is the federal government does not require us to be in every county of the state,” said Styf, “nor do they require us to be in every state of the country.”  Kaiser’s private sector Georgia employee clients include AT&T and Walmart.

Most of Kaiser’s continued Georgia expansion over the next two years will be personnel.  The 29 metro Atlanta locations could expand by a small number but the emphasis will be staff.  Styf said Kaiser is immediately able to handle at least 50,000 new members and up to one-half million total within two years, or twice the number it serves today.

Kaiser lost 45,000 state employees and their families four years ago.  “Everything we hear from the leadership in the House, the committee chairs and the leaders, they are supportive of adding more choices to the state health benefit plan,” Styf said, adding that Kaiser talks with the state “any chance we get.”

More about Kaiser Permanente

Kaiser Permanente traces its history to 1933 and a tiny hospital in Desert Center, California opened by Dr. Sidney Garfield to care for sick and injured workers who were building the Los Angeles aqueduct.  Later, Garfield established similar care for Grand Coulee Dam construction workers.   World War II brought Garfield’s prepayment medical model to the attention of industrialist Henry Kaiser and President Franklin D. Roosevelt.

Kaiser was seeking a solution to provide medical care for 30,000 workers at his shipyard in San Francisco.  Intrigued with Garfield’s earlier successes, Kaiser asked that President Roosevelt waive the doctor’s military obligation so Garfield could remain stateside and serve the country by creating medical care for Kaiser’s defense industry workers.  Roosevelt agreed.

After World War II, Kaiser and Garfield were convinced the prepayment model could have a civilian application.  The Permanente Health plan was launched in northern California.  The company was renamed Kaiser Permanente in 1952.  It consists of two main divisions – the not-for-profit Kaiser Foundation Health Plan and the Permanente Medical Group.

Kaiser Permanente has about 8.9 million national members.  That is small by health insurance standards; Blue Cross Blue Shield has 100 million national members and several other insurers have between 10 and 20 million.  But as a non-profit and a care provider, Kaiser is unique.

Kaiser has also become an important research player.  The federal Centers for Disease Control financed a Kaiser Vaccine Study Center research into the impact of the MMRV vaccine given to 150,000 children.  MMRV is a two-step vaccine given to prevent measles, mumps, rubella and chicken pox.  Kaiser also participated in a vaccine safety analysis of 200,000 adults who received shingles vaccines shots.

Kaiser Permanente in Georgia membership is diverse:

Private Sector                         135,035                       55%

Public Sector                           37,456                         15%

Federal Government               28,298                         11%

Medicare & Medicaid              27,122                         11%

Individuals & Families             19,123                         8%

Sours: https://www.georgiapolicy.org/issue/at-a-crossroads-kaiser-permanente-georgia-changed-course/

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