If Kaiser is on the list, they should be able to proceed with pursuing treatment. States That Offer Kaiser Permanente Insurance. Kaiser Permanente currently offers health insurance plans in 8 states throughout the U.S. This is a list of the 8 states that are currently covered by Kaiser Permanente: California: Kaiser Permanente of California. Kaiser Permanente provides a Medication Therapy Management (MTM) program for eligible members who have several chronic medical conditions, take different prescription drugs at the same time, and have high drug costs. The program connects you to specially trained pharmacists who make sure all the medicines you take are necessary, safe,. Comparing network costs versus non-network costs between Kaiser Permanente and United Healthcare in the Co-Pay plans; United Healthcare (UHC) Copay Choice Plus Plan Kaiser Permanente (KP) DHMO Plan. (Therapy) $30 Copay: Outpatient (Therapy) $30 Copay.
- Kaiser Permanente Copay Rates
- Kaiser Dialysis Copay
- Kaiser Therapy Copay Assistance
- How Much Is The Copay For Kaiser
- Physical Therapy Copays
Kaiser Permanente Washington Specialty Pharmacy is dedicated to helping you manage your specialty medications.
With more than four million prescriptions dispensed annually, Kaiser Permanente Washington is widely recognized as a regional leader in pharmaceutical services. Our focus on prescription effectiveness, patient safety, and affordability is key to our care delivery of specialty medications.
Hours), therapy visits, and supplies. Limited to 210 visits per plan year. Rehabilitation services $25 copay/visit Not covered. Benefits include hearing/speech, physical, and occupational therapy. Limited to 60 visits per plan year, combined facility and office, per each of the three therapies. Habilitation services $25 copay/visit Not covered.
At the heart of our specialty pharmacy program is a team of highly skilled pharmacists and pharmacy technicians dedicated solely to managing your specialty medications. We are in constant contact with you and your doctor to make sure you are getting the most out of your treatment and to help improve your quality of life.
List of specialty medications (PDF)
Specialty pharmacy team
Our specialty pharmacy team members only work with patients on specialty medications. We review all of your medications for possible interactions, discuss dosage, administration, possible side effects, and review any therapy changes with you.
Treatment monitoring
We will contact you every month to coordinate your refill and see how you are doing. We may also provide reminders if you need labs or clinical monitoring to ensure your safety and treatment success.
Updates to your doctor
We are constantly on alert for possible issues that could interfere with your medication's effectiveness or outcomes. Should a problem arise, we will contact your doctor to help coordinate a solution. We will also proactively reach out to your doctor for refills to ensure there are no interruptions in your therapy.
Financial assistance options
Our internal records show that in 2017, we saved our patients over 90% of their out-of-pocket specialty prescription costs. By helping you enroll in eligible copay assistance programs, we increase your access to specialty medications.
24/7 advice and support
You can access the Kaiser Permanente Washington Specialty Pharmacy staff by phone 8:30 a.m.-5 p.m. Monday-Friday (except major holidays) or by secure message on kp.org/wa. We'll answer questions about medications, potential drug interactions, side effects, and any new symptoms. If there are problems with your medication, we'll contact your doctor immediately.
In addition, nurses are available 24/7 via our Consulting Nurse Service (1-800-297-6877) to help address any urgent medication concerns outside of our specialty pharmacy operating hours. On-call physicians and pharmacists are also available as needed.
Convenient refills
Our team will contact you about seven days before a refill is needed. Refills typically occur once a month and can be available for pick up at a Kaiser Permanente Washington clinic pharmacy of your choice or mailed to your home at no additional cost.
NOTE: Kaiser Permanente Washington Specialty Pharmacy may only provide services to Kaiser Permanente WA region members and Kaiser Permanente members from other regions that are visiting Washington state.
| Kaiser (CA) In-Network Only | |
| Calendar Year Deductible | None |
| Out-of-Pocket Maximum | $1,500/Individual $3,000/Family |
| Doctor's Office Visits | $20 copay |
| Specialist Office Visits | $20 copay |
| Telemedicine Visits | No charge KP.org |
| Urgent Care | $20 copay |
| Preventive Care Screening, Immunization, Radiology and Labs | No charge |
| Lab | No charge |
| X-Ray | No charge |
| Advanced Imaging MRI, CAT, PET | No charge |
| Outpatient Surgery & Procedures | No charge |
| Emergency Room Services* | $100 copay (waived if admitted) |
| Inpatient Hospital | $200 copay |
| Behavioral Health Visit | $20 copay (individual) $10 copay (group) |
| Chiropractor/Acupuncture | $15 copay (30 visits max for chiro; 30 visits max for acu) Chiropractor/Acupuncture benefit information |
| Physical Speech & Occupational Therapy | $20 copay |
*If you receive urgent or emergency care outside of a Kaiser facility, please call the Kaiser number listed on the back of your ID card.
View a comparison of the medical plans on the 2021 At-a-Glance.
Log into your Kaiser account to schedule appointments, email your doctor, have a video visit, and find resources to support your entire family.
Prescription Drugs
Kaiser members are automatically enrolled in the two-tier Kaiser prescription drug plan. Prescriptions are included in the annual Out-of-Pocket Maximum.
Manage your prescriptions online at kp.org or via the KP mobile app then pick-up prescriptions at a Kaiser pharmacy or enroll in the mail order program and save even more.
| Description | Kaiser Pharmacy | |
| Tier 1 | Generic: Drugs that offer the greatest value compared to others that treat the same conditions. | $10 copay |
| Tier 2 | Brand: All brand name drugs. | $30 copay |
Prescription drug mail orders: Receive a 100-day supply is available for 2x the copay amount.
New to Kaiser?
- Start by visiting the New Member page for a quick start guide.
- Registerfor kp.org at kp.org/register using your member ID number.
Kaiser Permanente Copay Rates
- Chooseyour Primary Care Doctor at kp.org/searchdoctors.
- Searchfor convenient Kaiser locations at kp.org/kpfacilities.
- Transition your prescriptions to Kaiser by going online to kp.org/refills.
Traveling/Coverage Outside Kaiser Areas
If you are traveling outside a Kaiser coverage area, make sure to review Kaiser’s Travel Coverage info sheet and visit kp.org/travel for more information.
Kaiser Dialysis Copay
You can also take advantage of a CVS MinuteClinic when traveling outside of a Kaiser area; more information here.
For more resources available to Marvell employees when traveling, visit the Travel Page.
Is Your Child at College? If your child is going to a college outside of a Kaiser coverage area, they will still have access to urgent and emergency medical care. However, they would need to wait until they visit home and schedule their routine care appointments. View Kaiser’s Travel Coverage info sheet for information on obtaining medical services outside of a coverage area.
Medical Second Opinion with 2nd.MD
Facing a medical decision? Marvell employees and their family members (including spouses, children, parents, grandparents, and siblings) have access to 2nd.MD. With 2nd.MD, you can connect with board-certificed, expert doctors for an expert second opinion via phone or video all within a matter of days, and at no cost to you. Learn more here.
Take Control of Your Healthcare
As a Kaiser member, take advantage of the resources available to you and your family to manage your healthcare and thrive.
- How to choose your Primary Care Doctor: Remember, you should have your annual physical with your Primary Care Doctor once every year. Visit kp.org/searchdoctors.
- Enroll at KP.org’s MyHealth Manager: Once enrolled you can email your doctor’s office with non-urgent health questions, schedule or cancel routine appointments, view most lab test results, refill prescriptions and have most mailed to your home, and find Kaiser locations and contact information on the go.
- Download the KP.org mobile app to email your doctor, schedule routine appointments, refill prescriptions, check lab results and the KP Preventive Care App to get appointment reminders and preventive services alerts for you and your family. Learn more here.
- Video Visits: The next time you schedule an appointment with your doctor you may be offered a video visit. Learn more information here.
- Stay Healthy:Check out the Healthy Resources Guide for a list of programs Kaiser offers, including health assessments, lifestyle programs, member discounts, health classes, and much more.
- Personal Health Coaching:Gain the confidence to meet your goals with health coaching. Learn more here.
- Discount Programs: Get discounts on fitness club memberships, health tools, massage therapy, and more. Visit Healthy Roads online or click here to learn more.
Chiropractor and Acupuncture Coverage
Marvell employees on the Kaiser plan have 30 chiropractic and 30 acupuncture visits each year, for only a $15 copay per visit. To find a list of participating providers, go to ashlink.com/ash/kp or call 1-800-678-9133.
Kaiser's ChooseHealthy Program & Fitness Center Discount
Kaiser members can access a variety of complementary and alternative care resources to help you get active and stay healthy, including massage therapy, discounts on fitness center memberships, and access to an online activity tracker and other wellness tools. Learn more here and visit the Choose Healthy website.
Kaiser Therapy Copay Assistance
This overview summarizes the Marvell Benefits Program. Full details of the benefit plan are contained in the official documents, which will govern in the case of any discrepancies.
How Much Is The Copay For Kaiser
ENGAGE WELL-BEING APP
Download Marvell's Well-Being app, Engage! Join the 2 annual challenges to earn gift cards as you compete with your colleauges across the U.S.
Physical Therapy Copays
All employees and spouses can access Engage for the challenges, quarterly sweepstakes for prizes, and for personalized recommendations on Marvell benefit programs.