Page 5 - Column Five EE Guide 12-19 -California
P. 5
BENEFITS
Medical Insurance
Kaiser Permanente | HMO Plans
With the Kaiser Permanente Health Maintenance Organization (HMO) plans, you must obtain services through contracted
providers, except in the case of emergency. All of your care must be directed through your selected doctor, but you can choose and
change your doctor at any time, for any reason. Kaiser PErmanenteintegrates all elements of healthcare such as physicians, medical
centers, pharmacy, and administration in one convenient facility. In addition, Kaiser Permanente offers online tools so you can
email your doctor’s office, make appointments, refill prescriptions, and more.
Anthem Blue Cross | PPO Plans
The Anthem Blue Cross Preferred Provider Organization (PPO) plans allow you to direct your own care. If you receive care from a
physician who is a member of the Prudent Buyer network, a greater percentage of the entire cost will be paid by the insurance
plan. However, you are not limited to the physicians within the network and you may self-refer to specialists. If you obtain services
using a non‐network provider, please note that you will be responsible for the difference between the covered amount and the
actual charges, and you may be responsible for filing claims.
Finding a Medical Provider
• Kaiser Permanente: Go to www.kaiserpermanente.org or call (800) 464-4000.
• Anthem Blue Cross: Go to www.anthem.com/ca or call (855) 383-7248. Refer to the “Prudent Buyer”
network when prompted.
Kaiser Permanente and Anthem Blue Cross
Mobile Apps
Consider downloading the mobile apps offered by Kaiser
Permanente and Anthem Blue Cross for instant access to your
health plan details. The apps provide secure member information,
anytime, anywhere and are convenient, easy-to-use, and free.
Features:
• View plan/membership details
• Locate providers
• Submit and/or view claims
• Contact member services
• And more!
Getting Started:
Download the mobile apps for free on the Apple iTunes App Store
or the Android Market. To log-in on your smartphone, you must be
registered on their secure member sites and have a user name and
password.
5

