Page 9 - Veritone EE Guide 07-19

Option 1 Options 3 and 4
Kaiser Permanente | HMO Plan– California Employees Anthem Blue Cross | PPO Plans
With the Kaiser Permanente Health Maintenance Organization The PPO plan allows you to direct your own care. If you receive care from a
(HMO) plan, you must obtain services at a Kaiser Permanente physician who is a member of the network, a greater percentage of the entire cost
facility, except in the case of emergency. All of your care must be will be paid by the insurance plan. However, you are not limited to the physicians
directed through your selected doctor, but you can choose and within the network and you may self-refer to specialists. If you obtain services using
change your doctor at any time, for any reason. Kaiser Permanente a non-network provider, please note that you will be responsible for the difference
integrates all elements of healthcare such as physicians, medical between the covered amount and the actual charges, and you may be responsible
centers, pharmacy, and administration in one convenient facility. In for filing claims.
addition, Kaiser Permanente offers online tools so you can email
your doctor’s office, make appointments, refill prescriptions, and Option 5
more. Anthem Blue Cross | HSA PPO Plan
With the HSA plan through Anthem Blue Cross, you can pay for qualified healthcare
Option 2 expenses now and grow your savings for future healthcare needs. This plan
Anthem Blue Cross | HMO Plan—California Employees combines a High Deductible Health Plan (HDHP) with a special, tax-qualified Health
With the HMO plan, you must choose a primary care physician Savings Account (HSA). You can contribute tax-free money to your HSA up to IRS
(PCP) or medical group within the network. All of your care must be maximums. The money in your account is yours to pay for current healthcare
directed through your PCP or medical group. Any specialty care you expenses - or you can save for future healthcare expenses. Similar to the PPO plan,
need will be coordinated through your PCP and will generally you have the freedom to choose your doctor without the requirement of selecting a
require a referral or authorization. You will receive benefits only if PCP and you may self-refer to specialists. You may use a network provider whose
you use the doctors, clinics, and hospitals that belong to the negotiated rates provide richer levels of benefits with claim forms filed by the
medical group in which you are enrolled, except in the case of an providers. You may also obtain services using a non-network provider; however, you
emergency. 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
· Option 1: Go to www.kp.org or call (800) 464-4000.
· Option 2: Go to www.anthem.com/ca or call (800) 888-8288. Refer to the “California Care HMO” network.
· Options 3, 4 & 5: Go to www.anthem.com/ca or call (800) 888-8288. Educational Video
· California Residents: Refer to the “Prudent Buyer PPO” network. Deductibles, Copays, Coinsurance, and
· Non-California Residents: Refer to the “National PPO (Blue Card) PPO” network. Out-of-Pocket Maximums
http://video.burnhambenefits.com/terms/