Forms & publications

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Kaiser Permanente WA preauthorization requirements

Preauthorization requirements for Kaiser Permanente WA plans. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

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Kaiser Permanente WA SoundChoice Certificate of Coverage (COC) 2019

This benefits book describes what is covered under Kaiser Permanente WA SoundChoice, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

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Kaiser Permanente WA SoundChoice Summary of Benefits and Coverage (SBC) 2019

A summary of what the Kaiser Permanente WA SoundChoice plan covers and what it costs.

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Kaiser Permanente WA Value Certificate of Coverage (COC) 2019

This benefits book describes what is covered under Kaiser Permanente WA Value, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

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Kaiser Permanente WA Value Summary of Benefits and Coverage (SBC) 2019

A summary of what the Kaiser Permanente WA Value plan covers and what it costs.

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List of prescription drugs subject to emergency fill

This is a partial list of prescription drugs for which you may request an emergency fill during the preauthorization process, and a description of how it works.

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Long-Term Disability (LTD) Program Certificate of Coverage (COC) 2019

This is the Long-term Disability (LTD) Program book. It includes information on eligibility, enrollment, exclusions, and premiums.

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Make the switch to UMP Plus–Puget Sound High Value Netowrk

Find out if UMP Plus–Puget Sound High Value Network (PSHVN) might be the right plan for you. Learn about UMP Plus–PSHVN's health plan features, such as excellent customer service and lower health care costs, and find out how the plan's providers work together to improve your care.

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Make the switch to UMP Plus–UW Medicine Accountable Cae Network

Find out if UMP Plus–UW Medicine Accountable Care Network (ACN) might be the right plan for you. Learn about UMP Plus–UW Medicine ACN's health plan features, such as excellent coverage and lower costs, and find out how the plan's providers work together to improve your care.

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Medical benefits comparison 2019

This chart briefly compares the per-visit costs of some in-network benefits for PEBB plans. Some copays and coinsurance do not apply until after you have paid your annual deductible.

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