EXPLORE YOUR CARE OPTIONS
page 12
ONLINE WELLNESS TOOLS page 9
Locations across Colorado page 22
MEMBER RESOURCE
GUIDE
2018 | KAISER PERMANENTE COLORADO
DB DenverBoulder M Mountain Colorado N Northern Colorado S Southern Colorado
2 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Manage Your Care Make the most of your care withKaiser Permanentersquos many servicesresources and tools
Choose a doctor 7 Register online 8
Get Care Learn more about how to get care
Schedule appointments 12 Care options 12 Refill your prescriptions 13 Get care while traveling 19
Find medical offices specialty departmentlistings and urgent care and emergencycare locations
DB
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DenverBoulder service area 22 Mountain Colorado service area 30 Northern Colorado service area 32 Southern Colorado service area 34
Be Informed Understand your rights as aKaiser Permanente member
Notice of privacy practices 38 Disability access 38 Complaints claims and appeals 39 Your rights and responsibilities 40 Help in your language 44 Glossary 46 Resources 47
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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WE COVER COLORADO
Kaiser Permanente is proud to beyour partner in health Our physician-led care teams focus on you workingto keep you healthy by deliveringhigh-quality personalized care
You have a wide variety of doctorsto choose from Our physicians andnetwork providers come from topmedical schools and are recognizedannually as top doctors by their peersNo matter which personal doctoryou choose yoursquoll be in highly skilledexperienced hands
4 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
LINKED TO A TEAM Kaiser Permanente doctors nurses and other specialists are connected to each other mdash and to you mdash through your electronic health record so they know important things about you and your health like when yoursquore due for a screening and what medicationsyoursquore taking
Teamwork makes for better care with Kaiser Permanente
By Deb Friesen MD FACPKaiser Permanente Physician
As a Kaiser Permanente doctor I love having a whole connectedcare team backing me up when alittle extra support is necessary
The story below illustrates how our team oftop-notch professionals works together to helpsave lives
For privacy reasons the patientrsquos name has been changed
Diane was a diabetic who had been reluctant to come in for a checkup but an outreach phonecall convinced her it was time
During her office visit I reviewed and updatedDianersquos history ordered all of her overdue testsand medications and felt generally great that wehad accomplished so much in one visit But asit turns out we hadnrsquot yet addressed the most important issue
She suddenly asked ldquoDo you think itrsquos odd that Irsquom having periods againrdquo
Yes yes I did as Diane was 57 years old Anexam confirmed her symptoms I walked overto my colleague in the Obstetrics-GynecologyDepartment explained the situation and askedif he could work her into his schedule He gaveup his lunch hour to perform a simple procedurethat would give us the information we needed Itturned out to be cancer of the uterus Diane had life-saving surgery and has now been cancer-freefor 2 years
At the time it all felt very easy using the diabetesregistry to reach out to my patient having thetime to spend in the exam to be thorough havingsupport through our electronic medical record tomake documenting and ordering a breeze andhaving a colleague down the hall whose only jobis to help me help my patient
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6 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BETTER HEALTH STARTS WITH BETTER CARE
Choosing a doctor mdashyour partner in health We make it easy to find the doctor whorsquos right for you mdash and yoursquore free to change at anytime for any reason Having a good relationship is importantbecause your personal doctor is your biggest health advocate and worksclosely with you to make decisions about your health
Personalized care with a connected team You are more than your medical record We believe your life storybackground and values are as important as your health history Wersquore committed to care thatrsquos sensitive to all cultures ethnicities and lifestylesWe have many doctors and staff who speak more than one language andtelephone interpretation services in more than 150 languages
Great care great results Caring for our members so they can live happy full lives is the mostrewarding experience we know But we are proud that the NationalCommittee for Quality Assurance named us one of the top private andMedicare health plans in Colorado based on prevention treatment andour own membersrsquo satisfaction
NCQArsquos Private Health Insurance Plan Rating 2017-2018 National Committee for Quality Assurance 2017 Kaiser Foundation Health Plan of Colorado-HMO
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
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Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
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Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
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In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
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In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
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Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
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You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
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Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
17 kporg
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
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To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
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DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
Be informed
get carem
anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
get carem
anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
29 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
31 kporg
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get carem
anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
Be informed
get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
2 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Manage Your Care Make the most of your care withKaiser Permanentersquos many servicesresources and tools
Choose a doctor 7 Register online 8
Get Care Learn more about how to get care
Schedule appointments 12 Care options 12 Refill your prescriptions 13 Get care while traveling 19
Find medical offices specialty departmentlistings and urgent care and emergencycare locations
DB
M
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DenverBoulder service area 22 Mountain Colorado service area 30 Northern Colorado service area 32 Southern Colorado service area 34
Be Informed Understand your rights as aKaiser Permanente member
Notice of privacy practices 38 Disability access 38 Complaints claims and appeals 39 Your rights and responsibilities 40 Help in your language 44 Glossary 46 Resources 47
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
3 kporg
WE COVER COLORADO
Kaiser Permanente is proud to beyour partner in health Our physician-led care teams focus on you workingto keep you healthy by deliveringhigh-quality personalized care
You have a wide variety of doctorsto choose from Our physicians andnetwork providers come from topmedical schools and are recognizedannually as top doctors by their peersNo matter which personal doctoryou choose yoursquoll be in highly skilledexperienced hands
4 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
LINKED TO A TEAM Kaiser Permanente doctors nurses and other specialists are connected to each other mdash and to you mdash through your electronic health record so they know important things about you and your health like when yoursquore due for a screening and what medicationsyoursquore taking
Teamwork makes for better care with Kaiser Permanente
By Deb Friesen MD FACPKaiser Permanente Physician
As a Kaiser Permanente doctor I love having a whole connectedcare team backing me up when alittle extra support is necessary
The story below illustrates how our team oftop-notch professionals works together to helpsave lives
For privacy reasons the patientrsquos name has been changed
Diane was a diabetic who had been reluctant to come in for a checkup but an outreach phonecall convinced her it was time
During her office visit I reviewed and updatedDianersquos history ordered all of her overdue testsand medications and felt generally great that wehad accomplished so much in one visit But asit turns out we hadnrsquot yet addressed the most important issue
She suddenly asked ldquoDo you think itrsquos odd that Irsquom having periods againrdquo
Yes yes I did as Diane was 57 years old Anexam confirmed her symptoms I walked overto my colleague in the Obstetrics-GynecologyDepartment explained the situation and askedif he could work her into his schedule He gaveup his lunch hour to perform a simple procedurethat would give us the information we needed Itturned out to be cancer of the uterus Diane had life-saving surgery and has now been cancer-freefor 2 years
At the time it all felt very easy using the diabetesregistry to reach out to my patient having thetime to spend in the exam to be thorough havingsupport through our electronic medical record tomake documenting and ordering a breeze andhaving a colleague down the hall whose only jobis to help me help my patient
kporg 5
6 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BETTER HEALTH STARTS WITH BETTER CARE
Choosing a doctor mdashyour partner in health We make it easy to find the doctor whorsquos right for you mdash and yoursquore free to change at anytime for any reason Having a good relationship is importantbecause your personal doctor is your biggest health advocate and worksclosely with you to make decisions about your health
Personalized care with a connected team You are more than your medical record We believe your life storybackground and values are as important as your health history Wersquore committed to care thatrsquos sensitive to all cultures ethnicities and lifestylesWe have many doctors and staff who speak more than one language andtelephone interpretation services in more than 150 languages
Great care great results Caring for our members so they can live happy full lives is the mostrewarding experience we know But we are proud that the NationalCommittee for Quality Assurance named us one of the top private andMedicare health plans in Colorado based on prevention treatment andour own membersrsquo satisfaction
NCQArsquos Private Health Insurance Plan Rating 2017-2018 National Committee for Quality Assurance 2017 Kaiser Foundation Health Plan of Colorado-HMO
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
9 kporg
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anage your care
Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
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Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
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In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
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In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
Be informed
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
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Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
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You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
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Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
29 kporg
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
31 kporg
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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WE COVER COLORADO
Kaiser Permanente is proud to beyour partner in health Our physician-led care teams focus on you workingto keep you healthy by deliveringhigh-quality personalized care
You have a wide variety of doctorsto choose from Our physicians andnetwork providers come from topmedical schools and are recognizedannually as top doctors by their peersNo matter which personal doctoryou choose yoursquoll be in highly skilledexperienced hands
4 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
LINKED TO A TEAM Kaiser Permanente doctors nurses and other specialists are connected to each other mdash and to you mdash through your electronic health record so they know important things about you and your health like when yoursquore due for a screening and what medicationsyoursquore taking
Teamwork makes for better care with Kaiser Permanente
By Deb Friesen MD FACPKaiser Permanente Physician
As a Kaiser Permanente doctor I love having a whole connectedcare team backing me up when alittle extra support is necessary
The story below illustrates how our team oftop-notch professionals works together to helpsave lives
For privacy reasons the patientrsquos name has been changed
Diane was a diabetic who had been reluctant to come in for a checkup but an outreach phonecall convinced her it was time
During her office visit I reviewed and updatedDianersquos history ordered all of her overdue testsand medications and felt generally great that wehad accomplished so much in one visit But asit turns out we hadnrsquot yet addressed the most important issue
She suddenly asked ldquoDo you think itrsquos odd that Irsquom having periods againrdquo
Yes yes I did as Diane was 57 years old Anexam confirmed her symptoms I walked overto my colleague in the Obstetrics-GynecologyDepartment explained the situation and askedif he could work her into his schedule He gaveup his lunch hour to perform a simple procedurethat would give us the information we needed Itturned out to be cancer of the uterus Diane had life-saving surgery and has now been cancer-freefor 2 years
At the time it all felt very easy using the diabetesregistry to reach out to my patient having thetime to spend in the exam to be thorough havingsupport through our electronic medical record tomake documenting and ordering a breeze andhaving a colleague down the hall whose only jobis to help me help my patient
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6 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BETTER HEALTH STARTS WITH BETTER CARE
Choosing a doctor mdashyour partner in health We make it easy to find the doctor whorsquos right for you mdash and yoursquore free to change at anytime for any reason Having a good relationship is importantbecause your personal doctor is your biggest health advocate and worksclosely with you to make decisions about your health
Personalized care with a connected team You are more than your medical record We believe your life storybackground and values are as important as your health history Wersquore committed to care thatrsquos sensitive to all cultures ethnicities and lifestylesWe have many doctors and staff who speak more than one language andtelephone interpretation services in more than 150 languages
Great care great results Caring for our members so they can live happy full lives is the mostrewarding experience we know But we are proud that the NationalCommittee for Quality Assurance named us one of the top private andMedicare health plans in Colorado based on prevention treatment andour own membersrsquo satisfaction
NCQArsquos Private Health Insurance Plan Rating 2017-2018 National Committee for Quality Assurance 2017 Kaiser Foundation Health Plan of Colorado-HMO
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
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Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
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Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
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In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
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In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
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anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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anage your care
Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
4 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
LINKED TO A TEAM Kaiser Permanente doctors nurses and other specialists are connected to each other mdash and to you mdash through your electronic health record so they know important things about you and your health like when yoursquore due for a screening and what medicationsyoursquore taking
Teamwork makes for better care with Kaiser Permanente
By Deb Friesen MD FACPKaiser Permanente Physician
As a Kaiser Permanente doctor I love having a whole connectedcare team backing me up when alittle extra support is necessary
The story below illustrates how our team oftop-notch professionals works together to helpsave lives
For privacy reasons the patientrsquos name has been changed
Diane was a diabetic who had been reluctant to come in for a checkup but an outreach phonecall convinced her it was time
During her office visit I reviewed and updatedDianersquos history ordered all of her overdue testsand medications and felt generally great that wehad accomplished so much in one visit But asit turns out we hadnrsquot yet addressed the most important issue
She suddenly asked ldquoDo you think itrsquos odd that Irsquom having periods againrdquo
Yes yes I did as Diane was 57 years old Anexam confirmed her symptoms I walked overto my colleague in the Obstetrics-GynecologyDepartment explained the situation and askedif he could work her into his schedule He gaveup his lunch hour to perform a simple procedurethat would give us the information we needed Itturned out to be cancer of the uterus Diane had life-saving surgery and has now been cancer-freefor 2 years
At the time it all felt very easy using the diabetesregistry to reach out to my patient having thetime to spend in the exam to be thorough havingsupport through our electronic medical record tomake documenting and ordering a breeze andhaving a colleague down the hall whose only jobis to help me help my patient
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6 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BETTER HEALTH STARTS WITH BETTER CARE
Choosing a doctor mdashyour partner in health We make it easy to find the doctor whorsquos right for you mdash and yoursquore free to change at anytime for any reason Having a good relationship is importantbecause your personal doctor is your biggest health advocate and worksclosely with you to make decisions about your health
Personalized care with a connected team You are more than your medical record We believe your life storybackground and values are as important as your health history Wersquore committed to care thatrsquos sensitive to all cultures ethnicities and lifestylesWe have many doctors and staff who speak more than one language andtelephone interpretation services in more than 150 languages
Great care great results Caring for our members so they can live happy full lives is the mostrewarding experience we know But we are proud that the NationalCommittee for Quality Assurance named us one of the top private andMedicare health plans in Colorado based on prevention treatment andour own membersrsquo satisfaction
NCQArsquos Private Health Insurance Plan Rating 2017-2018 National Committee for Quality Assurance 2017 Kaiser Foundation Health Plan of Colorado-HMO
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
M
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
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Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
N
S
Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
Teamwork makes for better care with Kaiser Permanente
By Deb Friesen MD FACPKaiser Permanente Physician
As a Kaiser Permanente doctor I love having a whole connectedcare team backing me up when alittle extra support is necessary
The story below illustrates how our team oftop-notch professionals works together to helpsave lives
For privacy reasons the patientrsquos name has been changed
Diane was a diabetic who had been reluctant to come in for a checkup but an outreach phonecall convinced her it was time
During her office visit I reviewed and updatedDianersquos history ordered all of her overdue testsand medications and felt generally great that wehad accomplished so much in one visit But asit turns out we hadnrsquot yet addressed the most important issue
She suddenly asked ldquoDo you think itrsquos odd that Irsquom having periods againrdquo
Yes yes I did as Diane was 57 years old Anexam confirmed her symptoms I walked overto my colleague in the Obstetrics-GynecologyDepartment explained the situation and askedif he could work her into his schedule He gaveup his lunch hour to perform a simple procedurethat would give us the information we needed Itturned out to be cancer of the uterus Diane had life-saving surgery and has now been cancer-freefor 2 years
At the time it all felt very easy using the diabetesregistry to reach out to my patient having thetime to spend in the exam to be thorough havingsupport through our electronic medical record tomake documenting and ordering a breeze andhaving a colleague down the hall whose only jobis to help me help my patient
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6 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BETTER HEALTH STARTS WITH BETTER CARE
Choosing a doctor mdashyour partner in health We make it easy to find the doctor whorsquos right for you mdash and yoursquore free to change at anytime for any reason Having a good relationship is importantbecause your personal doctor is your biggest health advocate and worksclosely with you to make decisions about your health
Personalized care with a connected team You are more than your medical record We believe your life storybackground and values are as important as your health history Wersquore committed to care thatrsquos sensitive to all cultures ethnicities and lifestylesWe have many doctors and staff who speak more than one language andtelephone interpretation services in more than 150 languages
Great care great results Caring for our members so they can live happy full lives is the mostrewarding experience we know But we are proud that the NationalCommittee for Quality Assurance named us one of the top private andMedicare health plans in Colorado based on prevention treatment andour own membersrsquo satisfaction
NCQArsquos Private Health Insurance Plan Rating 2017-2018 National Committee for Quality Assurance 2017 Kaiser Foundation Health Plan of Colorado-HMO
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
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Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
N
S
Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
11 kporg
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anage your care
Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
Be informed
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
6 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BETTER HEALTH STARTS WITH BETTER CARE
Choosing a doctor mdashyour partner in health We make it easy to find the doctor whorsquos right for you mdash and yoursquore free to change at anytime for any reason Having a good relationship is importantbecause your personal doctor is your biggest health advocate and worksclosely with you to make decisions about your health
Personalized care with a connected team You are more than your medical record We believe your life storybackground and values are as important as your health history Wersquore committed to care thatrsquos sensitive to all cultures ethnicities and lifestylesWe have many doctors and staff who speak more than one language andtelephone interpretation services in more than 150 languages
Great care great results Caring for our members so they can live happy full lives is the mostrewarding experience we know But we are proud that the NationalCommittee for Quality Assurance named us one of the top private andMedicare health plans in Colorado based on prevention treatment andour own membersrsquo satisfaction
NCQArsquos Private Health Insurance Plan Rating 2017-2018 National Committee for Quality Assurance 2017 Kaiser Foundation Health Plan of Colorado-HMO
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
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Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
N
S
Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
11 kporg
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anage your care
Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
get carem
anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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anage your care
Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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anage your care
Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
Be informed
get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
get carem
anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
37 kporg
Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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MANAGE YOUR CARE Your Member Understand ID Card Your Choices
Your Kaiser Permanente member ID card identifies you as a member and contains yourunique health record number Each familymember is issued a member ID card Please carry your member ID card with you at all timesand present your card or your childrsquos card at each appointment When you receive your cardplease check it for accuracy Report any errorson your card or your childrsquos card immediately to Member Services
You can access your digital ID card when youdownload the Kaiser Permanente mobile app
NOTE The digital ID card may not be availableto members in certain plans including MedicareSenior Advantage PPO Mountain Service Areaand out-of-area plan members
Find the Right Doctor for You
Having a primary care physician (PCP) you knowand trust can help you get the most out of yourhealth care You can choose your physicianonline and change at anytime You can alsochoose a different physician for each memberof your family if you wish If your doctor movesor has a change in their practice wersquore here to help you transition your care to another doctorVisit kporgchooseyourdoctor to view Kaiser Permanente physician biographiesphotos education specialties medical schoolsand board-certification status as well as other providers in your area
M Senior Advantage members The Mountain Colorado service area is not an approvedservice area for Senior Advantagemembers You should not select a Mountain Colorado provider for routine care SeniorAdvantage members may be seen forurgent or emergency care worldwide
bull Doctors in Family Medicine care for peopleof all ages and often members of the samefamily
bull Doctors in Internal Medicine include generalpractitioners andor internists who may haveparticular areas of focus
bull Doctors in Pediatrics care for infants children adolescents and teens
NOTE Female members can see an obstetrician-gynecologist for annual well-woman exams and aPCP for other care
Enrolling in Kaiser Permanente does notguarantee services by a particular providerIf you want to be sure you can receive carefrom a specific provider you should contactthat provider to verify they accept yourplan type The availability of physicianshospitals providers and services maychange Call the Appointment and Advice
M
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Contact Center for the latest information
Choose or change your doctor anytime Visit kporgchooseyourdoctor or call 303-338-45451-800-218-1059 (TTY 711) anytime day or night
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
9 kporg
Be informed
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anage your care
Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
N
S
Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
11 kporg
Be informed
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Be informed
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
Be informed
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
17 kporg
Be informed
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
19 kporg
Be informed
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anage your care
CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
Be informed
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
get carem
anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
get carem
anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
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kporg 61022708_18_2018MRG_CO_Update August2018
8 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
MANAGE YOUR HEALTH YOUR WAY
Through kporg and the Kaiser Permanente mobile app you can
bull View most lab and test results bull Refill most prescriptions from Kaiser Permanente pharmacies bull Email your Kaiser Permanente doctorrsquos office with nonurgent questions bull Schedule and cancel appointments bull Print vaccination records for school sports and camp bull Check your planrsquos benefits view claims or estimate costs bull Manage a family memberrsquos health care bull Pay your Kaiser Permanente medical bills bull And more
Register to get started mdash itrsquos easy Register today to access these convenient features and moreVisit kporgregisternow and follow the sign-on instructions Yoursquoll need your health record number which you can find on yourKaiser Permanente ID card Download the app once yoursquove registered and use your kporg user ID and password to log in
These features are available when you receive care at Kaiser Permanente medical officesDue to privacy laws certain features may not be available if theyrsquore being accessed on behalf of a child younger than 18 Your childrsquos physician may also be prevented from giving you certain information without your childrsquos consent
9 kporg
Be informed
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anage your care
Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
N
S
Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
11 kporg
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
Be informed
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
17 kporg
Be informed
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
19 kporg
Be informed
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anage your care
CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
Be informed
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
get carem
anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
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get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
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anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Online Tools to Help You Live Well
Healthy Lifestyle Programs With our online wellness programs yoursquoll getadvice encouragement and tools to help you create positive changes in your life Ourcomplimentary programs can help you
bull Lose weight bull Eat healthier bull Quit smoking bull Reduce stress bull Manage ongoing conditions such as diabetes
or depression
Start with a Total Health Assessment a simpleonline survey to give you a complete look atyour health You can also link the results of yourassessment to your electronic health recordto share and discuss with your doctor Visitkporghealthylifestyles to get started
Health Classes With all kinds of health classes and supportgroups offered right at our medical officestherersquos something for everyone Classes vary ateach location and some may require a small feeGo to kporgclasses to see all classes available near you
New Member Connect is here to help With just one phone call the New MemberConnect Department can help you
bull Choose a primary care physician bull Transition your prescriptions to a
Kaiser Permanente pharmacy bull Access care bull Learn about your benefits bull Register for secure access to kporg bull And more
You can reach the New Member Connect Department at 1-844-639-8657 (TTY 711)Monday through Friday 7 am to 6 pm
Financial Services
Medical Financial Counseling Services If you have questions about costs related tocare you receive at a Kaiser Permanente medicaloffice talk with one of our medical financial counselors Our counselors offer free medical financial advice price estimates for upcomingmedical services and procedures and paymentplan options Simply call
DenverBoulder 303-338-3025 (TTY 711)Monday through Friday 8 am to 6 pm
MountainNorthernSouthern Colorado1-877-803-1929 (TTY 711)Monday through Friday 8 am to 6 pm
You can also visit kporgcostestimate For information on your costs claims summariesand out-of-pocket expenses log on to kporgfor your personalized account information Forquestions about costs for services outside ofKaiser Permanente medical offices contact the provider directly
Financial counselors also are available to meet with you in person at select Kaiser Permanentemedical offices They can assist with billingquestions understanding your plan and benefitsenrollment questions and claims inquiries
Pay for Services Paying your Kaiser Permanente medical bills iseasy Make payments at any medical office orview and manage the entire payment processright on our website With our easy-to-usebill payment feature you can securely makepayments online at no extra charge Visitkporgpaymedicalbills to learn more
If you obtain emergency medical care Be sure to retain all bills receipts and medicalrecords from anyone involved in your care Thisincludes attending providers ambulance staffand paramedics Save the police report if anautomobile or motorcycle accident caused theneed for emergency services
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
N
S
Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
11 kporg
Be informed
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anage your care
Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
13 kporg
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
Be informed
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anage your care
Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
17 kporg
Be informed
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
get carem
anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
get carem
anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
37 kporg
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get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
10 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GET CARE Access to Care in the Colorado Region All members can get care at any KaiserPermanente medical office in DenverBoulder Mountain Colorado Northern Colorado and Southern Colorado
DenverBoulder members can accessDB services at Kaiser Permanente medical offices across the state Members in DenverBoulder do not have access to theaffiliated provider networks in MountainNorthern and Southern Colorado If you have questions about where youcan receive care please call MemberServices for more information To schedule appointments at any Kaiser Permanentemedical office in Colorado please call theAppointment and Advice Contact Center
Our DenverBoulder medical officesprovide primary care lab medical imagingand select specialties all under one roofsaving you time Additionally you haveaccess to urgent care locations throughoutthe area Find the most current list of providers at kporglocations
Mountain Colorado members can also M access certain services with a Mountain Colorado network provider Members donot have access to the affiliated providernetworks in DenverBoulder NorthernColorado or Southern Colorado To schedule appointments at any KaiserPermanente medical office in Colorado please call the Appointment and AdviceContact Center
Our medical offices in Edwards and Frisco provide primary care lab medical imagingand select specialties For the most currentlist of providers in your Mountain Coloradoplan please visit kporglocations or contact Member Services
To ensure access for your eligible dependents you must fill out the StudentDependent Access Certification form Go to kporgformsandpubs or call Member Services for the form
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Northern Colorado members can also access certain services with a network of physicians from Banner Health and other providers Northern Colorado members do not have access to the affiliated providernetworks in DenverBoulder MountainColorado and Southern Colorado To schedule appointments at any Kaiser Permanente medical office in Colorado please call the Appointment and AdviceContact Center
Most of our Northern Colorado medical offices in Fort Collins Greeley and Lovelandprovide primary care lab pharmacy medical imaging and select specialtiesFor the most current list of providers in your Northern Colorado plan pleasevisit kporglocations or contact Member Services
Southern Colorado members can also access certain services with a network provider in their plan Southern Coloradomembers do not have access to the affiliated provider networks in DenverBoulder Mountain Colorado and Northern Colorado To schedule appointments atany Kaiser Permanente medical office in Colorado please call the Appointment andAdvice Contact Center
Our medical offices in Colorado Springs andPueblo provide primary care lab pharmacy medical imaging and select specialties
For the most current list of providers in your Southern Colorado plan includingproviders in the KP Select network pleasevisit kporglocations
Southern Colorado Resource Team
The Southern Colorado Resource Team is available to answer your questions aboutclaims financial assistance pharmacyservices KP Select plans and more Call719-867-2170 (TTY 711) Monday through Friday 8 am to 5 pm
11 kporg
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anage your care
Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
M
In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
Be informed
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anage your care
Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
Be informed
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anage your care
Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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anage your care
Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Care Available to You
Preventive Care and Your Health Preventive care is key to keeping you healthyand catching health issues before they become serious Your electronic health record plays a vital role in your care mdash your preventive care services are tracked in the system when you receive careat Kaiser Permanente medical offices When you register on kporg yoursquoll get automatic reminders when yoursquore due for a screening Wersquoll let you know when to come in so yoursquore free to focus on living your life
Many preventive visits are covered at no costto you once per benefit year when indicatedaccording to the US Preventive Services TaskForce These include
bull Bone mineral density testing bull Cholesterol tests bull Fasting blood sugar test for type 2 diabetes bull Hemoglobin A1C testing bull Mammography screening for breast cancer bull Pap and when indicated HPV testing bull Prescription statins bull Prostate blood test bull Routine childhood immunizations bull Screening for select sexually transmitted
diseases bull Stool test for colon cancer screening bull Tuberculosis skin test
This list is not inclusive Please refer to your Evidence of Coverage or Membership Agreement for additional information about your preventive benefits
Scheduled Hospitalization Inpatient hospitalization is covered whenprescribed by a physician and authorized byKaiser Permanente See pages 22-37 for hospitals in your plan that provide emergency andorinpatient hospitalization services
Contact Member Services
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878 TTY 711
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
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In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
15 kporg
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
S
M
N
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
S
Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
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Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
12 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
CHAT ONLINE
Connect in real time with a Kaiser Permanente physician
GET THE RIGHT CARE WHEN YOU NEED ITHOW YOU WANT IT
From strains to pains you never know when or why you might need treatment But when that time comes you can get the care thatrsquos right for you by choosing from a number of options that meet your needs and your lifestyle
ROUTINE CARE Regular visits to your doctor
to catch health problems early when theyrsquore easier
to treat such as bull Checkups bull Preventive screenings bull Well-child visits
SPECIALTY CARE1
Services from doctors trained in specific areas
of care such as bull Obstetrics-gynecology bull Orthopedics bull Dermatology
EMERGENCY CARE2
When your health is in danger and you needimmediate care such as bull Trouble breathing bull Severe chest pains bull Serious injuries or
wounds
URGENT CARE Illnesses or injuries that
require attention soon butarenrsquot emergencies such as
bull Asthma flare-ups bull Earaches bull Minor sprains wounds
or burns Explore
your care atkporggetcare
APPOINTMENTS AND ADVICE
bull Call 303-338-4545 or 1-800-218-1059 (TTY 711) anytime day or night for medical advice or to schedule primary care and select specialty care appointments
bull For same-day care phone appointments and online chat are available to get you the care you need quickly
bull Book an appointment online from your kporg account
PHONE
Save yourself an office visit by scheduling a call with a doctor3
Message your doctorrsquos office with nonurgent questions anytimeand get a response within 24 hours3
VIDEO VISIT
Ask about this online alternative to an in-person appointment3 4
E-VISITS
Fill out an online questionnaire about your symptoms and a registered nurse will respondwithin 4 hours with a care plan3
IN PERSON
Same-day appointments are often available Manage your health findlocations and care when yoursquore traveling and more atkporggetcare
1 Medicaid members need a referral for specialty care when seeking care with Kaiser Permanente specialists 2 If you have a medical emergency call 911 or go to the nearest hospital3 These features are available when you receive care at Kaiser Permanente medical offices 4 Check with your doctorrsquos office to find out if video visits are available to you
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
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In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
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In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
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Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
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You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
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Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
29 kporg
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
31 kporg
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
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S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Pharmacy Vision and Other Helpful Services
Clinical Pharmacy Services Clinical pharmacists and specialists work with yourdoctor and health care team to help with diseasemanagement transitioning your prescriptions toKaiser Permanente medication education and ensuring appropriate use of your medicationsClinical pharmacists and specialists work at mostKaiser Permanente medical offices and in various departments including Anticoagulation andAnemia Services Cardiac Risk Services and the Clinical Pharmacy Call Center
Filling and Refilling Prescriptions
bull By mail mdashYou can order your prescriptionsthrough our Mail Order Pharmacy with noshipping costs at kporgrxrefill or by callingthe 24-hour automated phone line at1-866-938-0077 (TTY 711) We ask for 7 to10 days to process and ship your order butmost orders are delivered much sooner
bull By phone mdash Each medical office pharmacyhas a 24-hour refill phone number pharmacyphone numbers for each location can befound in this guide
bull Online mdash Order refills online at kporgrxrefillto request pickup at the medical office of your choice
bull Text alerts mdashAsk the pharmacy to send you text alerts when your prescription is ready for pick up or sign up on the Pharmacy Center on kporg
bull Transition prescriptionsmdashYou can transition your current prescriptions to Kaiser Permanenteby logging on to kporgnewmember and clicking on ldquoTransition prescriptionsrdquo
DB
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In personmdashFill your prescriptions atany Kaiser Permanente medical officepharmacy
In personmdashFill your prescriptions at anetwork pharmacy of your choice or inperson at any Kaiser Permanente medicaloffice pharmacy in DenverBoulderNorthern Colorado or Southern Colorado
For more information about your pharmacybenefit or to locate a network pharmacy inyour plan call Member Services
N
S
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
For more information about your pharmacybenefit or to locate a network pharmacyin your plan please call Member ServicesKaiser Permanente pharmacies in NorthernColorado are located at our Fort Collins Spring Creek Greeley and LovelandMedical Offices (see page 32 for locations)
In personmdashFill your prescriptions at anyKaiser Permanente medical office pharmacyor a network pharmacy of your choice
How you fill and refill your prescriptionsdepends on your plan For moreinformation about your pharmacy benefitor to locate a network pharmacy in yourplan please call Member Services or theSouthern Colorado Resource Team Kaiser Permanente pharmacies in SouthernColorado are located at our Briargateand Parkside Medical Offices in Colorado Springs and Pueblo North Medical Officesin Pueblo (see page 35 for locations) Must have a valid prescription on file with a Kaiser Permanente medical office or through the Mail Order Pharmacy
Pharmacy contacts Clinical Pharmacy Call Center303-338-45031-866-244-4119 (TTY 711)Monday through Friday 8 am to 6 pm
Automated Mail Order Refill Service 1-866-938-0077 (TTY 711)24 hours a day 7 days a week
Mail Order Pharmacy1-866-523-6059 (TTY 711)Monday through Friday 8 am to 6 pm
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
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N
S
Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
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You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
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Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
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anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
14 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Make Sure Your Prescribed Medication is Covered Before you get a prescription you and your doctorcan check online at kporgformulary to see whether a medication is on our formulary Thisis our list of preferred brand-name and genericmedications that Kaiser Permanente physiciansand pharmacists have determined to be thesafest most appropriate and most cost-effectivedrug treatments If the medication is not on theformulary your doctor can find an equivalent bycalling our Clinical Pharmacy Call Center Togetherthey can select the right medication for you
S Important information for SouthernColorado members with plans that requirerefills at Kaiser Permanente pharmacies
Members who require maintenancemedications (birth control blood pressurediabetes cholesterol thyroid etc) may fillthe first order of a maintenance medication at a Kaiser Permanente medical office pharmacy or a network pharmacy Toreceive your pharmacy benefit refills ofmaintenance medications must be filled at a Kaiser Permanente medical office pharmacyor through the Kaiser Permanente MailOrder Pharmacy Non-maintenancemedications for one-time or urgentconditions such as infections (antibiotics)or pain can be filled immediately at aKaiser Permanente medical office pharmacy or a network pharmacy CallMember Services or the Southern Colorado Resource Team for more information
Laboratory Services
M For routine lab work you can take laborders to any Kaiser Permanente medicaloffice in Colorado or have lab work done in your network providerrsquos office Refer to your Evidence of Coverage or MembershipAgreement for further details
N For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionally youmay have lab work done at any lab in yourplanrsquos network mdashcheck kporglocations for a location near you Refer to your Evidenceof Coverage or Membership Agreement fordetails
S For routine lab work you can take laborders to any Kaiser Permanente medicaloffice or have lab work done in yournetwork providerrsquos office Additionallyyou may have lab work done at a networklab mdash check kporglocations for a location near you Refer to your Evidence ofCoverage or Membership Agreement fordetails
Skip the trip Get it shipped When you order your prescriptions from MailOrder Pharmacy you can simply open yourmailbox And you may save money too
bull Ordering is easy bull Delivery is fast bull Available for new and refill prescriptions bull Up to 3 months of medication for the cost of 1
or 2 copayments
Order online at kporgrxrefill or on the mobile app Plan and product restrictions may apply Check your Evidence ofCoverage or Membership Agreement for further information
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
M
N
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Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
DB
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You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
M
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Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
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To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
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DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Vision and Eye Care Get the eye care you need to stay healthyCheck your Evidence of Coverage orMembership Agreement to see if vision andeye care services including eye exams andglassescontacts are covered in your planor are available on a fee-for-service basis
DB Visit one of our medical office optometryor ophthalmology departments (see pages25-29 for locations) Many medical officesalso have an optical department that can fillyour prescription for eyeglasses or contactlenses at competitive prices If you havequestions about your optical benefits callMember Services
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Visit a Kaiser Permanente medical office in DenverBoulder or contact a networkoptometrist or ophthalmologist directly
Contact a network optometrist orophthalmologist directly
Visit the Kaiser Permanente BriargateMedical Offices or contact a network optometrist or ophthalmologist directly
Hearing Services Better hearing can improve your quality oflife Check your Evidence of Coverage orMembership Agreement to see whether audiology tests and hearing aids are coveredin your benefit plan or are available on afee-for-service basis
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You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice (see pages 25-29 for locations)No referral is needed
You can get a hearing test andor a hearingaid fitting at a Kaiser Permanente medicaloffice in DenverBoulder or with a networkaudiologist No referral is needed
You can get a hearing test andor ahearing aid fitting at a Kaiser Permanentemedical office or with a network audiologist To make an appointment atBriargate or Pueblo North Medical Officescall 719-282-2413 (TTY 711) Monday through Friday 830 am to 430 pmNo referral is needed
Behavioral Health
DB We provide behavioral health services forchildren adolescents families adults and seniors Services include counseling forchemical dependency eating disordersgeriatric psychiatry and behavioral health Call 303-471-7700 (TTY 711) Mondaythrough Friday 830 am to 5 pm Noreferral is needed See locations on page24 For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
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Beacon Health Options administersbehavioral health and chemical dependency services for our Mountain andSouthern Colorado members Behavioral health and chemical dependencysubstance abuse outpatient care isprovided on a self-referral basis For helpplease call anytime day or night at1-866-702-9026 (TTY 1-866-835-2755)For a behavioral health or chemical dependency emergency call 911 or go tothe nearest emergency department
N In Northern Colorado Kaiser Permanente has an on-site behavioral medicine specialist and psychiatry specialtyphysician at the Fort Collins Greeley andLoveland Medical Offices AdditionallyKaiser Permanente contracts with 4 agencies for behavioral health servicesEach of these agencies has numerouslocations in Larimer and Weld Counties To access these services please callKaiser Permanente Behavioral Health at 1-866-359-8299 (TTY 711) Monday through Friday 830 am to 5 pm For abehavioral health or chemical dependencyemergency call 911 or go to the nearestemergency department
Learn more about hearing services Visit kphearingservicescom
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
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Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
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To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
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DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
Be informed
get carem
anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
get carem
anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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anage your care
Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
29 kporg
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
31 kporg
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get carem
anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
get carem
anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Our Centers for Complementary Medicineprovide nontraditional treatments often
COMPLEMENTARY CARE
Services include chiropractic careDB acupuncture therapeutic massage andMindfulness-based Stress Reduction classes To make an appointment call1-844-800-0788 (TTY 711) or visit kpccmorg for more information Hours vary by location (see page 23 for addresslistings) bull Baseline Medical Offices bull Highlands Ranch Medical Offices bull Lakewood Medical Offices bull Longmont Medical Offices bull Midtown Medical Office Buildingbull Smoky Hill Medical Offices bull Westminster Medical Offices
Select DenverBoulder medical officesM offer chiropractic care acupuncturetherapeutic massage and Mindfulness-based Stress Reduction classes Services
in addition to standard medical treatmentsto address a variety of conditions andimprove your overall health and wellness
N
S
Chiropractic care is available at Greeleyand Loveland Medical Offices and through network providers Hours vary bylocation (see page 32 for address listings)Acupuncture chiropractic and more areaccessible at select Kaiser Permanente medical offices in DenverBoulderFor information or to make an appointmentat a Kaiser Permanente medical office call 1-844-800-0788 (TTY 711) or visit kpccmorg for more information
Chiropractic care is available at Briargateand Pueblo North Medical Offices and acupuncture chiropractic andmore are accessible with network providers and at select DenverBouldermedical offices For information or to make an appointment at a Kaiser Permanentemedical office call 1-844-800-0788
are also available through network (TTY 711) or visit kpccmorg providers in Mountain Colorado Forinformation or to make an appointmentat a DenverBoulder Kaiser Permanentemedical office call 1-844-800-0788 (TTY 711) or visit kpccmorg
KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE 1616
17 kporg
Be informed
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anage your care
Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
Be informed
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
Be informed
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anage your care
Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
43 kporg
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
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anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
17 kporg
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Nutrition Services Do you have ongoing health conditions thatmay be improved with better nutrition If sovisit kphealthymecom to find valuable nutrition education and counseling resources
Support for Ongoing Conditions If you have a condition such as diabetesdepression asthma or COPD yoursquore automatically enrolled in a disease management program for personal coaching and supportwhen you see a Kaiser Permanente physicianWith a well-rounded approach backed by provenbest practices and advanced technology wersquoll help you get the care you need to continue livinglife to the fullest
Complex Case Management Complex Case Management is a programdesigned to support you as you manage yourongoing health conditions The program includesan assessment to help you with benefits andresources as you navigate the health care systemA case manager works with you and your primarycare physician to develop and reach your goals
DenverBoulder You may self-refer by calling303-614-1065 (TTY 711)
MountainNorthernSouthern ColoradoYou may self-refer by calling1-877-870-6735 (TTY 711)
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
Supportive Care Services Coping with serious illness is difficult and oftena challenging time for patients and their lovedones The Supportive Care team can guide youand provide assistance so yoursquore comfortable and confident in your care mdash at any age or stageof serious illness Our team of physicians nursessocial workers and other caregivers is here tohelp you and those close to you
bull Clarify goals and choices of treatment bull Address fears and concerns bull Manage difficult symptoms bull Understand additional programs and
resources available to you including information on advance care planning
Supportive Care can be provided along withongoing treatment We encourage membersfacing serious advanced illness to schedule aconsultation with a program specialist
DB To schedule a consultation call Rock Creek Medical Offices 720-536-6404 (TTY 711) Franklin Medical Offices 303-861-3481 (TTY 711) Lone Tree Medical Offices 303-649-5989 (TTY 711) Self-Referral Line 303-636-3269 (TTY 711)
N
S
To schedule a consultation at Fort Collins Greeley Loveland or Spring Creek MedicalOffices call 970-350-7821 (TTY 711)
To schedule a consultation call Briargate and Parkside Medical Offices719-282-2482 (TTY 711) Pueblo North Medical Offices 719-595-5322 (TTY 711)
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
DB
M
N
S
DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
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get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
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anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
18 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Senior Resource Line The Senior Resource Line is Kaiser Permanentersquos information and referral line designed to helpolder adults and their caregivers find resourcesor services within Kaiser Permanente and the community When you call this line you can leavea message describing the resources you arelooking for and a Kaiser Permanente communityspecialist will return your call and provideinformation about a wide range of services basedon your needs Some of the resources include
bull Transportation bull Financial assistance bull Food assistance bull Support groups and other social support
systems bull Housing bull Nonmedical in-home assistance bull Volunteer opportunities bull Kaiser Permanentersquos home-bound rounding
program bull Kaiser Permanentersquos physician rounding
program in long-term care assisted living and skilled nursing facilities
Call 1-866-279-0736 (TTY 711) Mondaythrough Friday 8 am to 5 pm
Learn more about your health care coverage Review your Evidence of Coverage orMembership Agreement or contact Member Services at
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DenverBoulder303-338-3800
Mountain Colorado 1-844-837-6884
Northern Colorado 1-844-201-5824
Southern Colorado 1-888-681-7878
TTY 711
You can also view these documents online at kporgeoc
Continuing Care
DB The Continuing Care Department providesadult home health care hospice carelong-term acute care acute rehabilitationskilled nursing facilities durable medicalequipment oxygen and some communityresources For more information call 303-636-3300 (TTY 711) Monday throughFriday 8 am to 430 pm
Access to Services for the Deaf Hard of Hearing or Speech Impaired Special equipment is needed to connect to TTYnumbers When a TTY number is not specificallylisted for a Kaiser Permanente service provider or location in this guide please use your TTYequipment to call 711 and provide the numberyou want to reach Kaiser Permanente alsoprovides interpretation services in accordance with the Americans with Disabilities Act and the Civil Rights Act of 1964 When you schedule anappointment at a Kaiser Permanente medicaloffice we will arrange for interpretation at no cost to you
For Help in Your Language Interpreter services are available by phone at nocost when you call Kaiser Permanente Just letus know your preferred language when yoursquore connected to a representative Some physiciansat various medical offices have certain levels of second language proficiency visit kporgto see their individual language proficienciesPhysicians have telephone access to interpreters in more than 150 languages video remoteinterpretation services in 15 languages andalso can request an on-site interpreter for anappointment procedure or service We do notcharge for language assistance arranged byKaiser Permanente For further information about resources in your language see page 44
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CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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Be informed
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
29 kporg
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
31 kporg
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
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anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
19 kporg
Be informed
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anage your care
CARE WHEN YOUrsquoRE AWAY FROM HOME
If you become ill or injured outside theColorado area Kaiser Permanente covers urgent and emergency services anywhere in theworld If you need routine care or continuingcare outside the Colorado service area pleasecontact Member Services for information on your benefits You can also referenceyour Evidence of Coverage or MembershipAgreement for additional information
Planning for Your Travel You can get help planning for your trip atkporgtravel or by calling 951-268-3900 (TTY 711) Yoursquoll find important steps to takebefore during and after your trip And you canget travel resources including claim forms incase you need to file a claim for reimbursementafter you get back
International Travel Clinic Our International Travel Clinic providesconsultations to members traveling abroadto assess the health risks of the destination determine if any vaccines or other preventivemeasures are needed and recommend immunizations and prescriptions Call theInternational Travel Clinic 2 months before yourtrip to allow time to schedule any vaccines youmay need
Denver Boulder 303-283-2650 (TTY 711)
MountainNorthernSouthern Colorado1-800-888-8540 (TTY 711)
Visiting Member Program You may be able to receive covered healthservices when visiting other Kaiser Permanenteservice areas outside of Colorado Your specificbenefits may vary depending on whether yourmembership is through Medicare or a deductibleplan with a health savings account option If yourmembership is through Medicaid or CHP+ theseservices will not apply to you Please call MemberServices for the options available to you
Outside of Colorado Kaiser Permanente offers medical care in parts of California the District ofColumbia Georgia Hawaii Maryland OregonVirginia and Washington If you anticipatetraveling to any of these areas ask MemberServices for a brochure that details your visitingmember coverage Visit kporgformsandpubs for more information
Out-of-Area Benefit A limited Out-of-Area Benefit is available to enrolled dependents including spousespartners and children up to the age of 26receiving care outside any Kaiser Permanenteservice area and outside any Kaiser PermanenteColorado service area This coverage is in addition to the urgent and emergency care thatenrolled dependents have access to For moreinformation on Out-of-Area Benefit contact Member Services visit kporgformsandpubs or refer to your Evidence of Coverage orMembership Agreement
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
21 kporg
Be informed
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anage your care
Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
Be informed
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anage your care
Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
25 kporg
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get carem
anage your care
Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
29 kporg
Be informed
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anage your care
Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
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anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
20 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
YOUR PARTNER IN HEALTH
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Be informed
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
23 kporg
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Wersquore with youWherever you are Getting the care you need is about more thanvisiting a doctor near where you live workand play Sometimes itrsquos about getting highlyspecialized life-saving care mdash whether itrsquos down the street or miles away
That was the case with Northern Colorado member Wendell Robinson who after a lifetime without any serious health conditions wasdiagnosed with a rare genetically inheritedliver disease at 68 years old He was told by hisnetwork physician that he would eventually needa liver transplant to live and when a liver matchbecame available he would likely need to travelfor surgery Thatrsquos when Kaiser Permanentersquos transplant department got involved
ldquoThe important role for us is to be a coordinatorof the whole process make sure that thepatients are aware of what needs to be doneand make them feel like theyrsquore supportedrdquo saidKaiser Permanente Transplant CoordinatorKarla Enge RN
Wendell and his physician were in contact withhis Kaiser Permanente care coordination team the whole time he was on the transplant waitinglist After being on the list for a year and a half theKaiser Permanente transplant team contacted himand said a liver was available in Cleveland Theyarranged everything for him and his wife and hewas in a Cleveland operating room within hours
ldquoWe had such good carerdquo Wendell saidldquoEverything was done for us by KaiserPermanente mdash everything was taken care ofI canrsquot say enough for what they did to keepme aliverdquo
For details about your specific service areacoverage please review your Evidenceof Coverage or Membership Agreementor contact Member Services
Want to read more Read stories from real Kaiser Permanente members at kporgcarestories
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
39 kporg
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anage your care
Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
22 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
1
7
23
8
21
12
20
17
10
11
6
4
5
3
18
9 16 19
B2
B4
B3
B1
E1
U3
U1
E3
E5U2 E2
E7
E6
E9
E8
Longmont
Boulder
Evergreen
Highlands Ranch
Centennial
Castle Rock
Westminster
Arvada
Lakewood
Littleton
Aurora
Parker
DENVER
Castle Rock
Longmont
Westminster
Good Samaritan Medical Center
HighlineBehavioral Health
Childrenrsquos Hospital Colorado Main Campus
Childrenrsquos Hospital ColoradoNorth Campus
Childrenrsquos Hospital ColoradoUrgent Care Wheat Ridge
CENTRAL DENVER
9 Franklin
16 Midtown Medical Office Building
19 Skyline
B5 Skyline Behavioral Health
E2 U2 Childrenrsquos Hospital Colorado Uptown Denver
E4 Rocky Mountain Hospital for Children
E5 Saint Joseph Hospital
Aurora Centrepoint
HealthONE Swedish Medical Center
Smoky Hill
Lone Tree
HealthONE Sky Ridge Medical Center
Childrenrsquos Hospital Coloradoat Parker Adventist Hospital
SCL Health Emergency Center
Parker
Hidden Lake Behavioral Health
RidgelineBehavioral Health
Baseline Behavioral Health
Rock Creek
East Denver
Hidden Lake
Highlands Ranch
Wheat Ridge
Lakewood
Englewood
Southwest
Ken Caryl Arapahoe
Evergreen
Baseline
Brighton
B Behavioral Health offices
1 Kaiser Permanente medical offices
E Emergency care
U Pediatric urgent care
25
76
70
70
25
25
E4
B5
2 Kaiser Permanente medical offices with urgent care
22
13
2
14
15
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
37 kporg
Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Medical Offices
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Urgent Care is available at theseDenverBoulder medical offices
Hours and locations for urgent care are subjectto change Call 303-338-4545 (TTY 711) atthe time of need to confirm current hours and locations
2 Aurora Centrepoint Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
13 Lakewood Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
14 Lone Tree Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
15 Longmont Medical OfficesMonndashFri noonndash8 pmSatndashSun 8 amndash4 pm
22 Westminster Medical Offices MonndashFri 10 amndash8 pmSatndashSun 8 amndash6 pm
DB denverboulder
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
Be informed
get carem
anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
33 kporg
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get carem
anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
get carem
anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
37 kporg
Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
24 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
Pediatric Urgent Care
Call to confirm hours and locations
U1 Childrenrsquos Hospital ColoradoNorth Campus Broomfield Urgent and Outpatient Specialty Care469 W Highway 7 Broomfield CO 80023 720-777-1340
U2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver 1830 Franklin St Denver CO 80218 720-777-1360
U3 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Wheat Ridge3455 Lutheran Parkway Suite 230 Wheat Ridge CO 80033 720-777-1370
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Childrenrsquos Hospital Colorado Main Campus 13123 E 16th Ave Aurora CO 80045
E2 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Care Uptown Denver1830 Franklin St Denver CO 80218
E3 Good Samaritan Medical Center 200 Exempla CircleLafayette CO 80026
E4 Rocky Mountain Hospital for Children 2001 N High StDenver CO 80205
E5 Saint Joseph Hospital1375 E 19th Ave Denver CO 80218
E6 Childrenrsquos Hospital Colorado at Parker Adventist Hospital Emergency Care9395 Crown Crest Blvd Parker CO 80138
E7 HealthONE Sky Ridge Medical Center 10101 Ridgegate ParkwayLone Tree CO 80124
E8 HealthONE Swedish Medical Center 501 E Hampden AveEnglewood CO 80113
E9 SCL Health Emergency Center23770 E Smoky Hill Road Suite 100Aurora CO 80016
Behavioral Health Offices
To schedule an appointment call ourBehavioral Health Access Center at 303-471-7700 (TTY 711) Monday throughFriday 830 am to 5 pm
B1 Baseline Behavioral Health 580 Mohawk Drive Boulder CO 80303
Services Behavioral health B2 Hidden Lake Behavioral Health
7701 Sheridan Blvd Westminster CO 80003 Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B3 Highline Behavioral Health10350 E Dakota Ave Denver CO 80247 Entrance located on east side of building Services Chemical dependency clinical pharmacy specialists eating disordersbehavioral health
B4 Ridgeline Behavioral Health Center9139 S Ridgeline BlvdHighlands Ranch CO 80129 Services Chemical dependency clinical pharmacy specialists behavioral health
B5 Skyline Medical Offices1375 E 20th Ave Denver CO 80205
Services Chemical dependency
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
27 kporg
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anage your care
Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
35 kporg
Be informed
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anage your care
Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
37 kporg
Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Medical Office and Specialty Department Directory
1 Arapahoe Medical Offices 5555 E Arapahoe RoadCentennial CO 80122
Specialty departments and other servicesDermatology303-338-3376 Hearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-850-2128 Optometry 303-338-4545 Pharmacy 303-850-2031 Physical Therapy303-861-3105 Weight Management303-861-3400
2 Aurora Centrepoint Medical Offices 14701 E Exposition AveAurora CO 80012
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-614-7390 Optometry 303-338-4545 Pharmacy 303-614-7300 Physical Therapy303-861-3105
3 Baseline Medical Offices 580 Mohawk Drive Boulder CO 80303
Specialty departments and other servicesBehavioral Health 303-471-7700 Complementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 303-554-5080 Optometry 303-861-3595 Pharmacy 303-554-5020 Physical Therapy303-861-3105 Weight Management303-861-3400
4 Brighton Medical Offices 859 S 4th Ave Brighton CO 80601
Specialty departments and other servicesMedical Imaging303-338-3456 Pharmacy 303-835-5860
5 Castle Rock Medical Offices 4318 Trail Boss Drive Castle Rock CO 80104
Specialty departments and other servicesDermatology303-338-3376 Medical Imaging303-338-3456 Pharmacy 303-814-4160
6 East Denver Medical Offices 10400 E Alameda Ave Denver CO 80247
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-360-1271 Optometry 303-338-4545 Pharmacy 303-360-1280
7 Englewood Medical Offices 2955 S Broadway Englewood CO 80113
Specialty departments and other servicesClinical Pharmacy Research - IHR 303-788-1064 Hematology Oncology amp
Infusion Services720-536-7200 Medical Imaging303-338-3456 Nephrology303-788-1288 Pharmacy 303-788-1299 Speech Therapy mdash Adult720-536-7323 Speech Therapy mdash Pediatric 303-788-1115
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
DB denverboulder
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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anage your care
Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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anage your care
Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Be informed
get carem
anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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anage your care
Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
26 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
8 Evergreen Medical Offices 2942 Evergreen Parkway Evergreen CO 80439
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-942-3100 Weight Management303-861-3400
9 Franklin Medical Offices 2045 Franklin St Denver CO 80205
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Ambulatory Surgery 303-764-4442 AudiologyHead and
Neck Surgery303-861-3404 Cardiovascular Services
Cardiac Rehab303-861-3441 Cardiology303-861-3402 Heart Failure303-861-3402 Holter Test303-861-3402 Treadmill 303-764-5636
Complementary Medicine1-844-800-0788 Dermatology303-338-3376 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Genetics 303-764-4520 Gyn-Oncology 303-764-5530 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-861-3302 Interventional Radiology303-861-3550 Maternal Fetal Medicine303-764-8570 Medical Imaging303-338-3456 Medical Imaging File Room303-764-4391 Metabolic Surgical
Weight Management 303-861-3400 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545
Opthalmology 303-861-3595 Optical Dispensing 303-861-3430 Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-764-4425 Pharmacy 303-764-4900 Plastic Surgery 303-861-3368 Prenatal Genetic Counseling 303-764-8568 Rheumatology 303-764-4480 Supportive Care Services 303-861-3481 Urogynecology 303-764-5525 Urology 303-861-3406 Vascular Therapy303-861-3688
10 Hidden Lake Medical Offices 7701 Sheridan Blvd Westminster CO 80003
Specialty departments and other servicesBehavioral Health 303-471-7700 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-657-6700 Weight Management303-861-3400
11 Highlands Ranch Medical Offices 9285 Hepburn StHighlands Ranch CO 80129
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Optical Dispensing 720-348-4750 Optometry 303-338-4545 Pharmacy 720-348-4600 Weight Management303-861-3400
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Medical Office and Specialty Department Directory
12 Ken Caryl Medical Offices 7600 Shaffer Parkway Littleton CO 80127
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 720-922-5050 Weight Management303-861-3400
13 Lakewood Medical Offices 8383 W Alameda Ave Lakewood CO 80226
Specialty departments and other servicesAllergy 303-239-7342 Complementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Optical Dispensing 303-239-7290 Optometry 303-338-4545 Pharmacy 303-239-7400 PhysicalOccupational Therapy303-861-3105 Weight Management303-861-3400
14 Lone Tree Medical Offices 10240 Park Meadows Drive Lone Tree CO 80124
Specialty departments and other servicesAdvanced Wound Care 303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiology303-861-3402 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services303-649-5460 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optical Dispensing 303-649-5496
Optometry 303-338-4545 Orthopedics 303-861-3408 PEEC (Patient Evaluation amp
Education Center)303-649-5730 Pharmacy 303-649-5550 Physical Therapy303-861-3105 Rheumatology 303-764-4480 Supportive Care Services 303-649-5989 Urology 303-861-3406
15 Longmont Medical Offices 2345 Bent Way Longmont CO 80503
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-678-3300 Weight Management303-861-3400
16 Midtown Medical Office Building1960 N Ogden StDenver CO 80218
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Maternal Fetal Medicine303-764-8570 Prenatal Genetic Counseling 303-764-8568
17 Parker Medical Offices 10168 Parkglenn Way Parker CO 80138
Specialty departments and other servicesBehavioral Health 303-471-7700 Laboratory 720-842-5820 Medical Imaging720-842-5827 Pharmacy 720-842-5810
DB denverboulder
The Physical and Occupational Therapy Department is located at 8015 W Alameda Ave Level B Suite 60 Lakewood CO 80226
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
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kporg 61022708_18_2018MRG_CO_Update August2018
28 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
DB DenverBoulder Service Area
18 Rock Creek Medical Offices 280 Exempla CircleLafayette CO 80026
Specialty departments and other servicesAdvanced Wound Care Center303-764-4447 Allergy 303-239-7342 AudiologyHead and
Neck Surgery303-861-3404 Cardiac Rehab 303-861-3441 Cardiology303-861-3402 Dermatology303-338-3376 Endocrinology 303-764-4665 Gastroenterology 303-649-5300 General Surgery 303-861-3610 Hearing Services 303-338-3215 Hematology Oncology amp
Infusion Services720-536-7200 Laboratory 720-536-6400 Medical Imaging303-338-3456 Neurology 303-861-3380 Neurosurgery amp Spine Clinic 303-861-3303 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Opthalmology 303-861-3595 Optometry 303-338-4545 Orthopedics 303-861-3408 Pathology720-536-6785 PEEC (Patient Evaluation amp
Education Center)720-536-6625 Pharmacy 720-536-7888 Physical Therapy303-861-3105 Plastic Surgery 303-861-3368 Pulmonology303-861-3337 Rheumatology 303-764-4480 Sleep Medicine303-861-3382 Supportive Care Services 720-536-6404 Urology 303-861-3406 Weight Management303-861-3400
19 Skyline Medical Offices 1375 E 20th Ave Denver CO 80205
Specialty departments and other servicesChemical Dependency 303-471-7700 Endocrinology 303-764-4665 Infectious Disease303-861-3133 Laboratory 303-764-4484 Medical Imaging303-338-3456 Neurology 303-861-3380 Nutrition Services 303-338-4545 Pharmacy 303-764-4669 Physical Therapy303-861-3105 Pulmonology303-861-3337 Rehabilitation Medicine303-861-3080 Sleep Medicine303-861-3382
20 Smoky Hill Medical Offices 16290 E Quincy AveAurora CO 80015
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Pharmacy 303-699-3820 Weight Management303-861-3400
Check before you go Facility information is current at time ofpublication Hours and locations are subject tochange Always call the Appointment and Advice Contact Center for the latest details
DenverBoulder303-338-4545 (TTY 711)
MountainNorthernSouthern Colorado1-800-218-1059 (TTY 711)
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Medical Office and Specialty Department Directory
21 Southwest Medical Offices 5257 S Wadsworth Blvd Littleton CO 80123
Specialty departments and other servicesMedical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Pharmacy 303-972-5010 Weight Management303-861-3400
22 Westminster Medical Offices 11245 Huron St Westminster CO 80234
Specialty departments and other servicesComplementary Medicine1-844-800-0788 Gyn-Oncology 303-338-4545 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-457-6570 Optometry 303-861-3595 Pediatric Speech Pathology 303-788-1115 Pharmacy 303-457-6200 Weight Management303-861-3400
23 Wheat Ridge Medical Offices 4803 Ward Road Wheat Ridge CO 80033
Specialty departments and other servicesHearing Services 303-338-3215 Medical Imaging303-338-3456 Nutrition Services 303-338-4545 Obstetrics-Gynecology 303-338-4545 Optical Dispensing 303-421-5078 Optometry 303-338-4545 Pharmacy 303-421-5050 Physical Therapy303-861-3105 Weight Management303-861-3400 D
B denverboulder
Did you know We offer evening and weekend pharmacy hours at bull Aurora Centrepoint Medical Offices bull Lone Tree Medical Offices bull Lakewood Medical Offices bull Westminster Medical Offices Monday-Friday 8 am-9 pm and Saturday-Sunday 8 am-6 pm
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
30 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
M Mountain Colorado Service Area
9
82
Edwards Avon
Vail
Frisco
Eagle
24
Glenwood Springs
2E1
X1 1 U1
U2
E2 X2
E3
X370
70
Medical Offices
1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building
2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center
1 Kaiser Permanente medical offices E Emergency care U Urgent care X Extended hours care
Specialty departments and other services Allergy 970-207-7171 Dermatology970-207-7171 Endocrinology 970-207-7171 Family Medicine 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Infectious Disease970-207-7171 Internal Medicine 970-207-7171 Medical Imaging970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Opthalmology 970-207-7171 Optometry 970-207-7171 Orthopedics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Rehabilitation Medicine970-207-7171 Rheumatology 970-207-7171 Supportive Care Services 970-207-7171
Specialty departments and other services Allergy 970-207-7171 Cardiology970-207-7171 Dermatology970-207-7171 Family Medicine 970-207-7171 Gastroenterology 970-207-7171 General Surgery 970-207-7171 Hematology Oncology amp
Infusion Services970-207-7171 Medical Imaging 970-207-7171 Nephrology970-207-7171 Neurology 970-207-7171 Obstetrics-Gynecology 970-207-7171 Orthopedics 970-207-7171 Pediatrics 970-207-7171 Plastic Surgery 970-207-7171 Primary Care970-207-7171 Pulmonology970-207-7171 Supportive Care Services 970-207-7171
Specialty services are subject to change Some services and specialties are available through Kaiser Permanente medical offices in DenverBoulder or through network providers
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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anage your care
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Extended Hours Care
To help us better serve you please call aheadto make an appointment
X1 Colorado Mountain Medical 377 Sylvan Lake Road Suite 210Eagle CO 81631970-926-6340
X2 Colorado Mountain Medical 50 Buck Creek Lane Suite 200 Avon CO 81620 970-926-6340
X3 Colorado Mountain Medical 108 S Frontage Road W Suite 101Vail CO 81657 Located in the US Bank Building970-926-6340
Urgent Care
To better serve you please call ahead to make anappointment and find out hours of operation
U1 Edwards Medical Offices 56 Edwards Village Blvd Suite 206 Edwards CO 81632 Located in Edwards Corner Building970-207-7171
U2 Frisco Medical Offices 226 Lusher Court Suite 104 Frisco CO 80443 Located at Basecamp Retail Center970-207-7171
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital Or if timeand safety permit you can go to the emergencydepartment at one of the following hospitals
E1 Valley View HospitalIn-plan hospital1906 Blake Ave Glenwood Springs CO 81601970-945-6535
E2 Vail Health 180 S Frontage Road WestVail CO 81657 970-476-2451
E3 St Anthony Summit Medical Center340 Peak One Drive Frisco CO 80443 970-668-3300
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
M m
ountain colorado
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
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anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
32 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
N Northern Colorado Service Area
Loveland
FORT COLLINS
Estes Park
Windsor
Greeley
Johnstown 85
3434
14
60
287
257
25
1
3
4
U1
U3
U2 E1
E3
E5
E2 E4
X1
X4
X6
X2
X5
X8
2
X7
Berthoud X3
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
X
U4
Medical Offices
1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Dermatology970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-207-7133 Primary Care970-207-7171 Supportive Care Services 970-350-7821
2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-350-7740 Primary Care970-207-7171 Supportive Care Services 970-350-7821
3 Loveland Medical Offices 4901 Thompson Parkway Loveland CO 80534-6426
Specialty departments and other servicesBehavioral Health 1-866-359-8299 Complementary Medicine1-844-800-0788 Dermatology970-613-2450 Endocrinology 970-613-2450 Laboratory 970-207-7171 Medical Imaging970-207-7171 Nutrition Services 970-207-7171 Pharmacy 970-613-2330 Primary Care970-207-7171 Rheumatology 970-613-2450 Sleep Medicine970-613-2450 Supportive Care Services 970-350-7821
4 Spring Creek Medical Offices1136 E Stuart St 200 Building 3 2nd FloorFort Collins CO 80525
Specialty departments and other servicesLaboratory 970-207-7171 Pharmacy 970-419-3720 Primary Care970-207-7171 Supportive Care Services 970-350-7821
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
N
northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Extended Hours Care
Kaiser Permanente also offers extended hours care at the facilities listed below For us to better serve you please call and make an appointmentahead of time
X1 Fort Collins Medical Offices 2950 E Harmony Road Suite 190 Fort Collins CO 80528 970-207-7171 MonndashFri 530ndash730 pm
X2 Greeley Medical Offices 2429 35th Ave Greeley CO 80634 970-207-7171 MonndashFri 530ndash730 pm
X3 Banner Health Clinic mdash Berthoud 401 10th St Berthoud CO 80513970-532-3910
X4 Banner Health Clinic mdashFamily Practice 702A W Drake Road AFort Collins CO 80526 970-821-4600
X5 Banner Health Clinic mdashFamily Practice 222 Johnstown Center Drive Johnstown CO 80534 970-587-4974
X6 Banner Health Clinic mdashFamily Practice 1230 14th St SW Loveland CO 80537 970-820-3999
X7 Banner Health Clinic mdash Loveland 2701 Madison Square DriveLoveland CO 80537970-820-3999
X8 Banner Health Clinic mdashWindsor 1300 Main St Windsor CO 80550 970-686-5646
Urgent Care
U1 Banner Health Clinic mdash Skyline Urgent Care2555 E 13th St Suite 110 Loveland CO 80537 970-820-4264
U2 Banner Health Clinic mdash Summit View Urgent Care2001 70th Ave Suite 110 Greeley CO 80634 970-810-4155
U3 Banner Urgent Care3617 S College Ave Suite C Fort Collins CO 80525 970-821-1500
U4 HealthCare Clinic of Fort Collins 1721 W Harmony Road 102 Fort Collins CO 80526 970-223-1999
Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
E1 Estes Park Medical Center 555 Prospect AveEstes Park CO 80517 970-586-2317
E2 Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 970-820-4640
E3 Banner North Colorado Emergency Care2000 70th Ave Greeley CO 80634 970-810-2636
E4 Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 970-810-4121
E5 Banner Fort Collins Medical Center 4700 Lady Moon DriveFort Collins CO 80538 970-821-4000
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northern colorado
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
34 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
COLORADO SPRINGS
Monument
1
2
U18
U3
E8
E10
E4
E2
E9
E5
E14
E6
E3
E7
U6
U2
U12
X2
X4
U7
U11 X1
U13
U17 U16
U22
25
24
87
24
94 21
83
Fountain
Falcon
Woodland Park
25
Southern Colorado Service Area S
U1E1
E11
E12
E13
3 U19
50
50
96
67
78
115
Cantildeon City
PUEBLO
Extended hours care
1 Kaiser Permanente medical offices
E Emergency care
U Urgent care
U4
U5
U8
U9
U10
U14
U15
U20
U21
X
X3
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
S southern
colorado
In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Medical Offices
1 Briargate Medical Offices4105 Briargate Parkway Suite 125Colorado Springs CO 80920
Specialty departments and other servicesAllergy 719-282-2540 Complementary Medicine 1-844-800-0788 Dermatology 719-282-2540 Hearing Services 719-282-2420 Laboratory719-282-2533 Nutrition Services719-282-2488 Optometry 719-282-2450 Pharmacy 719-282-2533 Primary Care 719-282-2533 Supportive Care Services719-327-6521
2 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Specialty departments and other servicesCardiology 719-327-6610 Endocrinology719-327-6552 Laboratory719-327-6540 Medical Imaging 719-327-6540 Pharmacy 719-327-6565 Primary Care 719-327-6540 Sleep Medicine 719-282-2580 Supportive Care Services719-282-2482
3 Pueblo North Medical Offices 3670 Parker Blvd Suite 200 Pueblo CO 81008
Specialty departments and other servicesComplementary Medicine 1-844-800-0788 Hearing Services 719-282-2413 Laboratory719-595-5755 Medical Imaging 719-595-5755 Pharmacy 719-595-5367 Primary Care 719-595-5755 Sleep Medicine 719-595-5350 Supportive Care Services719-595-5322
Extended Hours Care
Kaiser Permanente also offers extended hours and contracts with the facilities listed below For us to better serve you please call and makean appointment ahead of time
Colorado Springs X1 DaVita Medical Group
1633 Medical Center Point Colorado Springs CO 80907 719-636-2999
X2 DaVita Medical Group 600 S 21st St Colorado Springs CO 80903 719-635-5900
X3 Parkside Medical Offices 215 Parkside Drive Colorado Springs CO 80910
Monument X4 DaVita Medical Group
15909 Jackson Creek Parkway Monument CO 80132 719-488-9933
Medical office and pharmacy hours
Visit kporglocations for hours of each medical office
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In network for members with KP Select plans
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
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Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
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38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
36 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
S Southern Colorado Service Area
Urgent Care
Cantildeon City U1 Centura Health Urgent
Care Cantildeon City3245 E US Highway 50Suite E Cantildeon City CO 81212 719-285-2888
Colorado Springs U2 Alliance Urgent Care1
9320 Grand Cordera Parkway Suite 100Colorado Springs CO 80924719-282-6337
U3 Centura Health Urgent Care Broadmoor 1263 Lake Plaza Drive Suite 120 Colorado Springs CO 80906719-776-3330
U4 Childrenrsquos Hospital Colorado Urgent andOutpatient Specialty Careat Briargate12
4125 Briargate ParkwayColorado Springs CO 80920719-305-5437
U5 Colorado CompleteUrgent Care1
8115 Voyager ParkwayColorado Springs CO 80920719-203-3300
U6 Concentra Urgent Care1
2322 S Academy BlvdColorado Springs CO 80916719-390-1727
U7 Concentra Urgent Care1
5320 Mark Dabling BlvdBuilding 7 Suite 100Colorado Springs CO 80918719-592-1584
U8 Emergicare Medical Clinics13
3002 S Academy BlvdColorado Springs CO 80916719-390-7017
U9 Emergicare Medical Clinics13
4083 Austin Bluffs ParkwayColorado Springs CO 80918719-594-0046
U10 Emergicare Medical Clinics13
402 W Bijou StColorado Springs CO 80905719-302-6942
U11 Penrose Community Urgent Care3027 N Circle Drive Colorado Springs CO 80909719-776-3216
U12 UCHealth Urgent Care1
1035 Garden of the Gods Road Suite 120 Colorado Springs CO 80907719-329-1000
U13 UCHealth Urgent Care1
4323 Integrity Center PointColorado Springs CO 80917719-591-2558
U14 UCHealth Urgent Care1
2767 Janitell Road Colorado Springs CO 80906719-365-2888
U15 UCHealth Urgent Care1
13445 Voyager ParkwayColorado Springs CO 80921719-219-0333
Falcon U16 Falcon Urgent Care1
7475 McLaughlin RoadFalcon CO 80831 719-495-9994
U17 UCHealth Urgent Care1
11605 Meridian Market View Falcon CO 80831 719-364-9560
Monument U18 Centura Health Urgent
Care - Tri Lakes 17230 Jackson Creek Parkway Suite 120Monument CO 80132 719-571-7070
Pueblo U19 Emergicare Medical Clinics13
4117 N Elizabeth St Pueblo CO 81008 719-545-0788
U20 Southern Colorado Clinic PC 3676 Parker Blvd Pueblo CO 81008 719-553-2208
U21 Southern Colorado Clinic PC 3937 Ivywood Lane Pueblo CO 81005 719-553-0111
Woodland Park U22 Penrose Mountain
Urgent Care41 State Highway 67Woodland Park CO 80863 719-686-0551
1 In-network for members on KP Select plans 2 Pediatric care only 3 Medicare not accepted at these locations
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
S southern
colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
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Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Emergency Care
If you have an emergency medical conditioncall 911 or go to the nearest hospital If time andsafety permit we recommend you go to one ofthe following network emergency care locations
Cantildeon City E1 St Thomas More Hospital
1338 Phay AveCantildeon City CO 81212719-285-2000
Colorado Springs E2 UCHealth Memorial Hospital Central1
1400 E Boulder St Colorado Springs CO 80909719-365-5000
E3 UCHealth Memorial Hospital North1
4050 Briargate ParkwayColorado Springs CO 80920719-364-5000
E4 Penrose Hospital2222 N Nevada Ave Colorado Springs CO 80907719-776-5000
E5 St Francis Medical Center 6001 E Woodmen Road Colorado Springs CO 80920719-571-5000
E6 UCHealth ER1
3790 E Woodmen Road Colorado Springs CO 80920719-264-5080
E7 UCHealth ER1
13510 Meadowgrass DriveColorado Springs CO 80921719-487-2060
E8 UCHealth ER1
7890 Fountain Mesa RidgeColorado Springs CO 80817719-390-2680
E9 UCHealth ER1
2770 N Powers Blvd Colorado Springs CO 80922719-638-3000
E10 UCHealth Grandview Hospital1
5623 Pulpit Peak View Colorado Springs CO 80918719-272-3600
Pueblo E11 Parkview Medical Center
400 W 16th St Pueblo CO 81003 719-584-4000
E12 Parkview EmergencyServices at Pueblo West 899 E Industrial Blvd Pueblo CO 81007 719-288-2100
E13 St Mary-Corwin Medical Center1008 Minnequa AvePueblo CO 81004 719-557-4000
Woodland Park E14 UCHealth Pikes Peak Regional Hospital1
16420 US Highway 24Woodland Park CO 80863 719-687-9999
Medical office and pharmacy hours Visit kporglocations for hours of each medical office 1 In-network for members on KP Select plans
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colorado
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
38 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
BE INFORMED Notice of Privacy Practices Our regional Notice of Privacy Practicesdescribes how medical information about youmay be used and disclosed and how you canaccess it It also describes our responsibility tonotify you if there is a breach of your ProtectedHealth Information We want to remind you aboutthis notice and how you may obtain a copy ifyou want one This notice is part of the federalHealth Insurance Portability and AccountabilityAct (HIPAA) Protected health informationis an important part of HIPAA rules Due tomodifications to HIPAA the Notice of PrivacyPractices underwent material changes in 2013 You can view a copy online atkporgprivacy or request a printed copy bycalling Member Services
Disability Access It is our policy to make our facilities services and programs accessible to individuals withdisabilities in compliance with federal andstate laws that prohibit discrimination basedon disability Kaiser Permanente provides reasonable accommodations to individuals with disabilities including (1) access to serviceanimals and their users except where the animalposes a significant risk to health or safety (2)appropriate auxiliary aids and services when necessary to ensure effective communicationwith individuals with hearing cognitive andorcommunication-related disabilities includingqualified sign language interpreter services andinformational materials in alternative formats (examples include large print audio tapeCDselectronic textsdisksCD-ROMS and Braille)and (3) accessible exam rooms and medicalequipment for individuals with disabilities
New Technology Kaiser Permanente evaluates new and emergingmedical technologies and existing technologieson an ongoing basis These evaluators considerwhether the new technology is safe and effectiveas determined by clinical specialists inside andoutside Kaiser Permanente
They also consider the technologyrsquos benefits and under what conditions it is appropriate tobe used The Interregional New TechnologiesCommittee a national Kaiser Permanente group and local new technology committees makerecommendations to clinicians regarding themedical appropriateness of the technology Formore information contact Member Services
Advance Directives Kaiser Permanente complies with the provisionsof the federal Patient Self-Determination Act Patients are informed of their right to consentto or refuse treatment and to initiate Advance Directives Colorado law also provides forAdvance Directives including directivespertaining to cardiopulmonary resuscitation(CPR) Kaiser Permanente providers will inform you if they cannot implement an AdvanceDirective on the basis of conscience This information is provided in writing or in analternate format appropriate for you The provider will transfer your care to anotherprovider of your choice who is willing to complywith the Advance Directive We encourage youto think about and document your health carechoices now regardless of age in case yoursquore ever unable to speak for yourself For somepeople it can be uncomfortable to talk aboutillness injury and dying Although it isnrsquot always easy itrsquos important to have conversations aboutwhat you value most in life and how you wouldwant to be treated in specific health or medicalsituations For more information and to download current forms visit kporgadvancedirective Get support from Kaiser Permanente through the LifeCare Planning service at kporglifecareplan Take action to have your wishes known andhonored by attending a free Life Care PlanningFirst Steps Class (with your chosen health careagent) and complete an Advance Directive Call1-866-868-7112 (TTY 711) to register
Additional information about advance directives can be found at the Colorado Departmentof Public Health and Environment website at cdphestatecous
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
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این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
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RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
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Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
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Questions or Concerns about Bioethics Kaiser Permanente has an ethics committee to assist in analyzing medical and businessdecisions Bioethics applies general moralprinciples to medicine and health care Thecommittee offers recommendations to staff and physicians on bioethical policies and practicesIt does not handle specific patient cases orcomplaints on care or service For informationabout the Bioethics Committee and its activities contact Member Services
Principles of Resource Stewardship(Utilization Management) Kaiser Permanentersquos Quality and ResourceManagement Program has adopted the following principles
bull Utilization management decision making isbased only on appropriateness of care andservice and existence of coverage
bull The organization does not specifically rewardpractitioners or other individuals for issuingdenials of coverage
bull Financial incentives for utilization managementdecision makers do not encourage decisionsthat result in underutilization
bull Kaiser Permanente will ensure that all benefitcoverage determinations are adjudicated in amanner designed to ensure the independenceand impartiality of the persons involved inmaking the decision
bull The organization is also prohibited from makingdecisions regarding hiring promoting orterminating its practitioners or other individualsbased upon the likelihood or perceivedlikelihood that the individual will support or tendto support the denial of benefits
For Resource Stewardship process or referralinquiries please call 1-877-895-2705 (TTY 711)Monday through Friday 830 am to 430 pmStaff will provide a telephone interpreter to assist with utilization management issues toindividuals who speak limited or no English freeof charge If you call after normal business hoursfor the Colorado service area your message willbe forwarded to our utilization managementstaff and your call will be returned the nextbusiness day Staff are identified by nametitle and organization name when initiating
calls or returning calls regarding UM issuesUtilization criteria are applied along with medicalexpert opinions when necessary in makingauthorization decisions To obtain a copy ofResource Stewardship utilization managementcriteria free of charge please call ResourceStewardship at 1-877-895-2705 (TTY 711) or visit kporgquality
Measuring Care and Service Quality The true meaning of quality care is the impact ithas on your life See how Kaiser Permanente isleading the way in member satisfaction hospitalsafety and more For more information aboutour quality progress or to request a copy of ourIntegrated Patient Quality Program Descriptioncall us at 303-344-7293 (TTY 711) Mondaythrough Friday 730 am to 4 pm or visitkporgquality
Complaints Claims and Appeals We want you to be satisfied with KaiserPermanente Please let us know when you haveconcerns complaints or compliments Thefollowing information is an overview please referto your Evidence of Coverage or Membership Agreement for complete information on filingclaims appeals and member satisfaction
Complaints about quality of care or serviceor access to facilities or services If you have a complaint about your quality ofcare or service or access to facilities services or programs you may file a complaint online contacta patient assistance coordinator or a MemberServices representative at your local Plan facilityor you can call Member Services to discuss yourissue To file a complaint online go tokporgmemberservices Our representatives will advise you about your resolution process and ensure that the appropriate parties reviewyour complaint Kaiser Permanente will makeappropriate arrangements to ensure thatpersons with disabilities are provided otheraccommodations if needed to participate inthe dispute resolution and complaint processesAdditionally Kaiser Permanente will notretaliate against anyone who files a grievance orcooperates in the investigation of a grievance ingood faith
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
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information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
43 kporg
Be informed
get carem
anage your care
Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
40 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
Claims Submitting claims for processing and financialreimbursement is an infrequent necessity forsome Kaiser Permanente members When you obtain emergency or urgent care outside theDenverBoulder service area under the terms of your Plan you may ask the providers to billthe Claims Department at the address listedbelow If the provider mails you a bill pleasecontact your provider and ask that they submitthe detailed bill to our claims department Ineither case we pay our share and let you knowhow much if anything you owe If the providerrequires payment at the time of service wesuggest you pay in order to obtain the requiredservices If you pay the provider directly wersquoll reimburse you for our share of the costs Formore details please refer to your Evidence ofCoverage or Membership Agreement To obtain reimbursement please send your request forpayment along with all bills and receipts to
Kaiser Permanente Claims DepartmentPO Box 373150 Denver CO 80237-3150
You can obtain a claim form online at kporg Be sure your Kaiser Permanente healthrecord number is included on any writtencorrespondence to the Claims Department Incomplex cases involving questions about travelabroad third-party liability or car or motorcycleaccidents (for example) we suggest you contactthe Claims Department at 1-800-382-4661 (TTY 711) Monday through Friday 8 am to5 pm to discuss the circumstances and toobtain the forms yoursquoll need for appropriatereimbursement
AppealsIf you have had a claim or service request deniedyou may appeal that decision in writing Mailyour appeal to
Kaiser Permanente Appeals ProgramPO Box 378066 Denver CO 80237-8066
Refer to the document you received denyingyour claim or service as it outlines your appealrights in detail
Dispute Resolution We are committed to promptly resolving yourconcerns complaints and grievances Anyperson who believes that she or he has beensubjected to discrimination on the basis of adisability may file a complaint or grievanceunder this procedure The following sectionsdescribe some dispute-resolution options thatmay be available to you Please refer to yourEvidence of Coverage (EOC) or Membership Agreement or speak with a Member Services representative for the dispute-resolution optionsthat apply to you This is especially important ifyou are a Medicare member because you havedifferent dispute-resolution options availableThe information below is subject to change whenyour EOC or Membership Agreement is revisedand the revised EOC or Membership Agreementreplaces the information in this guidebook
We will confirm receipt of your complaintgrievance or appeal within 5 days We willinvestigate your complaint or grievance andwill send you our decision within 30 days fromthe date we received your written or verbalcomplaint We will make every attempt toresolve your issue promptly The person filingthe grievance or complaint may appeal theinitial decision and we will issue a decision within 30 days from the date we received yourwritten or verbal request for an appeal In thecase of an expedited review we will respond inless than 30 days as described in this section If Member Services can resolve your grievanceto your satisfaction by the end of the followingbusiness day we will not provide any writtencommunications relating to your issue
Member Rights and Responsibilities Policy We are partners in your health care Yourparticipation in your health care decisions andyour willingness to communicate with yourdoctor and other health professionals help usin providing you with appropriate and effectivehealth care We want to make sure you receivethe information you need to make decisionsabout your health care We also want to makesure your rights to privacy and to considerateand respectful care are honored As a member ofKaiser Permanente you have the right to receive
41 kporg
Be informed
get carem
anage your care
information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
43 kporg
Be informed
get carem
anage your care
Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
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DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
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Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
41 kporg
Be informed
get carem
anage your care
information about your rights and responsibilitiesand to make recommendations about our member rights and responsibilities policiesYou may also view this information at kporgmemberrights-co
You have the right to bull Participate in your health care This includes
the right to receive the information youneed to accept or refuse a recommendedtreatment Emergencies or other circumstancesoccasionally may limit your participation ina treatment decision In general you will notreceive medical treatment before you or yourlegal representative gives consent You havethe right to be informed and to decide if youwant to participate in any care or treatmentthat is considered educational research or human experimentation
bull Express your wishes concerning future careYou have the right to choose a person to makemedical decisions for you and to expressyour choices about your future care if youare unable to do so yourself These choicescan be expressed in documents such as adurable power of attorney for health care aliving will or a CPR directive Inform your familyand your doctor of your wishes and give themcopies of documents that describe your wishesconcerning future care
bull Receive the medical information you need toparticipate in your health care This informationincludes the diagnosis if any of a healthcomplaint the recommended treatmentalternative treatments and the risks and benefits of the recommended treatment We will make this information as clear as possibleto help you understand it You are entitledto an interpreter if you need one You alsohave the right to review and receive copies ofyour medical records unless the law restrictsour ability to make them available You havethe right to participate in making decisionsinvolving ethical issues that may arise duringthe provision of your care
bull Receive information about the outcomes of care you have received includingunanticipated outcomes When appropriatefamily members or others you have designatedwill receive such information
bull Receive information about Kaiser Permanente as an organization its practitioners providersservices and the people who provide yourhealth care You are entitled to know the name and professional status of the individuals whoprovide your service or treatment
bull Receive considerate respectful care Werespect your personal preferences and values
bull Receive care that is free from restraint or seclusion We will not use restraint or seclusion as a means of coercion disciplineconvenience or retaliation
bull Have a candid discussion of appropriateor medically necessary treatment optionsfor your condition(s) You have the rightto this discussion regardless of cost orbenefit coverage
bull Have impartial access to treatment You havethe right to all medically indicated treatmentthat is a covered benefit regardless of yourrace religion sex sexual orientation nationalorigin cultural background disability orfinancial status
bull Be assured of privacy and confidentiality Youhave the right to be treated with respect anddignity We will honor your need for privacyand will endeavor not to release your medicalinformation without your authorization exceptas required or permitted by law
bull Have a safe secure clean and accessible environment
bull Choose your physician You have the rightto select and change physicians within theKaiser Permanente Health Plan You have the right to a second opinion by a KaiserPermanente physician You have the rightto consult with a non-Kaiser Permanente physician at your expense
bull Know and use member satisfaction resources You have the right to know about resourcessuch as patient assistance customer serviceand grievance and appeals committeeswhich can help you answer questions andresolve problems You have the right to makecomplaints and appeals without concern thatyour care will be affected Your membershipbenefits booklet (Evidence of Coverageor Membership Agreement) describesprocedures to make formal complaints Wewelcome your suggestions and questions
You or your guardian next of kin or a legally authorized responsible person
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
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To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
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DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
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Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
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N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
42 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
about Kaiser Permanente our services our health professionals and your rightsand responsibilities
bull Review amend and correct your medical records as needed Kaiser Permanente does not discriminate against any person on the basis of age race ethnicity color national origin cultural background ancestry language religion sex gender identity gender expression sexual orientationmarital status physical or mental disability or genetic information in admission treatment or participation in its programs servicesand activities
DB
N
S
M
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member ServicesSenior Advantage and Medicare memberscan contact Kaiser Permanente Member Services at 1-800-476-2167 (TTY 711)7 days a week 8 am to 8 pm
To speak with a representative about ourpolicies and procedures including benefitsand coverage contact Member Services
You are responsible to bull Know the extent and limitations of your health
care benefits An explanation of benefits iscontained in your Evidence of Coverage orMembership Agreement
bull Identify yourself You are responsible for yourmembership card for using the card only as appropriate and for ensuring that other peopledo not use your card Misuse of membershipcards may constitute grounds for termination of membership
bull Keep appointments You are responsible forpromptly canceling any appointment that you do not need or cannot keep
bull Provide accurate and complete informationYou are responsible for providing accurateinformation about your present and past medicalconditions as you understand them You shouldreport unexpected changes in your conditionto your doctor
bull Understand your health problems andparticipate in developing mutually agreed upontreatment goals to the degree possible
You or your guardian next of kin or a legally authorized responsible person
bull Follow the treatment plan on which you andyour health care professional agree Youshould inform your doctor if you do not clearlyunderstand your treatment plan and what isexpected of you If you believe you cannot follow through with your treatment you are responsiblefor telling your doctor
bull Recognize the effect of your lifestyle on yourhealth Your health depends not only on care provided by Kaiser Permanente but also on the decisions you make in your daily life such assmoking or ignoring care recommendations
bull Be considerate of others You should be considerate of health professionals and other patients Disruptive unruly or abusive conduct may constitute grounds for termination of membership You should also respect the property of other people and of Kaiser Permanente
bull Fulfill financial obligations You are responsiblefor paying on time any money you owe Kaiser Permanente Nonpayment of amounts owed may constitute grounds for termination of membership If you are a Child Health Plan Plus (CHP+) member please refer to your Membership Agreement for your full list of rights and responsibilities
Womenrsquos Health and Cancer Rights Act of 1998 In accordance with the Womenrsquos Health and Cancer Rights Act of 1998 and as determined inconsultation with the attending physician and thepatient we provide the following coverage after a mastectomy
bull Reconstruction of the breast on which the mastectomy was performed
bull Surgery and reconstruction of the otherbreast to produce a symmetrical (balanced) appearance
bull Prostheses (artificial replacements) bull Services for physical complications resulting
from the mastectomy
Look for information specific to your service area throughout this guide
DB
M
N
S
DenverBoulder service area
Mountain Colorado service area
Northern Colorado service area
Southern Colorado service area
43 kporg
Be informed
get carem
anage your care
Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
43 kporg
Be informed
get carem
anage your care
Who Pays First When You Have Additional Insurance When you have additional insurance coveragehow we coordinate your Kaiser Permanente benefits with benefits from other insurance depends on your situation If you have additionalhealth insurance please call Member Services tofind out which rules apply to your situation andhow payment will be handled
How to Get Information About Coverage If you have questions about obtaining coverageor understanding your current coverage pleasecall Member Services
Patient-Centered Medical Home at Kaiser Permanente Medical Offices
At Kaiser Permanente our mission is to providehigh-quality affordable health care to improvethe health of our members Wersquove alwaysbelieved in putting you and your health first Ourapproach is to build a stronger more personalpartnership with you mdash one that provides youwith seamless comprehensive and proactive care The Patient-Centered Medical Home is a team-based approach to health care that focuseson providing personalized comprehensive and evidence-based medical care to patientsusing a physician-led team of professionals Webelieve that maintaining a continuous healingrelationship with the personal physician of yourchoice is the best way to ensure that you reachmaximum health
Your physician and health care team
bull Help you plan and manage your health care bull Listen to your concerns and answers your
health questions bull Coordinate your care across multiple settings
including behavioral health bull Encourage you to play an active part in your
own health care bull Provide education and self-management
support
YOU are the most important member of yourteam Our physicians and skilled professionalswork together to understand and meet yourhealth care needs Members of your team mayinclude board-certified physicians physician
assistants nurse practitioners registerednurses pharmacists licensed practical nursesmedical assistants care managers behavioralhealth practitioners registered dietitians socialworkers and community health specialists
Kaiser Permanente Publications and Announcements Most of our publications or important documentscan be downloaded at kporgformsandpubs Additionally wersquoll keep you up to date on KaiserPermanente through your member e-newsletter as well as additional mailings and emails Weencourage you to register on kporg to receive the monthly e-newsletter It allows you to getimportant health plan news and updatesvaluable health tips and information aboutchanges at Kaiser Permanente medical offices orspecialty services
Bookmark kporgmembernews-co to stay upto date with the latest member news from Kaiser Permanente This web page is uniquely designedto keep you informed of whatrsquos going on atKaiser Permanente with information specific to your area
Information Subject to Change The information in the Member Resource Guide is updated annually and is current at time ofpublication The availability of physicianshospitals providers and services may changeFor a complete and updated list of our physiciansand specialists visit kporglocations If you havequestions about the information in this guideplease call Member Services
Member and Marketing Communicationspublishes the Member Resource Guide annuallyfor Kaiser Permanente members We welcome your comments Please write to us at
Member and Marketing CommunicationsKaiser Permanente 2500 S Havana St 2nd Floor Aurora CO 80014
or email us at CO-MemberCommunicationskporg
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
44 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
__________________________________________________________________
NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of racecolor national origin age disability or sex Kaiser Health Plan does not exclude people or treat them differently because of race color national origin age disabilityor sex We also
bull Provide no-cost aids and services to people with disabilities to communicateeffectively with us such asbull Qualified sign language interpreters bull Written information in other formats such as large print audio and
accessible electronic formats
bull Provide no-cost language services to people whose primary language is notEnglish such asbull Qualified interpretersbull Information written in other languages
If you need these services call 1-800-632-9700 (TTY 711)
If you believe that Kaiser Health Plan has failed to provide these services ordiscriminated in another way on the basis of race color national origin agedisability or sex you can file a grievance by mail at Customer Experience Department Attn Kaiser Permanente Civil Rights Coordinator 2500 South Havana Aurora CO 80014 or by phone at Member Services 1-800-632-9700
You can also file a civil rights complaint with the US Department of Health andHuman Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at ocrportalhhsgov or by mail or phone at
Room 509F HHH Building Washington DC 20201 1-800-368-1019 1-800-537-7697 (TDD) Complaint forms are available at hhsgovocrfiling-with-ocr
US Department of Health and Human Services 200 Independence Avenue SW
HELP IN YOUR LANGUAGE ATTENTION If you speak English language assistance services free of charge are available to you Call 1-800-632-9700 (TTY 711)
አማርኛ (Amharic) ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711)
نمجالبا لك فراوتت ةيوغللا عدةمسالا تامخد نفإ ةيبالعر دثحتت كنت اذإ لحوظةم (Arabic) ةربيلعا )TTY 711( 9700-632-800-1 اتصل برقم
Ɓa sɔ ɔ Wuɖu (Bassa) Degrave ɖɛ nigraveagrave kɛ dyeacuteɖ eacute gbo Ɔ jǔ keacute m Ɓagravesɔɔ-wugraveɖugrave-po-nyɔ jǔ niacute nigraveiacute agrave wuɖu kagrave kograve ɖograve po-poɔ ɓɛigraven m gbo kpaacutea Ɖaacute 1-800-632-9700 (TTY 711)
中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-800-632-9700(TTY 711)
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
45 kporg
Be informed
get carem
anage your care
این بريگاارترصوبینابزتاليهست کنيد یم تگوفگیفارس نبازهب اگر 1-800-632-9700 (TTY 711) يدگيرب اسمت
(Farsi) هتوجاب دشاب می مهرافامش سیراف
Franccedilais (French) ATTENTION Si vous parlez franccedilais des services daide linguistique vous sont proposeacutes gratuitement Appelez le 1-800-632-9700 (TTY 711)
Deutsch (German) ACHTUNG Wenn Sie Deutsch sprechen stehen Ihnenkostenlos sprachliche Hilfsdienstleistungen zur Verfuumlgung Rufnummer 1-800-632-9700 (TTY 711)
Igbo (Igbo) NRỤBAMA Ọ bụrụ na ị na asụ Igbo ọrụ enyemaka asụsụ nrsquoefu dịịrị gị Kpọọ 1-800-632-9700 (TTY 711)
ただけます1-800-632-9700(TTY 711)までお電話にてご連絡ください
한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로이용 하실 수 있습니다 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오
Naabeehoacute (Navajo) Diacuteiacute baa akoacute niacuteniacutezin Diacuteiacute saad bee yaacuteniacutełtirsquogo Dineacute Bizaad saad beeaacutekaacutersquoaacuteniacutedarsquoaacuteworsquodeacuteeacutersquo trsquoaacuteaacute jiikrsquoeh eacuteiacute naacute hoacutel oacute koj irsquo hoacutediacuteiacutelnih 1-800-632-9700 (TTY 711)
को ननम छ 1-800-632-9700 (TTY 711) फोन गन
(Japanese)日本語 注意事項 日本語を話される場合無料の言語支援をご利用い
नसपाली (Nepali) धयान िदनहोस वाह न शलक पमा उपलबध
तपा ल पाली बोलनहनछ भन तपान तत भाषा सहायता होस
Afaan Oromoo (Oromo) XIYYEEFFANNAA Afaan dubbattu Oroomiffa tajaajila gargaarsa afaanii kanfaltiidhaan ala ni argama Bilbilaa 1-800-632-9700 (TTY 711)
Pусский (Russian)ВНИМАНИЕ eсли вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-800-632-9700 (TTY 711)
Espantildeol (Spanish) ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-800-632-9700 (TTY 711)
Tagalog (Tagalog) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kanggumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-800-632-9700 (TTY 711)
Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-800-632-9700 (TTY 711)
Yorugravebaacute (Yoruba) AKIYESI Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o E pe ero ibanisoro yi 1-800-632-9700 (TTY 711)
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
46 KAISER PERMANENTE COLORADO MEMBER RESOURCE GUIDE
GLOSSARY Coinsurance An amount you may be required to pay as yourshare of the cost for services after you pay anydeductibles Coinsurance is a percentage of thecharges
Copayment An amount you may be required to pay as yourshare of the cost for a medical service or supplyA copayment is usually a set amount rather than a percentage
Deductible The amount you pay for certain covered servicesbefore Kaiser Permanente starts paying most ofthe cost
Evidence of Coverage or Membership Agreement These documents explain benefits terms and conditions of your Kaiser Permanentemembership including information about yourshare of costs and exclusions
Explanation of benefits
A summary of health care charges that KaiserPermanente sends you after you see a provider or get a service It is not a bill It is a statementthat tracks the care yoursquove received and how close you are to reaching your deductible andout-of-pocket maximum
Formulary A list of prescription drugs covered by aprescription drug plan or another insurance planoffering prescription drug benefits Also called adrug list
Network provider Providers we contract with to provide servicesto members They include network hospitalsprimary care providers specialty physiciansmedical groups plan medical offices andpharmacies
Out-of-pocket maximum The maximum amount of deductible copayments and coinsurance you must pay ina year for covered services If you reach yourmaximum you wonrsquot have to pay anything forcertain covered services for the rest of the year
Service area The geographical area defined by ZIP codeswithin specified counties Refer to your Evidenceof Coverage or Membership Agreement for a list of ZIP codes
Online tools to manage your health Health classes Go to kporgclasses to see all classes available near you
Health encyclopediaIn-depth health information including symptomsand treatment options at kporghealth
Health guidesStay informed on popular health subjects atkporglivehealthy
Drug encyclopediaDescriptions of thousands of drugs includingpossible side effects at kporgmedications
RecipesGet inspired to prepare delicious healthy dishes at kporgfoodforhealth
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
47 kporg
Be informed
get carem
anage your care
RESOURCES Visit kporg to choose a physician find health resources chat with a doctor and so much moreFor further assistance use the phone numbers below
DB N
DenverBoulder service area Appointments and Advice303-338-4545
Member Services 303-338-3800
Pharmacy Services303-338-4503
Behavioral Health Services 303-471-7700
Medical Financial Counseling303-338-3025
M
Mountain Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-837-6884
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
Northern Colorado service area Appointments and Advice970-207-7171
Member Services 1-844-201-5824
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-359-8299
Medical Financial Counseling1-877-803-1929
S
Southern Colorado service area Appointments and Advice1-800-218-1059
Member Services 1-888-681-7878
Pharmacy Services1-866-244-4119
Behavioral Health Services 1-866-702-9026 (TTY 1-866-835-2755)
Medical Financial Counseling1-877-803-1929
If you like the care you receive at Kaiser Permanente Let us know by telling us what you think at
TTY 711 unless noted otherwise kporgwriteareview
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018
THANK YOU FOR CHOOSING KAISER PERMANENTE AS YOUR PARTNER IN HEALTH Learn more about your plan and Kaiser Permanente services available to you
Visit kporg or call Member Services Monday through Friday 8 am to 6 pm
DB
M
N
S
DenverBoulder service area303-338-3800 Mountain Colorado service area 1-844-837-6884 Northern Colorado service area 1-844-201-5824 Southern Colorado service area 1-888-681-7878
TTY 711
Stay Connected With Us
kporg facebookcom twittercom youtubecommembernews-co KPColorado KPColorado kaiserpermanenteorg
kporg 61022708_18_2018MRG_CO_Update August2018