Transcription
2018 Summary of BenefitsKaiser Permanente Medicare Plus (Cost)H-2150 3ODQ IRU UHWLUHHV RI *RYHUQPHQW RI WKH 'LVWULFW RI &ROXPELDThis is a summary of drug and health services covered by Kaiser Permanente Medicare Plus (Cost)January 1, 2018 - December 31, 2018.If you use providers that are not in our network, weKaiser Permanente Medicare Plus is anwill not pay for these services. You may file claimsintegrated care plan with a Medicare Costfrom any Medicare SURYLGHU WR 0HGLFDUH GLUHFWO\ \RX ZLOO EH UHVSRQVLEOH IRU DQ\ 0HGLFDUH contract. Enrollment in the Plan depends onGHGXFWLEOHV DQG FRLQVXUDQFH contract renewal.For coverage and costs of Original Medicare, look in The benefit information provided does not list\RXU FXUUHQW ³0HGLFDUH RX KDQGERRN 9LHZ RQOLQH DW every service that we cover or list every limitationZZZ PHGLFDUH JRY RU JHW D 0(',& 5( RU H[FOXVLRQ 7R JHW D FRPSOHWH OLVW RI VHUYLFHV ZH 77 XVHUV VKRXOG FDOO FRYHU SOHDVH UHTXHVW WKH ³(YLGHQFH RI &RYHUDJH For more information, please call .DLVHU 3HUPDQHQWH To join Kaiser Permanente Medicare Plus, youDW 77 XVHUV VKRXOG FDOO RU must be entitled to Medicare Part A, be enrolledYLVLW XV DW .3 RUJ 0HGLFDUH in Medicare Part B, and live in our service area.7KH .DLVHU 3HUPDQHQWH 0HGLFDUH 3OXV VHUYLFH DUHD LQFOXGHV WKH 'LVWULFW RI &ROXPELD QQH UXQGHO %DOWLPRUH &DUUROO &KDUOHV 0RQWJRPHU\ DQG 3ULQFH *HRUJHV &RXQWLHV LQ 0DU\ODQG %DOWLPRUH &LW\ DQG SDUWV RI &DOYHUW &DUUROO DQG )UHGHULFN &RXQWLHV LQ 0DU\ODQG DQG LQ 9LUJLQLD UOLQJWRQ )DLUID[ /RXGRXQ DQG 3ULQFH :LOOLDP &RXQWLHV DQG WKH FLWLHV RI OH[DQGULD )DLUID[ )DOOV &KXUFK 0DQDVVDV DQG 0DQDVVDV Premiums and BenefitsKaiser Permanente Medicare Plus (Cost).Monthly Plan PremiumYou pay the share of premium determined by 'LVWULFW RI &ROXPELD Government. You must continue to pay your Medicare Part Bpremium GLUHFWO\ WR 0HGLFDUH 6RFLDO 6HFXULW\ DeductibleMaximum Out-of-PocketResponsibility (does notinclude prescription drugs)No deductibleYou pay no more than 3,400 annuallyInpatient HospitalYou pay 100 per admission, per benefit period for Medicarecovered hosptializationsOutpatient HospitalYou pay 1 for office visits - Emergency Room 50Doctor Visitso Primaryo SpecialistsIncludes copays and other costs for medical services for the year.You pay 1 You pay 1 Prior authorization is required for specialist visits except for behavioral health,gynecology, routine vision examsPreventive CareEmergency Care RX DUH FRYHUHG DQ\ZKHUH in theworld for emergency careYou pay nothingOther preventive services are available. There LV QR FKDUJH IRU WKH VFUHHQLQJ 2IILFH YLVLW FRSD\ PD\ DSSO\ You pay 50 per visitIf you are admitted to the hospital within 24 hours, then you donot have to pay 50.Urgently Needed ServicesYou pay 1 per visit(e.g., flu vaccine, diabetic screenings PDPPRJUDSK\ FRORUHFWDO HWF
Premiums and BenefitsDiagnostic Services/Labs/Imagingo Diagnostic and procedureso Lab servicesKaiser Permanente Medicare Plus (Cost)You pay 0 IRU GLDJQRVWLF ODE DQG [ UD\ SURFHGXUHV 2IILFH YLVLW FRSD\ ZLOO DSSO\ IRU WKHUDSHXWLF UDGLRORJ\ .Hearing Serviceso Routine hearing examo Hearing aidDental Serviceso Oral exam & CleaningYou pay 1 , one routine hearing exam allowedHearing aids are not covered by ' & GoverQmeQtYou pay 30 for exam, cleaning and bitewing xrays up to 2times per year, with dentists from Dominion DentalMental Health Serviceso Outpatient group therapy/individual therapy visitVision ServicesYou pay 1 Skilled Nursing FacilityYou pay nothing&overed for up to 100 days per benefitPhysical TherapyperiodYou pay SHU YLVLW IRU DV ORQJ DV GHHPHG PHGLFDOO\ DSSURSULDWHRoutine TransportationNot coveredMedicare Part B DrugsSee copayments belowDeductibleOutpatient Prescription Drugs - Medicare Part DYou pay 0 deductibleKaiser Permanente Center Participating Retail Rx60-day supply60-day supplyKaiser Permanente MailOrder 90-day supplyInitial CoverageTier 1: Preferred GenericYou pay 1 You pay 5You pay Tier 2: Non-Preferred GenericYou pay 1 You pay 5You pay Tier 3: Preferred BrandYou pay 1 You pay 5You pay Tier 4: Non-Preferred BrandYou pay 1 You pay 5You pay Tier 5: Speciality TierYou pay 1 You pay You pay Cost-Sharing changes depending on the pharmacy you choose. Reduced cost sharing applies whenyou enter the catastrophic phase of the Part D benefit.Supplemental BenefitsVision Serviceso Routine eye examo Eyeglasses(frames and lenses)You pay for your routine eye examYou receive a 25% discount year towards purchase ofcorrective lenses and frames, 15% discount toward correctivecontact lenses at Kaiser Permanente Optical Centers
Something to smile aboutKaiser Permanente Medicare Plus (Cost)A guide to your dental benefits: Preventive Dental PlanDental Directory RequestsIf you would like a dental directory mailedto you, call Member Services at 1-888-7775536 (TTY 711), 7 days a week, 8 a.m. to8 p.m. To access our online dental directory,visit dominionnational.com/kaiser.When you enroll in a Kaiser PermanenteMedicare health plan, you automatically receivepreventive dental coverage through DominionNational (Dominion).With the Preventive Dental Plan, you pay a 30copayment for each preventive care office visitwhich includes: Up to two oral exams every year Up to two cleanings every year Up to two dental X-rays every yearOther covered dental services are provided ata reduced fee. The combination of predictablecosts, no deductibles, and no annual maximumshelps you reach a state of good oral health.Your dental and health plan providers —Dominion and Kaiser Permanente — are workingtogether to help you stay healthy.Save on restorative careMore extensive care (fillings, crowns, dentures, rootcanals, periodontal treatment, oral surgery, etc.)is provided at fees lower than the usual chargesfor these services. When covered, specialty careservices are performed by plan specialists anda different fee will apply. To see a complete feeschedule, including exclusions and limitations, findyour plan on dominionnational.com/kaiser or callDominion Member Services at 1-855-733-7524(TTY 711), Monday through Friday, 7:30 a.m. to6 p.m. When you become a member, you willfind the fee schedule in your Evidence of Coverage.Choosing a dentistYou may select any general dentist from amongour participating dental providers. Each eligiblefamily member may use a different participatingdentist. For a list of participating dentists orinformation about a dentist, including officehours, directions, languages spoken, etc., visitdominionnational.com/kaiser or call DominionMember Services at 1-855-733-7524 (TTY 711),Monday through Friday, 7:30 a.m. to 6 p.m.Specialty care is also available in many locations.To receive treatment from a participating specialist,ask your participating general dentist to arrangea referral. Your costs may be higher for care youreceive from a network specialist. Services receivedfrom non-participating dentists are not covered.Quality dental careYou can be confident that your dentist wascarefully selected to offer quality care. Allparticipating dentists go through a strict qualityassurance program developed in accordancewith the National Association of Dental Plans’recommendations. This process confirms thateach dentist has the required credentials and haspassed a thorough on-site office evaluation.H2172 17 08 accepted
How does the Preventive Plan work?After your effective date of coverage, you canmake an appointment with a participatinggeneral dentist. Make sure you bring yourKaiser Permanente medical ID card to yourappointment. There is no separate dental IDcard. There are virtually no paperwork or preexisting condition exclusions to worry about.Dedicated member serviceQuality service is an important part of anydental plan. Knowledgeable Dominion MemberServices specialists are available Mondaythrough Friday from 7:30 a.m. to 6 p.m. toanswer questions about coverage or to help youfind a participating dentist. Dominion’s voiceresponse system is available 24 hours a day forinformation about participating dental providersin your area or to help you select a dentalprovider. The most up-to-date list of participatingdental providers can be found online.Dental benefits are underwritten by KaiserFoundation Health Plan of the Mid-Atlantic States,Inc., and administered by Dominion National.This information is not a complete description ofbenefits. Contact the plan for more information.Limitations, copayments, and restrictions mayapply. You must reside in the Kaiser PermanenteMedicare health plan service area in which youenroll.Kaiser Permanente Medicare Plus (Cost) is a plan witha Medicare Cost contract. Enrollment in KaiserPermanente depends on contract renewal. Benefits,premiums, and/or copayments/coinsurance may changeon January 1 of each year, and for group members, atother times in accord with your group’s contract with us.The provider network may change at any time. You willreceive notice when necessary.Phone: 1-855-733-7524 (TTY 711)Fax: 1-855-485-0115Mailing address:Dominion NationalP.O. Box 1126Elk Grove Village, IL 60009Web: dominionnational.com/kaiserMake changes onlineDominion provides members with secure onlineaccess to: Plan information Dentist search Member services requests and generalcorrespondenceAll changes are confirmed by return email.Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.2101 E. Jefferson St., Rockville, MD 2085260610818 MAS 9/30/17-9/30/18
2017 – 2018QUALITY CARECONVENIENT LOCATIONSYour guide to Kaiser Permanente medical centersH2150 H2172 17 01 accepted
ii
Table of contentsExperience the Kaiser Permanente difference2Your health. Your way.3Kaiser Permanente medical facilities4Medical centersDistrict of Columbia5Maryland6Virginia161
Experience the Kaiser Permanente differenceThe experience Without Kaiser PermanenteWith Kaiser Permanente*Choosingyour doctorAll you know is that yourdoctor accepts your insurance.You can search our doctor profiles onkp.org and choose the one who’s rightfor you. Change to another availableKaiser Permanente doctor anytime.Gettingcare in yourlanguageSome health plans havefew multilingual doctors.We have multilingual doctors andstaff, and we offer interpretationservices by phone in 140 languages.Choosinghow youget careEven for minor concerns, youusually make an appointment,drive to the doctor’s office,and sit in the waiting room.For minor concerns, you can requesta phone appointment or email yourdoctor’s office with routine questions.Calling foradviceWhen you have a late-nightmedical issue, there’s oftenno medical advice available.Specially trained KaiserPermanente nurses can offermedical advice by phone, 24/7.Making anappointmentCalling and waiting toschedule an appointmentcan take forever.You can schedule routine appointmentsfrom your computer or mobiledevice—anytime, anywhere.Seeing yourdoctorYour doctor may need to flipthrough your files, huntingfor details and looking foranswers you’ve already given.Your doctor has your medical historyand prescriptions right at his or herfingertips through your electronichealth record.Remembering Take lots of noteswhat yourduring your visit or trustdoctor saidyour memory later.You can view your past visitsummaries and most lab test resultsonline, whenever you want.*These features are available when you get care at Kaiser Permanente facilities.2In Maryland and the District of Columbia, Kaiser Permanente is an HMO plan and a Cost plan with aMedicare contract. In Virginia, Kaiser Permanente is a Cost plan with a Medicare contract. Enrollmentin Kaiser Permanente depends on contract renewal. This information is not a complete description ofbenefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year, and forgroup members, at other times in accord with your group’s contract with us. You must reside in theKaiser Permanente Medicare health plan service area in which you enroll. The pharmacy networkand/or provider network may change at any time. You will receive notice when necessary.
Your health. Your way.Kaiser Permanente helps make it easier to stay in charge of your health. It’s simpleto make smart choices when you have great doctors and convenient facilities.15Choose and changeyour doctorCare under one roofIt’s easy to stay connectedAt Kaiser Permanente, weknow how important it is tofind a doctor who matchesyour specific needs. Even ifyou don’t need to see yourdoctor right away, having adoctor you connect with isan important part of takingcare of your health.Save time and avoiddriving all over town forcare. You’ll have manylocations to choosefrom, and most of themoffer multiple servicesunder one roof. You can see yourdoctor, get a lab testor an X-ray, and pick upyour medications—allwithout leaving thebuilding.As a Kaiser Permanente member, kp.org isyour online gateway to great health. Whenyou register on kp.org, you can securelyaccess many time-saving tools andbeneficial resources to help you manageyour health and keep you feeling great.View most lab results.Refill most prescriptions. Email your doctor’s office with nonurgentquestions. Schedule and cancel routine appointments. Manage a family member’s health.Choose your doctor bycalling us at 1-888-7775536 (TTY 711), seven daysa week, 8 a.m. to 8 p.m., orby visiting kp.org/doctor.You can also change toanother available KaiserPermanente doctor atany time, for any reason.To see a list of planproviders, please visitkp.org/medicare. To find the locationclosest to your home,school, or office, visitkp.org/facilities or turn topage 6 for a map of ourlocations.These features are available when you receive care at Kaiser Permanente facilities.For a guided tour of My Health Manager, visit kp.org/myhealthmanagertour.Your electronichealth record bringsit all togetherYour doctor’s officeYour record gets updatedwith each visit to a KaiserPermanente facility, so it’salways current.Pharmacy, lab, X-rayNo need for paperworkwhen you get services atour facilities—your doctor’sorders are already there.3
Kaiser Permanentemedicalmedicalfacilities facilitiesKaiserPermanenteMarylandWashington, DC01 Abingdon Medical Center29 Kaiser Permanente Capitol Hill Medical Center02 Annapolis Medical Center30 Northwest DC Medical Office Building03 Kaiser Permanente BaltimoreHarbor Medical Center04 Camp Springs Medical Center05 Columbia Gateway Medical Center06 Kaiser Permanente FrederickMedical CenterCarroll8307 Gaithersburg Medical CenterBaltimore08 Kensington Medical Center16Frederick09 Largo Medical Center174010 Marlow Heights Medical Center618 Balt. City2707011 North Arundel Medical Center3 695Howard1512 Prince George’s Medical Center5713 Shady Grove Medical Center97Montgomery29511139514 Silver Spring Medical CenterAnne ArundelLoudoun 2671481915 South Baltimore County24952512Medical CenterDC504955030 2992716 Towson Medical Center212217 White Marsh Medical Center1066Fairfax418 Woodlawn Medical Center242026 Prince George’sHarfordMDVirginia19 Ashburn Medical Center20 Burke Medical Center21 Fair Oaks Medical Center22 Falls Church Medical Center23 Fredericksburg Medical Center24 Manassas Medical Center25 Reston Medical Center26 Springfield Medical Center27 Tysons Corner Medical Center28 Woodbridge Medical Center195Prince William 28CalvertVAStafford23City ofFredericksburgCharles95ArlingtonThese centers offer 24/7: Urgent Care Lab Pharmacy RadiologyPlease check kp.org/facilities for the most up-to-date listing of the services located at Kaiser Permanentemedical centers.4
Medical centers, District of ColumbiaKaiser Permanente Capitol Hill Medical Center*700 Second St., NE, Washington, DC 20002Main number: 1-202-346-3000Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Adult medicine, allergy, audiology, cardiology,clinical decision unit, dermatology, ear, nose & throat(ENT), endocrinology, gastroenterology, general su,rgery,hematology, infectious disease, infusion center, internalmedicine, laboratory, nephrology, neurology, observationunit, obstetrics-gynecology, occupational therapy,oncology, orthopedics/spine, outpatient proceduresuite, pediatric cardiology, pediatric endocrinology,pediatric gastroenterology, pediatric neurology,pediatric oncology/hematology, pediatrics, perioperativeevaluation and education center, pharmacy, physicaltherapy, plastic surgery, podiatry, pulmonary, radiology,rheumatology, sleep medicine, Urgent Care, urology,vision services (optometry & ophthalmology)Pharmacy: 1-202-346-3300Pharmacy hours: 24 hours a day, 7 days a week,including holidaysUrgent Care hours: 24 hours a day, 7 days a week,including holidays* This center offers Urgent Care, lab,pharmacy, and radiology 24/7.Northwest DC Medical Office Building23rd StNorthwest DCMedical Office BuildingNewHampshireAveM StRock Creek andPotomac Pkwy2301 M St., NW, Washington, DC 20037Main number: 1-202-419-6200Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Adult medicine, behavioral health, laboratory,obstetrics-gynecology, pediatrics, pharmacy, radiologyPharmacy: 1-202-419-6900Pharmacy hours: 8 a.m. – 6 p.m. M–FBehavioral health hours:7:30 a.m. – 7:30 p.m. M–Th8:30 a.m. – 6 p.m. F29K St NW66Facility addresses, telephone numbers, and hours of operation are subject to change. The continuedavailability and/or participation of any facility and/or the services located in them cannot be guaranteed.For the most up-to-date information, visit kp.org/facilities.5
Medical centers, MarylandortonAbingdonMedical CenterEmmPorter3400 Box Hill Corporate Center DriveSuites 100 and 200, Abingdon, MD 21009Main number: 1-410-515-5440 (TTY 711)Hours: 8 a.m. – 6 p.m. M–FServices: Adult primary care, family practice, laboratory,mammography, obstetrics-gynecology, pediatrics,pharmacy, radiology and several specialtiesPharmacy: 1-410-515-5440Pharmacy hours: 8:30 a.m. – 5:30 p.m. M–FRdAbingdon Medical CenterDrlSwyPkB oxH ilB o x H illCpoorrateCenterrDMerchantBlvd924Annapolis Medical Center888 Bestgate Road, Annapolis, MD 21401Main number: 1-410-571-7300 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Family practice, internal medicine, laboratory,mammography, obstetrics-gynecology, pharmacyPharmacy: 1-410-571-7360Pharmacy hours: 8:30 a.m. – 5:30 p.m. M–Fdate RBestgwysHleranGeAnnapolisMedical Center178Annapolis MallDefense Hwy30150450234506WestStFacility addresses, telephone numbers, and hours of operation are subject to change. The continuedavailability and/or participation of any facility and/or the services located in them cannot be guaranteed.For the most up-to-date information, visit kp.org/facilities.
Kaiser Permanente Baltimore HarborMedical Center815 E. Pratt St., Baltimore, MD 21202Main number: 1-410-637-5700 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Family practice, internal medicine, laboratory,mammography, obstetrics-gynecology, pharmacy,radiology (X-ray)Pharmacy: 1-410-637-5750Pharmacy hours: 8:30 a.m. – 1 a.m. M-F9 a.m. – 5:30 p.m. Sa, Su, holidaysUrgent Care hours:5 p.m. to 1 a.m. M–F9 a.m. – 5 p.m. Sa, Su, holidaysCamp Springs Medical CenterntowncheAveAvcheplmTeCamp SpringsMedical CenteranrandBBr5Rd7337Alle95495Ol6104 Old Branch Ave., Temple Hills, MD 20748Main number: 1-301-702-6100 (TTY 711)Hours: 8 a.m. – 5:30 p.m. M–FServices: Behavioral health, internal medicine, laboratory,mammography, nutrition, optical, optometry, pediatrics,perioperative education and evaluation center,pharmacy, radiology, Urgent CarePharmacy: 1-301-702-6175Pharmacy hours: 8 a.m. – 1 a.m. M–F9 a.m. – 5 p.m. Sa, Su, holidaysUrgent Care hours: 5:30 p.m. – 8 a.m. M–Fopen 24 hours Sa, Su, holidaysdll RHi7
Medical centers, MarylandColumbia Gateway Medical Center7070 Samuel Morse Drive, Columbia, MD 21046Main number: 1-410-309-4600 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Allergy shots, behavioral health, family practice,internal medicine, laboratory, mammography, obstetricsgynecology, pediatrics, pharmacy, radiologyPharmacy: 1-410-309-7500Pharmacy hours: 8:30 a.m. – 5:30 p.m. M–FLitCoGa lumbtewiay aDrtlePatuxentP95kwy41terWalooColumbia GatewayMedical CenterRdSamuel Morse DrPatuxe 32ntFrwy17595387190 Crestwood Blvd., Frederick, MD 21703Main number: 1-240-529-1700 (TTY 711)Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Behavioral health, family practice, imaging services/radiology (includes: ultrasound, X-ray), internal medicine,laboratory, mammography, medical records, obstetricsgynecology, orthopedics, pediatrics, pharmacyPharmacy: 1-240-529-1800Pharmacy hours: 8:30 a.m. – 5:30 p.m. M–FUrbana85Pike27031twooCresign BlvdNew wn PikeKaiser Permanente Frederick Medical Centerdd Blv8Facility addresses, telephone numbers, and hours of operation are subject to change. The continuedavailability and/or participation of any facility and/or the services located in them cannot be guaranteed.For the most up-to-date information, visit kp.org/facilities.
Gaithersburg Medical Center*insMill Rdmery15118Villagerick Ave AveRdWatk118N Fred13Middlebrook Rd355antown270MontgoFr.HurleyBlvd355e655 Watkins Mill Road, Gaithersburg, MD 20879Main number: 1-240-632-4000 (TTY 711)Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Adult medicine, allergy, alternative medicine,ambulatory surgery center, audiology, cardiology, clinicaldecision unit, dermatology, ear, nose, & throat (ENT),endocrinology, general surgery, hematology, infectiousdisease, infusion center, internal medicine, laboratory,member services, nephrology, neurology, nuclear medicine,observation unit, obstetrics-gynecology, occupationaltherapy, oncology, orthopedics/spine, pain management,pediatrics, perinatology, perioperative evaluation andeducation center, pharmacy, physical medicine, physicaltherapy, podiatry, pulmonary, radiology, rheumatology,sleep medicine, speech therapy, Urgent Care, urology,vision services (optical, optometry, & ophthalmology)Pharmacy: 1-240-632-4150Pharmacy hours: 24 hours a day, 7 days a week, including holidaysUrgent Care hours: 24 hours a day, 7 days a week, including ersburgMedical CenterOld GaithersburgMedical Center11* This center offers Urgent Care, lab, pharmacy, and radiology 24/7.Kensington Medical Center10810 Connecticut Ave., Kensington, MD 20895VeirsM185586ConnecticRd193dy BlversitUniv193AveKensingtonMedical CenterillrgiaGeout AveMain number: 1-301-929-7100 (TTY 711)Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Allergy shots only, ambulatory surgery, audiology,ear, nose, & throat (ENT), general surgery, internal medicine,laboratory, nutrition, obstetrics-gynecology, orthopedics,otolaryngology, pain medicine, pathology, pediatrics,perinatology/genetics, perioperative evaluation andeducation center, pharmacy, physical therapy, plasticsurgery, podiatry, radiology, Urgent Care, urology, woundcare, vision services (ophthalmology, optometry)Pharmacy: 1-301-929-7175Pharmacy hours: 24 hours a day, M–F8 a.m. – 10 p.m. Sa, SuUrgent Care hours: 5:30 p.m. – 1 a.m. M–F9 a.m. – 9 p.m. Sa, Su185979
Medical centers, MarylandLargo Medical Center*1221 Mercantile Lane, Largo, MD 20774Main number: 1-301-618-5500 (TTY 711)Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Allergy, ambulatory surgery center, audiology,behavioral health, cardiology, clinical decision unit,dermatology, endocrinology, gastroenterology, generalsurgery, head and neck surgery, imaging services (includesCT scan, Dexa scan, mammography, MRI, ultrasound, X-ray),infectious disease, infusion center, internal medicine,495interventional radiology, laboratory, nephrology, neurology,95nuclear medicine, nutrition, obstetrics-gynecology,occupational therapy, oncology, ophthalmology, optical,optometry, orthopedics, otolaryngology, pain management,pediatrics, perioperative evaluation and education center,peritoneal dialysis, pharmacy, physical medicine, physicaltherapy, podiatry, pulmonology, radiology, rheumatology,sleep medicine, speech therapy, Urgent Care, urology,vascular surgeryPharmacy: 1-301-618-5552Pharmacy hours: 24 hours a day, 7 days a week, including holidaysUrgent Care hours: 24 hours a day, 7 days a week, including holidays*This center offers Urgent Care, lab, pharmacy, and radiology 24/7.202tile 16na DrAponaAreDrllo DrMarlow Heights Medical Center5100 Auth Way, Suitland, MD 20746Main number: 1-301-702-5000 (TTY 711)Hours: 8 a.m. – 5:30 p.m. M–FServices: Behavioral health, family practice, laboratory,mammography, obstetrics-gynecology, optical, optometry,perinatology, pharmacy, radiology, ultrasoundPharmacy: 1-301-702-5190Pharmacy hours: 8 a.m. – 6:30 p.m. M–FMarlow HeightsMedical CenterBrDr5lGatAuth WayAveCapitachewayanh RdAut49510957
North Arundel Medical Center(replacing the Severna Park medical center)7670 Quarterfield Road, Glen Burnie, MD 21061Main number: 1-410-508-7650 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Allergy shots, internal medicine, laboratory,obstetrics-gynecology, pediatrics, pharmacy, radiologyPharmacy: 1-410-508-7650Pharmacy hours: 8:30 a.m. – 5:30 p.m. M–FJonathan AveO97ldStageLanNorth ArundelMedical CenterdRdmarkDrRderfieldQuart174PamelaRdPrince George’s Medical CentertRBelcresi Rdhelp410Add6525 Belcrest Road, Hyattsville, MD 20782Main number: 1-301-209-6000 (TTY 711)Hours: 8 a.m. – 5:30 p.m. M–FServices: Alternative and complementary medicine, adultmedicine, laboratory, mammography, nutrition,obstetrics-gynecology, pediatrics, pharmacy, radiologyPharmacy: 1-301-209-6688Pharmacy hours: 8 a.m. – 6 p.m. M–FPrince George’s(Hyattsville)Medical CenterelaphsCRdenueQ1East-West HwyBaltimore AveQueensChapelRd500Facility addresses, telephone numbers, and hours of operation are subject to change. The continuedavailability and/or participation of any facility and/or the services located in them cannot be guaranteed.For the most up-to-date information, visit kp.org/facilities.11
Medical centers, MarylandShady Grove Medical Center1396 Piccard Drive, Rockville, MD 20850Main number: 1-301-548-5700 (TTY 711)Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Behavioral health, developmental pediatrics,endoscopy, family practice, gastroenterology, internalmedicine, laboratory, mammography, pharmacy, radiologyPharmacy: 1-301-548-5755Pharmacy hours: 8 a.m. – 6 p.m. M–FSilver Spring Medical Center12201 Plum Orchard Drive, Silver Spring, MD 20904Main number: 1-301-572-1000 (TTY 711)Hours: 8:30 a.m. – 5:30 p.m. M–FServices: Family practice, internal medicine, laboratory,mammography, obstetrics-gynecology, pediatrics,pharmacy, radiology, vision essentials (optical, optometry)Pharmacy: 1-301-572-1055Pharmacy hours: 8 a.m. – 8 p.m. M–F9 a.m. – 1 p.m. SaERandolplumBroadbirch95Calverton BlvdDrCherry29Silver SpringMedical CenterikeaPbiCoh Rd29Hill RdillrMRddewPo212Facility addresses, telephone numbers, and hours of operation are subject to change. The continuedavailability and/or participation of any facility and/or the services located in them cannot be guaranteed.For the most up-to-date information, visit kp.org/facilities.12
South Baltimore County Medical Center*South Baltimore CountyMedical Center95pscoAvegton BlvdW.PataLansdoCaton AveWashin11wneRdoa1701 Twin Springs Road, Halethorpe, MD 21227Main number: 1-410-737-5000Hours: 8:30 a.m. – 5 p.m. M–FServices: Adult medicine, allergy, ambulatory surgery center,audiology, cardiology, dermatology, endocrinology,general surgery, GI and endoscopy, infectious disease,laboratory, nephrology, neurology, obstetrics-gynecology,observation unit, orthopedics, otolaryngology, painmanagement, pediatrics, pharmacy, plastic surgery,podiatry, preoperative evaluation and education center,pulmonary, radiology, rheumatology, sleep medicine,695Urgent Care, urology, vascular surgeryPharmacy: 1-410-737-5000Pharmacy hours: 24 hours a day, 7 days a week,including holidaysUrgent Care hours: 24 hours a day, 7 days a week,including holidays*This center offers Urgent Care, lab, pharmacy, and radiology 24/7.295Towson Medical CenterWSeminary AvRd83kYor1447 York Road, Suite 100, Lutherville, MD 21093(Rear of Galleria Towers, E. Seminary Avenue)Main number: 1-410-339-5500 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Audiology, dermatology, ear, nose, & throat (ENT),gastroenterology, internal medicine, laboratory,nephrology, neurology, obstetrics-gynecology,occupational therapy, orthopedics, pediatricendocrinology, pediatrics, pharmacy, podiatry,radiology, urologyPharmacy: 1-410-339-5655Pharmacy hours: 8:30 a.m. – 5:30 p.m. M–Fevery AinaemES131695TowsonMedical Center452613
Medical centers, MarylandWhite Marsh Medical Center4920 Campbell Boulevard, Nottingham, MD 21236Main number: 1-410-933-7600 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Behavioral health, internal medicine, laboratory,mammography, obstetrics-gynecology, pediatrics,perioperative evaluation and education center, pharmacy,physical therapy, radiology, Urgent CarePharmacy: 1-410-933-7626Pharmacy hours: 8:30 a.m. – 1:30 a.m. M–F8:30 a.m. – 5:30 p.m. Sa, SuPharmacy holiday hours:8:30 a.m. to 11 p.m. M–F8:30 a.m. to 5 p.m. Sa, SuPhysical therapy hours: 8:30 a.m. – 7 p.m. M–ThUrgent Care hours: 5 p.m. – 1 a.m. M–F8 a.m. – 5 p.m. Sa, SuHoliday hours: 8:30 a.m. – 11:30 p.m. M–FWhite Marsh Blvd43Perry Hall Blvd67WhiteMarshMedicalCenterWhiteMarsh MallHoneCaygo Blvdmpbel95lBlvd7Woodlawn Medical CenterSecuRdrity BdRdaleeagngWoodlawnMedical curity Blvd17GreelvdNo7141 Security Blvd., Baltimore, MD 21244Main number: 1-443-663-6000 (TTY 711)Hours: 8:30 a.m. – 5 p.m. M–FServices: Baltimore Imaging Center, behavioral health,hand therapy (occupational therapy), internal medicine,laboratory, nutrition and diabetes education, obstetricsgynecology, oncology, ophthalmology, optometry,
Kaiser Permanente Medicare Plus (Cost) H-2150 3ODQ IRU UHWLUHHV RI *RYHUQPHQW RI WKH 'LVWULFW RI &ROXPELD This is a summary of drug and health services covered by Kaiser Permanente Medicare Plus (Cost) January 1, 2018 - December 31, 2018. Kaiser Permanente Medicare Plus is an integrated care plan with a Medicare Cost contract.
