I can choose my doctor

Transcription

1 In 2013 Kaiser Permanente received the hihest possible quality ratin from OPM. Mid-Atlantic States Reion Federal Employees and Annuitants 2014 Rates and Benefits test results online excellent prenatal care I can choose my doctor a wide rane of specialists Not a member yet? Visit kp.or/feds or call , Monday Friday, 8 a.m. to 5 p.m., for more information. kp.or/feds

2 A better choice for ood health With care and coverae workin seamlessly toether, Kaiser Permanente is uniquely desined to ive you the information and support you need to live healthy. your choice of top doctors With Kaiser Permanente, you et a wide choice of doctors from many of the top medical schools in the country. Many of our doctors come from schools such as Harvard, Stanford, and Johns Hopkins, just to name a few. 1 personalized care with 24/7 online access Use your computer or mobile device to your doctor s office, schedule routine appointments, view most lab test results, and refill most prescriptions, supported by your secure electronic health record. 2 urent care Get urent care durin the day, niht, or weekend at many Kaiser Permanente locations. New Urent Care Plus locations are open 24/7 for your convenience and have extended treatment and observation capabilities. It s more than your averae urent care center. experience award-winnin care The National Committee for Quality Assurance (NCQA) has awarded its hihest accreditation status of Excellent to Kaiser Permanente of the Mid-Atlantic States for service and clinical quality that meet or exceed NCQA s riorous requirements for consumer protection and quality improvement. 3 everythin under one roof Most of our locations include medical specialists and pharmacy, lab, and X-ray services, so you can do more durin one visit and travel less. state-of-the-art medical centers Twenty-nine multi-specialty medical facilities in Maryland, Virinia, and Washinton, D.C., to serve you, some with 24/7 services. kp.or/feds 1 As noted in Washintonian maazine, Northern Virinia Maazine, and Baltimore Maazine. 2 Available when you receive care at Kaiser Permanente facilities. 3 For Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., NCQA Health Plan accreditation information, o to reportcard.ncqa.or/plan/external/plansearch.aspx

3 Better Informed. Better Toether. Choosin the riht health care partner can be easier than you think. Nationwide, more than 9 million people turn to us as their trusted health care partner. Take a look and you ll see why Kaiser Permanente is your best choice. The power to choose...2 Excellent care...4 Online access anytime, anywhere...5 Federal Employees Health Benefits (FEHB) Prorams...6 Kaiser Permanente Medicare Plus (Cost)...7 Your dental and travel benefits...8 How to enroll...9 Your benefits summary for Our locations...12 Expandin and rowin...14 The riht choice for ood health...15 Prefer to see this information online? Go to kp.or/feds. Watch members share why they chose Kaiser Permanente at kp.or/thrive. 1

4 The power to choose Stay in chare of your health. It s simple to make the riht choices when you ve ot reat doctors, convenient facilities, and a care team that puts you front and center. A wide choice of top doctors Kaiser Permanente doctors are skilled and compassionate, so you can count on ettin reat care for you and your family. You may choose to receive care in any Kaiser Permanente medical center in Maryland, Virinia, and Washinton, D.C., from a wide rane of physicians many of whom have been named top doctors in publications such as Northern Virinia Maazine, Washintonian maazine, and Baltimore maazine. 1 Personalized care: Your connection starts here With Kaiser Permanente, you et a choice of primary care physicians (PCPs) for you and your family. Women ae 18 and older may also select an ob/ yn. Your personal physician is your partner and your health advocate. All Kaiser Permanente physicians work closely toether to help you et well and stay well. Supportin your PCP and you are doctors, nurses, and specialists who take the time to know you and your health needs. Connected by your secure electronic health record, your entire care team is always up to speed and ready to take care of you. Havin a team that knows you and is focused on you can lead to quicker, better dianoses and treatments. 2 Everythin under one roof Most of our locations conveniently offer many services under one roof. In our larest centers, there are more than 20 services to make care convenient for you. You can visit your primary care physician, the lab, radioloy, specialists, and pharmacy, often in one visit enablin you to drive and park once. Additionally, urent care centers are located in many Kaiser Permanente medical centers, some open 24/7 with an advanced observation unit. Your electronic health record brins it all toether Our innovative electronic health record system is securely linked to every Kaiser Permanente facility in your reion, so you et coordinated care wherever you o. 2 1 Washintonian maazine, March 2012, Northern Virinia Maazine, February 2012, Baltimore Maazine, November Available when you receive care at Kaiser Permanente facilities. 2

5 Convenience is built into our medical centers. Medical centers combine state-of-the-art technoloy, expert physicians, and most services, so you have more time to do what you enjoy. Urent care Your doctor s office Radioloy Specialty doctors Vision care Pharmacy Lab Visit kp.or/facilities for locations where services are available. Your medical record Your electronic health record is updated with each visit, whether you see your personal physician or another Kaiser Permanente doctor. From department to department and facility to facility, your record is available to your providers wherever you o. Pharmacy, lab, and X-ray If your doctor prescribes you medications or orders lab tests, there s no paperwork to take with you in most cases. Just visit any Kaiser Permanente pharmacy, and the pharmacist or technician will pull up your doctor s orders. The same is true at our labs and radioloy departments. Better visits You et the convenience of bein able to take care of multiple services in one trip, with virtually no paperwork. At most locations, your doctor, specialists, lab services, radioloy, and pharmacy are all toether in one place. See how Kaiser Permanente has helped members at kp.or/carestories. 3

6 Excellent care Kaiser Permanente doctors believe that preventin illness and disease is the key to a healthy life. And when you re sick, your physician and other Kaiser Permanente health professionals collaborate to care for you with advanced health information and technoloy in hand. What you need, when you need it your doctor s office with nonurent questions. 1 Refill most prescriptions online with free shippin. Make routine appointments with a call or click. 1 View recent office visits and most test results online. 1 Get same-day, after-hours, and weekend services at many locations. 1 Call for advice from a reistered nurse, 24 hours a day. Travel freely; you re covered for emerency care worldwide. 2 Easy access to specialty care 1 You have access to specialists who are experts in their fields. They re ready to help dianose and treat you to help you live the healthiest life possible. And referrals have been revolutionized. At Kaiser Permanente, your doctor can typically book a specialty appointment for you on the spot so that you leave with a confirmed appointment rather than a paper referral that leaves you doin the lework to et care. A focus on you and your family Our care model virtually eliminates the burden of administrative hassles, insurance claim forms, and other paperwork for Kaiser Permanente doctors, nurses, and specialists. And unlike most practitioners, Kaiser Permanente doctors aren t paid by procedure or rewarded for cuttin costs, so there s no incentive to under-treat or overtreat. They re free to focus on what they do best deliverin reat care that s riht for you. Learn more about the doctors available in your area at kp.or/doctor. Top reasons to join Kaiser Permanente Expert physicians Our medical roup is always expandin with new physicians. Our doctors are board certified or must be within 5 years of hire to remain a part of our medical roup. And it s touh to become one of those hires. Only 1 in 10 who applies is accepted as a Kaiser Permanente doctor. At home or on the o My Health Manaer on kp.or is your personal link to your electronic health record. This set of online tools helps you stay connected and informed about your health. You can also download a mobile app for your smartphone. 1 Available when you receive care at Kaiser Permanente facilities. 2 This is a summary of the features of the Kaiser Permanente health plan. Before makin a final decision, please read the plan s federal brochure (RI ). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. 4

7 Online access anytime, anywhere Plu into your health with a variety of online and mobile tools that help you et the information you want, when you want it. Whether you re on the o or just takin advantae of a quiet moment at home, we ve ot you covered. It s easy to et connected Members reistered on kp.or have secure access to My Health Manaer, the online tool that helps you manae your care at our facilities. 1 your Kaiser Permanente doctor s office. Read most lab test results. Get electronic reminders for appointments, screenins, refills, and more. Request most prescription refills. Take care of a family member, such as a child or parent, usin these features. A website full of healthy ideas Get informed and inspired on our award-winnin website, kp.or. Take chare of your health with articles, wellness topics, and health calculators. Our music channels, podcasts, fitness videos, and recipes from worldclass chefs can help you find new ways to live well. Good health on the o Manae your care at home, work, or play with our mobile app. It puts all the convenient features of My Health Manaer riht in the palm of your hand. You can download the free Kaiser Permanente app from the App Store sm or Goole Play. For a uided tour of My Health Manaer, visit kp.or/experience. Better care You et reat care, backed by innovative technoloy. Your care team can securely access your up-to-date health information and make sure you et care that s riht for you. 1 Better doctors You et top Kaiser Permanente doctors who aren t burdened with excessive insurance paperwork and aren t paid by procedure. Their only focus and incentive is workin toether with you to deliver the care you really need. Better access You et information and tools that make it easy for you to et and stay healthy includin easy, online appointment schedulin, access to your doctor s office, telephone health advice, and powerful online tools. 1 1 Available when you receive care at Kaiser Permanente facilities. App Store is a service mark of Apple, Inc., and Goole Play is a trademark of Goole, Inc. 5

8 Federal Employees Health Benefits (FEHB) Prorams As a federal employee, you can choose between two Kaiser Permanente traditional HMO plan options. Both offer a wide rane of care and support to help you stay healthy and et the most out of life. They re desined to make it easy for you to know what to expect and et the best care for your needs. HIGH OPTION STANDARD OPTION Kaiser Permanente FEHB Hih Option If you expect to receive care often, this option may be riht for you. You ll pay hiher premiums but lower copays for most health care services and prescription drus. Kaiser Permanente FEHB Standard Option If you and your family are in ood overall health, this miht be the riht option for you. You ll pay lower premiums but hiher copays for most services and prescriptions. For help decidin which health plan option best fits your needs, visit kp.or/feds and click on Choose a Plan. Easier for you Simple copays for most covered services, includin office visits and prescriptions No deductibles to keep track of Better, too Virtually no paperwork to fill out or bills for the services you receive No referrals for certain specialties, like optometry and obstetrics/ ynecoloy 6

9 Kaiser Permanente Medicare Plus (Cost) for Federal Members If you re enrolled in Medicare Parts A and B (or Part B only), the Kaiser Permanente Medicare Plus for Federal Members plan may be riht for you. Your FEHB premium stays the same when you enroll in Kaiser Permanente Medicare Plus for Federal Members, but you ll have lower cost sharin on many services. And you don t need to suspend your FEHB coverae to enroll in Kaiser Permanente Medicare Plus for Federal Members. Maximize your benefits With Kaiser Permanente Medicare Plus for Federal Members, you ll enjoy all the benefits of Oriinal Medicare, plus all the benefits of your FEHB plan, without any increase in your FEHB premiums. Review the benefits chart in this booklet for details about the lower cost sharin you receive as a member of Medicare Plus for Federal Members. Better benefits No copays for primary care and specialist office visits (Hih Option only). Reduced copays for primary care and specialist office visits (Standard Option only). Reduced copays for most other services includin inpatient and outpatient services, prescription drus, lab/x-ray and specialty scans, chiropractic visits, vision care visits, and many other benefits (Hih and Standard Options). Give us a call For details about benefits, copays, limitations, and services, please call , 8 a.m. to 8 p.m., seven days a week. For TTY for the hearin/speech impaired, call 711. One of our representatives will be happy to help. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premiums, and copayments/coinsurance may chane on January 1 of each year and at other times in accord with your roup s contract with us. To join a Kaiser Permanente Medicare health plan, you must reside in the Kaiser Permanente Medicare Plus service area in which you enroll. You must pay the Medicare Part B premium to join a Kaiser Permanente Medicare health plan. Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. With Kaiser Permanente Medicare Plus for Federal Members, your benefits are subject to Medicare rules, and you may have to receive care from different plan providers than with your FEHB coverae. 7

10 Your dental and travel benefits Whichever option you choose, your Kaiser Permanente health plan comes with dental and travel benefits. And your travel benefits ive you access to some follow-up and continuin care no matter where you are in the United States. Kaiser Permanente Preventive Dental Plan 1 With an emphasis on prevention and early detection of dental problems, the Preventive Dental Plan can help you maintain ood oral health and avoid costly procedures in the future. You pay just a copay for each preventive care office visit, which includes oral evaluation, cleanin, and certain X-rays. Other covered dental services are provided at a reduced fee. The Preventive Dental Plan is offered as part of your health plan and administered by Dominion Dental Services, Inc. To learn more, call a Dominion Member Services Specialist at or , Monday throuh Friday from 7:30 a.m. to 6 p.m. For TTY for the hearin/ speech impaired, call 711. Or visit dominiondental.com/ kaiserdentists. Travel benefits 1 Your travel benefits are in addition to the emerency benefits available to you within or outside your service area. When you re temporarily outside your home service area by more than 100 miles and outside any other Kaiser Permanente service area, you re covered (up to $1,200 per calendar year) for the followin: Outpatient follow-up care to complete a course of treatment after a covered emerency (for example, to remove stitches or a cast). Outpatient continuin care for covered services related to conditions dianosed and treated within the previous 12 months by a Kaiser Permanente provider or affiliated provider (like dialysis or prescription dru monitorin). You pay $25 for each follow-up or continuin care office visit. Maximize your health 2 Now you can discover a new path to feelin ood, healthy, and stron. As a Kaiser Permanente member, you can access a complementary health and fitness proram provided by ChooseHealthy to help you stay well. ChooseHealthy offers you reduced rates on: Acupuncture Massae therapy Chiropractic care Membership at fitness facilities Wellness coachin by phone A variety of health products You also et free access to online wellness prorams, trackers, and other tools. For more information about your dental coverae, see the dental directory, return the reply card at the back of this book, or visit kp.or/feds. 1 This is a summary of the features of the Kaiser Permanente health plan. Before makin a final decision, please read the plan s federal brochure (RI ). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. 2 These benefits are neither offered nor uaranteed under contract with the FEHB Proram, but are made available to all enrollees and family members who become members of the Kaiser Permanente health plan. These entities may chane or discontinue offerin these services at any time. KFHP-MAS disclaims any liability for the services proved by these entities. 8

11 How to enroll Becomin a member is easy. Just follow the three simple steps below. The information in this brochure can help you pick the riht plan, and you may be able to enroll online or by phone. 1. Choose the option that meets your needs Brief descriptions of your plan options (Hih and Standard) are on pae 6. You will find details about benefits on paes 10 and Select the type of coverae you want If you need coverae only for yourself, choose Self. If you want coverae for yourself and a spouse, child, or other dependents, choose Self and Family. Then look at the 2014 Rates section on pae 10 and note your enrollment code. 3. Enroll in Kaiser Permanente Most employees and annuitants of participatin aencies may be able to enroll online. Visit opm.ov or contact your employin aency or retirement office for FEHB enrollment procedures and other information. Annuitants may contact the Retirement Information Center at or (TTY for the hearin/speech impaired), or retire@opm.ov. 1 If you re eliible for Medicare, or will be soon, you may be able to pay lower share of the cost for most services and et better benefits by enrollin in Kaiser Permanente Medicare Plus. Take a look at additional details on pae 7. 1 These are hihlihts of the FEHB enrollment process. Please refer directly to and your employin aency or retirement office for FEHB coverae effective dates, enrollment procedures and deadlines, and other information. To add an eliible family member to your Kaiser Permanente Self and Family enrollment, complete and return an Enrollment Chane Form to us. These forms can be obtained at kp.or/feds or by callin Member Services. 9

12 Your benefits summary for 2014 Services Preventive care, adult, children Prenatal care and first scheduled postpartum visit Office visits Primary care visit Specialty care visit Most lab and X-rays, such as blood tests and ultrasounds Urent care Emerency care Hospitalization Prescription drus 2 Vision services Dental services Office visit Covered services are provided in and out of the service area. You are covered for medical emerencies anywhere in the world. Inpatient services Generic drus Preferred brand-name drus Non-preferred brand-name drus Eye refractions in optometry department Picked up from a medical center pharmacy Picked up from an affiliated network pharmacy Delivered by our mail-order service Picked up from a medical center pharmacy Picked up from an affiliated network pharmacy Delivered by our mail-order service Picked up from a medical center pharmacy Picked up from an affiliated network pharmacy Delivered by our mail-order service Eyelass frames, lenses, and total contact lens packae at plan optical shops Preventive dental plan (Coverae for periodic oral exams, cleanin, and fluoride applications is limited to once every six (6) months) Rates you pay 3 Non-postal premium Postal premium (biweekly) Biweekly Monthly Cateory 1 Cateory 2 Self only Self and family Self only Self and family Self only Self and family Self only Self and family 10 This is a summary of the features of the Kaiser Permanente health plan, includin Kaiser Permanente Medicare Plus (Cost) for federal members. Before makin a final decision, please read the Federal Employees Health Benefits (FEHB) brochure RI and the Kaiser Permanente Medicare Plus for Federal Members Evidence of Coverae (EOC). All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB brochure and the Kaiser Permanente Medicare Plus for Federal Members EOC.

13 Kaiser Permanente Kaiser Permanente Medicare Plus for Federal Members Hih Option Standard Option Hih Option Standard Option $0 $0 $0 $0 $0 $0 $0 $0 $10 (copay waived for children throuh ae 4) $20 (copay waived for children throuh ae 4) $0 $10 $20 $30 $0 $10 $0 Lab, $0 X-rays $75 Specialty Imain $0 Lab, $0 X-rays $100 Specialty Imain $0 Lab, $0 X-rays $0 Specialty Imain $0 Lab, $0 X-rays $0-$50 Specialty Imain $20 $30 $0 $10 $100 1 $125 1 $65 1 $65 1 $100 per admission $250 per day; up to $750 max per admit $75 per benefit period $150 per benefit period $7 (up to 30-day supply) $12 (up to 30-day supply) $3.50 (up to 30-day supply) $10 (up to 30-day supply) $17 (up to 30-day supply) $22 (up to 30-day supply) $8.50 (up to 30-day supply) $20 (up to 30-day supply) $10 (up to 90-day supply) 4 $20 (up to 90-day supply) 4 $5 (up to 90-day supply) $8 (up to 90-day supply) $30 (up to 30-day supply) $35 (up to 30-day supply) $12.50 (up to 30-day supply) $30 (up to 30-day supply) $50 (up to 30-day supply) $55 (up to 30-day supply) $22.50 (up to 30-day supply) $50 (up to 30-day supply) $56 (up to 90-day supply) 4 $66 (up to 90-day supply) 4 $23 (up to 90-day supply) $28 (up to 90-day supply) $45 (up to 30-day supply) $50 (up to 30-day supply) $12.50 (up to 30-day supply) $30 (up to 30-day supply) $65 (up to 30-day supply) $70 (up to 30-day supply) $22.50 (up to 30-day supply) $50 (up to 30-day supply) $86 (up to 90-day supply) 4 $96 (up to 90-day supply) 4 $23 (up to 90-day supply) $28 (up to 90-day supply) $10 per visit $20 per visit $0 $10 75% of allowance 75% of allowance 75% of allowance 75% of allowance $30 fee for preventive services (2 per year) Hih Option $30 fee for preventive services (2 per year) $30 fee for preventive services (2 per year) Standard Option $30 fee for preventive services (2 per year) Enrollment Code Your Share Enrollment Code Your Share E31 $78.12 E34 $44.52 E32 $ E35 $ E31 $ E34 $96.46 E32 $ E35 $ E31 $56.26 E34 $29.38 E32 $ E35 $67.58 E31 $69.92 E34 $38.73 E32 $ E35 $ The emerency copay is waived if admitted to the hospital within 48 hours for the same condition or if admitted directly to the hospital as an inpatient. 2 If you request a brand-name dru in place of a eneric dru prescribed by your doctor, you may be required to pay full chares. Affiliated network pharmacies are $10 hiher. 3 These rates do not apply to all enrollees. If you are in a special enrollment cateory, please refer to your special FEHB Guide or contact the aency that maintains your health benefits enrollment. 4 For maintenance drus only. 11

14 Our locations To find a location near you, visit kp.or/facilities or download a free app for your smartphone or mobile device from the App Store or from Goole Play. s Caroll 83 Baltimore Hartford.C. Orane VA s) Loudoun Frederick Montomery Gaithersbur Towson 695 White Marsh Woodlawn 70 Balt. City City Plaza Howard Columbia South Baltimore Gateway County 267 Shady Grove Ashburn Kensinton Severna Park Summit Behavioral Health Center Silver Sprin Anne Arundel Reston 495 Prince Geore s Annapolis Fair Oaks Tysons DC Laro Corner Falls Church Fairfax Camp Sprins Manassas Burke Marlow Sprinfield Heihts Prince William Prince Geore s Woodbride Calvert Fauquier Charles Culpeper Stafford City of Fredericksbur Fredericksbur Spotsylvania Frederick (Not available for Medicare Plus enrollees) Caroline Kin Geore Westmoreland 495 Northwest D.C. Medical Office Buildin 95 DC MD Kaiser Permanente Capitol Hill n Louisa Hanover These centers open 24/7 Urent care Lab Pharmacy Radioloy 12

15 In your area With medical centers close to where you live and work, health care has never been more convenient. Maryland Annapolis Camp Sprins City Plaza Columbia Gateway Frederick Gaithersbur Kensinton Laro Marlow Heihts Prince Geore s Severna Park Shady Grove Silver Sprin South Baltimore County Summit Behavioral Health Center Towson White Marsh Woodlawn Virinia Ashburn Burke Fair Oaks Falls Church Fredericksbur (Not available for Medicare Plus enrollees) Manassas Reston Sprinfield Tysons Corner Woodbride Washinton, D.C. Capitol Hill Northwest D.C. Medical Office Buildin For information about the services all our medical centers provide, visit kp.or/facilities. 13

16 Expandin and rowin Kaiser Permanente is committed to the people of the Baltimore and Washinton, D.C., areas. By buildin new state-of-the-art medical centers and expandin others, your access to quality health care is even more convenient. Gaithersbur Medical Center More than 30 specialties, some available 24/7, includin urent care. Tysons Corner Medical Center More than 20 specialties, includin 24/7 urent care and other services. Northwest D.C. Medical Office Buildin New, completely renovated center featurin a pharmacy, primary care, and more. Now open South Baltimore County Medical Center This is our larest medical center in the Baltimore area and features some 24/7 services, includin urent care. Kaiser Permanente Ashburn Medical Center Now with 29,000 square feet featurin ob/yn, behavioral health, primary care, and more. Kaiser Permanente Capitol Hill Medical Center Located in the heart of Washinton, D.C., with 156,000 square feet and includin many 24/7 services, includin urent care. Expanded Laro Medical Center Now the larest medical center in the reion. 14 Watch members share why they chose Kaiser Permanente.

17 The riht choice for ood health Kaiser Permanente is uniquely structured to ive you everythin you need all toether in one easy-to-use packae. See how havin the riht health care partner can make all the difference. The experience With some health plans With Kaiser Permanente* Choosin your doctor. Pick from a lon list of physicians who will accept your insurance. View our doctors profiles online to find the one who is riht for you. Makin an appointment. Call. Get placed on hold. Call aain. Schedule or cancel routine appointments online. Durin your visit. Your doctor flips throuh a bi folder of paper records and possibly repeats tests. Your doctor and health care team have immediate access to your electronic health record. Bein referred to a specialist. Get a few names of people your doctor knows, or maybe has just heard of. Now it s up to you. E-referrals are simple and virtually seamless. Your doctor can typically book a specialty appointment for you on the spot so that you leave with a confirmed appointment. Askin routine questions without a visit. Leave a messae for your doctor and hope you et a call back. your doctor s office and et a reply, normally within 48 hours. kp.or/midatlantic *When you see a Kaiser Permanente physician. 15

18 A website just for you At kp.or/feds you ll find your Kaiser Permanente 2014 enrollment materials, includin the Federal Employees Health Benefits (FEHB) brochure (RI ). You can also connect to our facility and physician directories and learn more about our services. Notice of Summary of Benefits and Coverae: Availability of Summary Health Information The Federal Employees Health Benefits (FEHB) Proram offers numerous health benefits plans and coverae options. Choosin a health coverae option is an important decision. To help you make an informed choice, this plan makes available a Summary of Benefits and Coverae (SBC) about each of its health coverae options. The SBC summarizes important information in a standard format to help you compare across options. This plan s SBC is available on the Internet at: kp.or/feds. A paper copy is also available, free of chare, by callin (a toll-free number). To find out more information about plans available under the FEHB Proram, please visit opm.ov. Any questions? If you d like more information about the health coverae available throuh the Federal Employees Health Benefits Proram, includin the FEHB brochure (RI ), simply return the reply card attached. Fill out your information and choose the materials you d like to receive. Tear off the card and fold it with your information inside. Seal the card and drop it in the mail. Postae is free. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc East Jefferson Street Rockville, MD kp.or/feds _OEPreEnrollGuideFed_N_br 10/1/13 12/31/14

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20 About me... Please send me... I am a current Kaiser Permanente member. I d like to receive the followin materials by mail: I have been a Kaiser Permanente member in the past. I have never been a Kaiser Permanente member. Name Fold here and tape closed. FEHB brochure (RI ) Provider directory Preventive Dental Plan information Summary of Benefits and Coverae Address City State ZIP Code