Washington supplemental benefits

For new or renewing groups with a January 1, 2014 to December 1, 2014 effective date, supplemental benefits can no longer be added as an extra benefit. All medical plans now offer a prescription drug benefit (outpatient). Some plans offer vision hardware, Expanded Choice and self-referred alternative care are not available on any 2014 plans.

Outpatient prescription drug—HMO

The Kaiser Permanente formulary applies to all plans. Members get up to a 30-day supply for each copayment (up to a 90-day supply of maintenance drugs for two copayments when our Mail-Delivery Pharmacy is used—except for the $15/50% plan). All of these plans, except the $15/50%, are Medicare Part D-creditable.

View our formulary

2013 benefit summaries
$10/$20/$40 $15/$30/$50 $20/$40/$60 $10/$20/$40/$150 $15/$30/$50/$150 $20/$40/$60/$150 $15/50% - whichever is greater

Prescription drug—Added Choice

Choose one of the following options when purchasing an Added Choice plan. When a prescription is filled at MedImpact pharmacy, the plan covers up to a 30-day supply of generic drugs.

Locate a pharmacy

2013 benefit summaries
$10/$20/$40 - $15/$30/$50 $10/$20/$40/$150 - $15/$30/$50/$300 $15/$30/$50 - $20/$40/$60 $15/$30/$50/$150 - $20/$40/$60/$300 $20/$40/$60 - $25/$50/$70 $20/$40/$60/$150 - $25/$50/$70/$300

Self-referred chiropractic

Self-referred chiropractic care is available through approved Complementary Healthcare Plan (CHP) network providers in the Kaiser Foundation Health Plan of the Northwest service area. With the Added Choice plans, members may use their benefit at CHP, PPO, and other non-participating providers and facilities.

Visit The CHP Group for a list of providers.

2013 benefit summaries
Spinal & Extremity Manipulation benefit

Alternative care

Self-referred care from Complementary Healthcare Plan (CHP) network providers in the Kaiser Permanente service area. Annual benefit maximum is $1,000. If added to Added Choice plans, members may use their benefit at CHP, PPO, and other non-participating providers and facilities.

Visit The CHP Group for a list of providers.

2013 benefit summary
Alternative care - $1,000

Vision care

Eye exams are covered as a medical benefit at the applicable office visit charge. Vision hardware must be prescribed and purchased at Kaiser Permanente. If added to Added Choice plans, members may use their benefit at CHP, PPO, and other non-participating providers and facilities.

Visit Vision Essentials

2013 benefit summaries
$100 allowance $150 allowance $250 allowance

Expanded Choice

Expanded Choice benefit provides an annual dollar amount per member to use for care from a non-participating provider without a referral.

2013 benefit summaries
$500 $1,000 $2,000 $3,000

Orthodontia

2013 benefit summaries
$1,000 $1,500

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