Kaiser Permanente Plan

The Kaiser Permanente Plan is another medical plan option to consider when selecting the medical coverage that’s right for you and your family.

About the Plan

The Kaiser Permanente Plan works differently than the Aetna HSA and POS plans. If you are currently seeing Emory Clinic providers (or any other providers), you will need to switch to Kaiser Permanente providers. In certain circumstances, your Kaiser Permanente provider may refer you to be seen by a non-Kaiser Permanente provider, which may include an Emory provider.

Get to Know Kaiser Permanente

Kaiser Permanente was founded over 70 years ago with a mission to provide high-quality, affordable health care services and to improve the health of the communities they serve. Kaiser Permanente providers work together within the Kaiser Permanente health plan, making it easy for you to get quality, coordinated care.

The Kaiser Permanente plan is an inclusive network that makes health care simple with everything you need, including primary care providers, specialty care providers, and lab and pharmacy, all conveniently located at Kaiser Permanente’s 26 state-of-the-art medical facilities in the Atlanta metro area.

With Kaiser, you have to use Kaiser Permanente providers – there are no out-of-network benefits and you cannot use Emory providers. But, they make it easy for you! All 600+ providers are connected through instant access to your electronic health record so you can get safe, personalized care. You won’t have to coordinate with providers, specialists, pharmacies, hospitals, or other caregivers because it’s all connected. You can see most specialists without a referral, and you won’t have to file a claim for any Kaiser Permanente provider. To find a doctor visit kp.org/doctorsandlocations.

Instead of meeting a deductible or paying co-insurance when you visit your provider in person, on the Kaiser Permanente plan you’re only responsible for a co-pay.

With same-day phone or video appointments, you can get care without making a trip to the doctor’s office. Kaiser Permanente’s telehealth options, including video visits and phone, email or online consultations, are available to you with no co-pay required.

You can also learn more by visiting the Kaiser Permanente website at my.kp.org/emoryuniversity.

Kaiser Plan FAQs

The Kaiser Permanente plan only covers care received by Kaiser Permanente providers. You will be responsible for the full cost of care for any care received outside of Kaiser Permanente.

The Kaiser Permanente plan only covers care received by Kaiser Permanente providers. You will be responsible for the full cost of care for any care received outside of Kaiser Permanente.

No, they are not.

No, you will need to see a Kaiser Permanente specialist. In some cases you may be seen by a provider outside of the Kaiser Permanente but only if referred by your Kaiser Permanente physician.

In the event of an Emergency, you will go to the nearest Emergency Room. Inpatient services under the Kaiser Permanente plan will be scheduled at Emory Midtown and Emory Saint Joseph’s where there are Kaiser Permanente care teams primarily responsible for caring for Kaiser Permanente members. Decisions regarding which hospital to admit a patient to is determined by the Kaiser physician.

No, under the Kaiser Permanente plan you will have access to Kaiser Permanente’s three 24/7 Advanced Care Centers in Kennesaw, Duluth or Jonesboro. Visit kp.org/locations to learn more.

No, under the Kaiser Permanente plan you will have access to Kaiser Permanente’s three 24/7 Advanced Care Centers in Kennesaw, Duluth or Jonesboro and over 60 community affiliated urgent care locations. Visit kp.org/locations to learn more.

Yes, in the event of an emergency, you will go to the nearest Emergency Room and you will be responsible for our Emergency Room copay.

Under the Kaiser Permanente plan you will fill your prescriptions at the Kaiser Permanente pharmacies located in the Kaiser Permanente medical offices. You will have access to Walgreens & Rite Aid for one time fills at a slightly higher copay. You can also use Kaiser Permanente’s mail order pharmacy and get a 90-day supply sent to your home.

No, under the Kaiser Permanente plan you will have access to Kaiser Permanente pediatric care. For all Pediatric Inpatient care, covered dependents under the Kaiser Permanente plan will have access to care at Children’s Healthcare of Atlanta if authorized by your Kaiser Permanente physician.

In certain circumstances, your Kaiser Permanente provider may refer you to be seen by a non-Kaiser Permanente provider, which may include an Emory provider.
2027 Benefit GuideOne Page Kaiser SummaryKaiser HRA FAQs

Contact Information

Department:
Benefits and WorkLife
Address:
1599 Clifton Road, NE
Atlanta, GA 30322
Phone:
404-727-7613
Email:
hrbenef@emory.edu
Hours:
Monday, Wednesday, Thursday, and Friday: 8:30 a.m.–4:30 p.m.
Tuesday: 8:30 a.m.–1:30 p.m.