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Northwest Regionkp.org/feds 2018 rates and benefits

The right plan for families, with $0 primary care office visit copay for children

Healthy togetherCare and coverage that fits your life

Federal employees and annuitants

Kaiser Permanente

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Welcome to care that fits your life

Many services under one roofDo more in less time. In most of our facilities, you can see your doctor, get a lab test, and pick up prescriptions — all in a single trip.

Right care, right timeGet the care you need when you need it with routine, specialty, urgent, and emergency care. If you’re ever unsure where to go, call us for 24/7 care advice by phone.

Convenient cost estimatesGet an idea of what you’ll pay before you come in for care. For a personalized estimate based on your plan details, visit kp.org/costestimates.

More care optionsHow you get care is up to you. Choose a phone or video appointment, email your doctor’s office with routine questions, or come see us in person.1

Your doctor, your choiceChoose your doctor based on what’s important to you. Go to kp.org/searchdoctors for details about education, specialties, languages spoken, and more. You can also change doctors at any time.

Care and coverage that fits your life

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Experience the Kaiser Permanente difference

To be healthy, you need quality care that’s simple, personalized, and

hassle-free. At Kaiser Permanente, care and coverage come together —

so you get everything you need to stay on top of your health in one

easy-to-use package.

Let’s get started

Quality care with you at the center 2

Great care, great results 3

Get more from your health plan 4

Your care, your way 5

Care when and where you need it 6

Your 2018 benefits

Benefit highlights 7

Which option is right for you? 8

Your 2018 benefits at a glance 9

Advantages of enrolling in a Kaiser Permanente Medicare health plan 10

Senior Advantage for Federal Members 11

Ready to enroll with Kaiser Permanente? 12

Locations near you 13

Kaiser Permanente

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Great care from great doctors

Our doctors come from top medical schools, and many of them teach at world-renowned universities. No matter which personal doctor you choose, you’ll be in highly skilled, experienced hands — and your health is their chief concern.

Choosing a doctor — your partner in health

We make it easy to find the doctor who’s right for you. Having a good relationship is important because your personal doctor is your biggest health advocate. Your physician will coordinate your care journey, and you’ll work closely together to make decisions about your health.

Better care with a connected team

Your doctor, nurses, and other specialists all work together to keep you healthy. They’re connected to each other, and to you, through your electronic health record. So they know important things about you and your health — like when you’re due for a screening and what medications you’re taking. That way, you get personalized care that’s right for you.

Personalized care for all members

Care at Kaiser Permanente isn’t one-size-fits- all. We believe your story, background, and values are as important as your health history. To deliver care that’s sensitive to all cultures, ethnicities, and lifestyles, we:

• Provide 4 Salud en Español modules where members will interact with Spanish speakers from beginning to end — from reception to nurses to doctors

• Offer telephone interpretation services in more than 150 languages

• Train our care teams on how to connect with and care for people of all backgrounds

Quality care with you at the centerOur physician-led care teams work together to keep you healthy by delivering high-quality, personalized care.

Through our culturally responsive care programs, we’ve improved health outcomes among diverse populations for conditions like high blood pressure, diabetes, and colon cancer.2

Care and coverage that fits your life

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Preventive care to keep you healthy

Preventive care is key to how we practice medicine at Kaiser Permanente. It can help you avoid some health issues and catch others before they become serious.

Your electronic health record plays a vital role — your preventive care services are tracked in the system, which triggers automatic reminders when you’re due for your next screening. We’ll let you know when to come in so you’re free to focus on living your life.

Support for ongoing conditions

If you have a condition like diabetes or heart disease, you’re automatically enrolled in a disease management program for personal coaching and support. With a well-rounded approach backed by proven best practices and advanced technology, we’ll help you get the care you need to continue living life to the fullest.

Specialty care when you need it

Preventive care can help keep you healthy, but we’re also here for you if you get sick or need specialty care. We have one of the largest multispecialty medical groups in the country, so we can connect you with the right specialist faster. And you don’t need referrals for certain specialties, like obstetrics-gynecology, psychiatry, and drug dependency services.

From high-quality maternity care to treatment for cancer, heart problems, and more, you get great doctors, the latest technology, and evidence-based care — all combined to help you recover quickly.

A leader in clinical quality

In 2016, Kaiser Permanente led the nation in 21 effectiveness-of-care measures, including prevention and screening, cardiovascular care, and comprehensive diabetes care.3

Great care, great resultsFrom preventive screenings that keep you healthy to world-class care if you get sick, we’ve got you covered.

Hear care stories from real Kaiser Permanente members at kp.org/carestories.

Kaiser Permanente

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Tools and resources for good health

Online

wellness tools

Visit kp.org/healthyliving for wellness information, health calculators, fitness videos, podcasts, and recipes from world-class chefs.

Healthy rewards

Take simple steps to improve your well-being and earn up to $150 per household to pay for qualified medical expenses.4 FEHB subscribers and their enrolled spouses (18 and over) are eligible for the following rewards:

• $50 for taking the Total Health Assessment, an online questionnaire that gives you a wellness action plan

• $25 for completing a healthy lifestyle program, an online class to help you reach your health goals

Go to kp.org/feds to learn more and get started.

Health classes

Sign up for health classes and support groups at many of our facilities. See what’s available near you at kp.org/classes — some may require a fee.

Personal wellness coaching

Get help reaching your health goals. Work one-on-one with a wellness coach by phone at no cost. Find out more at kp.org/wellnesscoach.

Special discounts for

members

Enjoy reduced rates on products and services that can help you stay healthy — like acupuncture, massage therapy, and more. Explore your options at kp.org/choosehealthy.

Help to quit smoking

Let us help you succeed in quitting. You pay nothing for classes, telephone coaching, online programs, and prescriptions, including prescribed over-the-counter tobacco-cessation drugs. Ask your doctor about your treatment options.

Good health goes beyond the doctor’s office. That’s why we offer so many convenient resources to our members. Explore them all, and choose the ones that fit your life.

Get more from your health plan

Care and coverage that fits your life

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Get care where, when, and how you want it. With more options to choose from, it’s easier to stay on top of your health.

Choose how you connect to care

EmailEmail your doctor’s office anytime with nonurgent questions. You’ll usually get a response within 2 business days — if not sooner.

VideoFor some conditions, you can meet face-to-face online with your doctor on your computer, smartphone, or tablet.

PhoneYou may be able to save a trip to the doctor’s office by having a phone appointment instead. We also offer care guidance and advice by phone 24/7.

In personMost of our locations have many services under one roof, so you can see your doctor, get lab services or X-rays, and pick up a prescription — all in the same trip.

Your care, your way

Manage your health your way

OnlineStay on top of your care at kp.org. Once you’re registered, you can view your medical record, refill most prescriptions, schedule routine appointments, and more.

In appManage your care anytime, anywhere. Access many of the features on kp.org with the Kaiser Permanente mobile app.5 Learn more at kp.org/mobile.

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[page 6 — locations/convenience/choice]

It’s easy for you and your family to get the care you need when you need it. There are many Kaiser Permanente facilities in your area, offering convenient hours and a wide range of care and services.

Convenient care near you

With multiple locations to choose from, it’s easy to find one near home or work. You can also see different doctors at different locations — whatever works best for you.

Finding the right location

Choosing a convenient place to get care is simple — just hop online or grab your smartphone.

• Visit kp.org/facilities to search by ZIP code, keyword, or the type of service you need.

• Search on your smartphone with the location finder on the Kaiser Permanente mobile app.5

Getting care anytime, anywhere

Emergency careIf you ever need emergency care, you’re covered. You can always get care at any Kaiser Permanente or non–Kaiser Permanente hospital emergency department.6

Travel careAs a Kaiser Permanente FEHB member, your benefits go farther than your home service area. Wherever you go, you’re covered for:

• Emergency room and urgent care visits — anywhere in the world

• Care at any Kaiser Permanente location in another region

• Coverage for certain outpatient follow-up care and outpatient care outside of Kaiser Permanente service areas through the FEHB travel benefit

To learn more, call our 24/7 Away from Home Travel Line at 951-268-39007 or visit kp.org/travel.

Care when and where you need it

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[page 6 — locations/convenience/choice]

Benefit highlights

2018 benefit changes — what’s new?

These are some of the key benefit changes to High and Standard Options:

• You no longer pay coinsurance for specialty drugs. You’ll pay $100 per prescription up to a 30-day supply (High Option) and $150 per prescription up to a 30-day supply (Standard Option).

• You no longer have a 60-day limit for multidisciplinary rehabilitation provided in a comprehensive facility or program under the physical and occupational therapies section.

• You’ll pay a share of the cost for services received in another Kaiser Permanente region.

• Medicare Part B reimbursement increased to $125 per month (Senior Advantage 2 only).

For a full list of 2018 benefit changes, please refer to page 14 of the FEHB Plan brochure, RI 73-004.

Preventive care at no cost

Health screenings and routine appointments can help you stay healthy and avoid serious health problems. No matter which plan you choose, you pay nothing for most preventive care services.

$0 primary care copay for children

There’s no charge for primary care office visits to a pediatrician or other physician for children through age 17. This includes checkups, as well as when your children get sick.

Alternative care services

Visit any CHP Group participating provider without a referral, and receive chiropractic services, acupuncture, naturopathic care, and massage therapy up to $1,000 per year (High Option) or $500 (Standard Option). To find a participating provider, visit chpgroup.com or call 1-800-449-9479, (TTY 711), Monday through Friday, 8 a.m. to 6 p.m.

Save on prescription drugs

• If the cost of your prescription is less than your copay, you pay only the cost of your prescription.

• Kaiser Permanente offers lower-cost prescriptions to treat some ongoing conditions like asthma, high blood pressure, diabetes, or depression, which can make managing these conditions more affordable.

• Save time and money by ordering prescription refills online or by phone. We can mail most prescription drugs to you within 10 days with no cost for shipping. Get a 90-day supply for the cost of a 60-day supply when we mail your prescription. Visit kp.org/refill or call 1-800-548-9809.

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Which option is right for you?

High Option Standard Option Included with both

• No deductible

• Higher premiums, but lower copays for most services and prescription drugs

If you want low out-of-pocket costs, this may be the right choice.

• $250 deductible (doesn't apply to office visits, prescription drugs, lab services, X-rays, urgent care, and many other services).

• Lower premiums, but higher copays or coinsurance after you meet your deductible

If you want predictable copays at a lower premium, this may be the right choice.

• No copays for primary care for children through age 17

• No copays when you email your doctor’s office, call the 24/7 medical advice line, or video chat with a doctor

• No paperwork to fill out when you get services from Kaiser Permanente providers

Dental coverage for Federal enrollees

Dental care is more than just a bright smile. Your Kaiser Permanente dentist is connected to your electronic health record, giving your entire care team a more complete view of your health. All Federal employees can choose between 2 great dental plans, both with a wide range of benefits and providers:

• Dental Preferred: Choose from more than 160 Kaiser Permanente providers at 20 convenient locations, including many inside or near our medical offices.

• Dental Select: Choose from more than 6,500 Oregon and Washington dentists who are outside the Kaiser Permanente network.

For more details or to enroll in our dental plans, visit kp.org/feds/nwdental.

Vision services for better health

As a Kaiser Permanente member, your eye health information becomes part of your electronic health record, giving your care team a more complete picture of your health.

Plans include eye exams ($20 to $25 copay) and a $150 hardware allowance every 2 years for adults 19 and older. For members 18 and younger, there’s no charge for frames when you choose from a specified collection (limited to 1 pair per year).

For more information, including our 10 optical locations, visit kp2020.org.

Care and coverage that fits your life

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Benefits and Services High Option Standard Option

Deductible (2x per family maximum) None $250 per person

These benefits and services are NOT subject to plan deductibles.

Outpatient services (per visit or procedure)*

Preventive care $0 $0

Primary care$20; $0 for children

through age 17 $25; $0 for children through

age 17

Specialty care $30 $35

Most X-rays $15 $30

Most lab tests $10 $25

Chiropractic, naturopathic, acupuncture, and massage services (up to 12 massage visits per year)

$20 ($25 massage) ($1,000 annual

benefit maximum)

$25 ($500 annual benefit maximum)

Prescription drugs (up to a 30-day supply at plan pharmacies, or up to a 90-day supply for 2 copays through mail order)†

Generic $15 $20

Preferred brand $40 $50

Non-preferred brand $60 $70

Specialty $100 $150

Eyeglasses and contacts (every calendar year for children through age 18 and every 2 calendar years age 19 and over)

$0 for children; $150 credit for adults

$0 for children; $150 credit for adults

Out-of-pocket maximum (2x per family maximum) $4,000 per person $4,500 per person

Subject to the deductible

Emergency and urgent care (per visit or trip)*

Urgent care $35 $45

Emergency care $150 $125‡

Ambulance $100 $125‡

Hospital and facility*

Outpatient surgery $100 $150‡

Inpatient hospital care (per admission) $250 $200 per day up to $600‡

Maternity

Routine prenatal care visit, first postpartum visit $0 $0

Delivery (per admission) $250 $200 per day up to $600‡

* You pay 10% of the cost (High) and 20% of the cost after the deductible (Standard) for drugs administered while receiving care.† Plan providers determine the drug that is medically necessary. If you request another drug, you must pay prices charged to

members for non-covered drugs. ‡You pay the deductible, then your share of the cost.

Your 2018 benefits at a glance

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When you join Kaiser Permanente Senior Advantage (HMO) for Federal Members, you get better benefits without increasing your FEHB premium:

• No copays for most office visits on the Senior Advantage 1 plan, and lower copays on the Senior Advantage 2 or Standard Option plan for most office visits

• No copays or lower copays for most other services, such as inpatient hospital, outpatient surgery, urgent and emergency care, and lab, X-ray, and specialty scans

• Lower out-of-pocket maximums

• Membership in Silver&Fit® Fitness Program at no extra charge

High Option members have 2 great choices

If you're enrolled in the Kaiser Permanente FEHB High Option plan, you have 2 great choices:

• Senior Advantage 1— No copays for most office visits, lowest copays for covered services, plus extras like the Silver&Fit® fitness program.

• Senior Advantage 2 — Get lower copays than your FEHB plan and reimbursement of your Medicare Part B premium — up to $125† each month.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. To join a Kaiser Permanente Medicare Health Plan, you must reside in the Kaiser Permanente Senior Advantage service area in which you enroll. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year and at other times in accord with your group’s contract with us. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. You must pay the Medicare Part B premium to join a Kaiser Permanente Medicare health plan. Enrolling in Senior Advantage for Federal Members will not affect the benefits you receive through the Federal Employees Health Benefits (FEHB) Program, although the network and other rules of Medicare may apply.

Advantages of enrolling in a Kaiser Permanente Medicare health plan

How do I sign up for Senior Advantage for Federal Members?

To enroll in Senior Advantage for Federal Members, you must first enroll in the Kaiser Permanente FEHB plan (either the High or Standard Option), plus Medicare Parts A and B. After that, you can apply for Senior Advantage for Federal Members.

We’ll enroll you in the plan option that matches the Kaiser Permanente FEHB option you have now. For example, if you’re a Kaiser Permanente Standard Option member, you’ll be enrolled in Senior Advantage for Federal Members Standard Option. Be sure to choose the right enrollment code on page 12.

When you become eligible for Medicare, you may be able to change your current plan or option. To learn more about making enrollment changes outside of Open Season, go to opm.gov or contact your employing agency or retirement office.

We can help you make an easy transition. For more information, download our brochure, Your Guide to Choosing a Kaiser Permanente Medicare Health Plan, at kp.org/feds. Annuitants can contact the Retirement Information Center at 1-888-767-6738 (TTY 1-855-887-4957), or retire@opm.gov.

If you have questions or need help with the enrollment process or to have information sent to you, please call Member Services at 1-877-221-8221 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.

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High Option Standard Option

2018 Benefits and ServicesSenior Advantage 1

You paySenior Advantage 2

You paySenior Advantage

You pay

Deductible (2x per family maximum) None None None

Outpatient services (per visit or procedure)

Primary care $0$15; $0 for children

through age 17$5; $0 for children

through age 17Specialty care $0 $15 $5Most X-rays $0 $0 $0 Most lab tests $0 $0 $0

Hospital and facility

Outpatient surgery $0 $50 $50Inpatient hospital care (per admission) $0 $200 $100

Emergency & urgent care (per visit or trip)

Emergency care $60 $75 $60Urgent care $0 $30 $10Ambulance $75 $100 $75

Prescription drugs (up to a 30-day supply at plan pharmacies, or up to a 90-day supply for 2 copays through mail order)*

Generic $15 $15 $20Preferred brand $30 $40 $40Non-preferred brand $50 $60 $60Specialty $100 $100 $150

Eyeglasses and contacts (every calendar year for children through age 18 and every 2 calendar years age 19 and over)

$0 for children; $150 allowance for adults

$0 for children; $150 allowance for adults

$0 for children; $150 allowance for adults

Additional Senior Advantage benefits

Silver&Fit® Fitness Program $0 $0 $0Part B reimbursement† $0 up to $125 $0

Out-of-pocket maximum (2x per family maximum)

$600 per person $1,000 per person $750 per person

* Plan providers determine the drug that is medically necessary. If you request another drug, you pay prices charged to members for non-covered drugs. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. For certain drugs, you can get prescription refills mailed to you through our Kaiser Permanente mail-order pharmacy. You should receive them within 10 business days. If not, please call 1-800-548-9809 (TTY 711), Monday through Friday, 8 a.m. to 4:30 p.m.

† We will not reimburse you for any extra charges added to your standard Part B premium, such as the Part B late enrollment penalty or Income Related Monthly Adjustment Amount.

Senior Advantage for Federal Members

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Ready to enroll with Kaiser Permanente?8

1. Choose an option.2. Select the type of

enrollment you want.3. Sign up online or call.

• High Option• Standard Option

Find brief descriptions of these options on page 8. More details about benefits are on page 9.

• Self Only covers you.

• Self Plus One covers you and 1 eligible family member.

• Self and Family covers you and all eligible family members.

Find your enrollment code in the chart below. Then, visit opm.gov to enroll online or contact your employing agency or retirement office for next steps and other information.

Annuitants can contact the Retirement Information Center at 1-888-767-6738 or (TTY 1-855-887-4957), or retire@opm.gov.

If you qualify for Medicare, or will soon, see page 10 for more information.

Your Premium Share* High Option Standard Option

Self Only

Biweekly Non-Postal $90.17 $69.26Biweekly Postal Category 1 $83.80 $63.03Biweekly Postal Category 2 $77.44 $57.49Monthly Non-Postal $195.37 $150.06

Self Plus One

Biweekly Non-Postal $230.45 $159.11Biweekly Postal Category 1 $216.81 $144.79Biweekly Postal Category 2 $203.17 $132.06Monthly Non-Postal $499.31 $344.74

Self and Family

Biweekly Non-Postal $199.87 $159.11Biweekly Postal Category 1 $185.38 $144.79Biweekly Postal Category 2 $170.89 $132.06Monthly Non-Postal $433.05 $344.74

Enrollees covering themselves and one other eligible family member may choose either the “Self Plus One” or ”Self and Family“ enrollment type. If you choose the High Option, you’ll save money if you enroll in Self and Family. Current Self Plus One subscribers must make an active enrollment election to move to Self and Family and get a lower member contribution.

Choose the right enrollment code

Enrollment Code High Option Standard OptionSelf Only 571 574Self Plus One 573 576Self and Family 572 575

* These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency or Tribal

Employer which maintains your health benefits enrollment.

Care and coverage that fits your life

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Polk

Washington

Columbia

Yamhill

Clark

Cowlitz

5

30

5

20526

Salem

Vancouver

Longview

Portland

N

84

Multnomah

Clackamas

66

65

64

45

43

42

4139

40

6746

44

Lane

Hillsboro

Tigard

Portland

Milwaukie

Tualatin

Beaverton

Oregon City

Vancouver

63

62

61

60

57

54

5251

49

48

38

37

36

35

34

33

32

3130

29

2827

26

25

2423

2120

191817

16

15141312

11

9

8

5

4

32

1

47

6

507

56

59

58

5553

22

10

217

5

5

205

205

84

26

HospitalMedical officeDental officePortland Clinic office

Please note: Facility locations are approximate. Facility location numbers on this map correspond with our larger location map for Kaiser Permanente Northwest.

Locations near you New locations to serve you better

• Care Essentials by Kaiser Permanente, a convenient care clinic, is open in the Pearl District of Portland. The clinic treats minor illnesses and injuries and provides preventive care services. Learn more at careessentials.org.

• Cedar Hills Dental and Medical Office is now open in Beaverton, offering adult and child dental services and routine medical care.

Medical FacilitiesPortland-area medical centers1 Kaiser Permanente

Sunnyside Medical Center 10180 SE Sunnyside Road Clackamas, OR 97015

2 Kaiser Permanente Westside Medical Center 2875 NW Stucki Ave. Hillsboro, OR 97124

3 OHSU Doernbecher Children’s Hospital 3181 SW Sam Jackson Park Road Portland, OR 97239 (For children 17 and younger)

Portland-area medical offices

4 Beaverton Medical Office 4855 SW Western Ave. Beaverton, OR 97005

5 Brookside Center 10180 SE Sunnyside Road Clackamas, OR 97015

6 Care Essentials by Kaiser Permanente 1035 NW Northrup St. Portland, OR 97209

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7 Cedar Hills Medical Office 12450 SW Walker Rd. Beaverton, OR 97005

8 Center for Health Research 3800 N. Interstate Ave. Portland, OR 97227

9 Clackamas Eye Care 12100 SE Stevens Court, Suite 106 Portland, OR 97086

10 Gateway Medical Office 1700 NE 102nd Ave. Portland, OR 97220

11 Hillsboro Medical Office 5373 E. Main St. Hillsboro, OR 97123

12 Interstate Medical Office Central 3600 N. Interstate Ave. Portland, OR 97227

13 Interstate Medical Office East 3550 N. Interstate Ave. Portland, OR 97227

14 Interstate Medical Office South 3500 N. Interstate Ave. Portland, OR 97227

15 Interstate Medical Office West 3325 N. Interstate Ave. Portland, OR 97227

16 Interstate Radiation Oncology Center 3620 N. Interstate Ave. Portland, OR 97227

17 Lake Road Nephrology Center 6902 SE Lake Road, Suite 100 Milwaukie, OR 97267

18 Mt. Scott Medical Office 9800 SE Sunnyside Road Clackamas, OR 97015

19 Mt. Talbert Medical Office 10100 SE Sunnyside Road Clackamas, OR 97015

20 Murrayhill Medical Office 11200 SW Murray Scholls Place, Suite 100 Beaverton, OR 97007

21 One Town Center 10163 SE Sunnyside Road, Suite 490 Clackamas, OR 97015

22 Rockwood Medical Office 19500 SE Stark St. Portland, OR 97233

23 Sunnybrook Medical Office 9900 SE Sunnyside Road Clackamas, OR 97015

24 Sunnyside Medical Office 10180 SE Sunnyside Road Clackamas, OR 97015

25 Sunset Medical Office 19400 NW Evergreen Parkway Hillsboro, OR 97124

26 Tualatin Medical Office 19185 SW 90th Ave. Tualatin, OR 97062

27 Westside Medical Office 2875 NW Stucki Ave. Hillsboro, OR 97124 (located inside Kaiser Permanente Westside Medical Center)

The Portland Clinic facilities*28 The Portland Clinic —

Beaverton 15950 SW Millikan Way Beaverton, OR 97003

29 The Portland Clinic — Columbia 5847 NE 122nd Ave. Portland, OR 97230

30 The Portland Clinic — Downtown 800 SW 13th Ave. Portland, OR 97205

31 The Portland Clinic — East 541 NE 20th Ave., Suite 210 Portland, OR 97232

32 The Portland Clinic — South 6640 SW Redwood Lane Portland, OR 97224

33 The Portland Clinic — Tigard 9250 SW Hall Blvd. Tigard, OR 97223

Vancouver-area medical center and offices34 Legacy Salmon Creek

Medical Center 2211 NE 139th St. Vancouver, WA 98686 (24-hour, emergency, low-risk childbirth, and selected services only)

35 Cascade Park Medical Office 12607 SE Mill Plain Blvd. Vancouver, WA 98684

36 Mill Plain One Medical Office 203 SE Park Plaza Drive, Suite 140 Vancouver, WA 98684

37 Orchards Medical Office 7101 NE 137th Ave. Vancouver, WA 98682

38 Salmon Creek Medical Office 14406 NE 20th Ave. Vancouver, WA 98686

Care and coverage that fits your life

15*Available to all Kaiser Permanente members except those on Medicaid, receiving full financial assistance, or visiting from another Kaiser Permanente region.

Salem-area medical center and offices39 Salem Hospital

890 Oak St. SE Salem, OR 97301

40 Keizer Station Medical Office 5940 Ulali Drive Keizer, OR 97303

41 North Lancaster Medical Office 2400 Lancaster Drive NE Salem, OR 97305

42 Skyline Medical Office 5125 Skyline Road S. Salem, OR 97306

43 West Salem Medical Office 1160 Wallace Road NW Salem, OR 97304

Longview-area medical center and office44 PeaceHealth St. John

Medical Center 1614 E. Kessler Blvd. Longview, WA 98632

45 Longview-Kelso Medical Office 1230 Seventh Ave. Longview, WA 98632

Eugene-Springfield-area medical office46 Downtown Eugene

Medical Office 100 W. 13th Ave. Eugene, OR 97401

Battle Ground-area medical office47 Battle Ground

Medical Office 720 W. Main St., Suite 15 Battle Ground, WA 98604

Dental FacilitiesPortland-area dental offices

48 Aloha Dental Office 17675 SW Tualatin Valley Hwy. Beaverton, OR 97003

49 Beaverton Dental Office 4855 SW Western Ave. Beaverton, OR 97005

50 Cedar Hills Dental Office 12450 SW Walker Rd. Beaverton, OR 97005

51 Clackamas Dental Office 10209 SE Sunnyside Road Clackamas, OR 97015

52 Eastmoreland Dental Office 5025 SE 28th Ave. Portland, OR 97202

53 Glisan Dental Office 10102 NE Glisan St. Portland, OR 97220

54 Grand Avenue Dental Office 1314 NE Grand Ave. Portland, OR 97232

55 Gresham Dental Office 360 NW Burnside St. Gresham, OR 97030

56 Kaiser Permanente Dental at Johnson Creek 9300 SE 91st Ave., Suite 310 Happy Valley, OR 97086

57 North Interstate Dental Office 7201 N. Interstate Ave. Portland, OR 97217

58 Oregon City Dental Office 1900 McLoughlin Blvd., Suite 68 Oregon City, OR 97045

59 Rockwood Dental Office 822 NE 181st Ave. Portland, OR 97230

60 Sunset Dental Office 19075 NW Tanasbourne Drive Hillsboro, OR 97124

61 Tigard Dental Office 7105 SW Hampton St. Tigard, OR 97223

Vancouver-area dental offices

62 Cascade Park Dental Office 12711 SE Mill Plain Blvd. Vancouver, WA 98684

63 Salmon Creek Dental Office 14406 NE 20th Ave. Vancouver, WA 98686

Salem-area dental offices

64 North Lancaster Dental Office 2300 Lancaster Drive NE Salem, OR 97305

65 Skyline Dental Office 5135 Skyline Road S. Salem, OR 97306

Longview-area dental office

66 Longview-Kelso Dental Office 1230 Seventh Ave. Longview, WA 98632

Eugene-Springfield-area dental office

67 Valley River Dental Office 1011 Valley River Way Eugene, OR 97401

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Care is just a click awayDigital tools designed to make your life easier

Once you join ...Visit kp.org/newmember to get started. It’s easy to register at kp.org, choose your doctor, transfer your prescriptions, and schedule your first routine appointment. And if you need help, just give us a call.

Already a member?Manage your care online anytime at kp.org. If you haven’t already, go to kp.org/registernow so you can start emailing your doctor’s office with nonurgent questions, schedule routine appointments, order most prescription refills, and more.

Care and coverage that fits your life

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This is a summary of the features of the Kaiser Permanente health plan, including Kaiser Permanente Senior Advantage for Federal Members. Before making a final decision, please read the Federal Employees Health Benefits (FEHB) brochure, RI 73-004. All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB brochure. The services listed on page 4 (“Tools and resources for good health,” except “Health classes,” page 7 (CHP Group complementary care), and page 8 (Dental coverage) are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all enrollees and family members who become members of Kaiser Permanente.

1 These features are available when you get care at Kaiser Permanente facilities.2 Kaiser Permanente improved blood pressure control in our Black/African American members, raised colon cancer screening

rates in our Hispanic/Latino members, and improved blood sugar control in our members with diabetes. Self-reported race and ethnicity data are captured in KP HealthConnect, and HEDIS® measures are updated quarterly in the interregional CORE Datamart.

3 Kaiser Permanente 2016 HEDIS® scores. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. Kaiser Permanente combined region scores were provided by the Kaiser Permanente Department of Care and Service Quality. The source for data contained in this publication is Quality Compass 2016 and is used with the permission of NCQA. Quality Compass 2016 includes certain CAHPS® data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® and HEDIS® are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.

4 As a Kaiser Permanente member, you and your enrolled spouse (age 18 and over) are eligible to earn up to $75 each in rewards. We will send you a Kaiser Permanente health payment card 4 to 6 weeks after you complete your first activity, then load additional rewards when you complete your second activity. You must keep your card for use throughout the year and use rewards to pay qualified medical expenses by March 31 of the next calendar year. Go to kp.org/feds to learn more and get started.

5To use the Kaiser Permanente app, you must be a Kaiser Permanente member registered on kp.org.6 If you reasonably believe you have an emergency medical condition, which is a medical or psychiatric condition that

requires immediate medical attention to prevent serious jeopardy to your health, call 911 or go to the nearest emergency department. For the complete definition of an emergency medical condition, please refer to your Plan brochure, RI 73-004.

7 This number can be dialed from inside and outside the United States. Outside, you must dial the U.S. country code “001” for land lines and “+1” for mobile before the phone number. Long-distance charges may apply and we cannot accept collect calls. This phone line is closed on major holidays.

8 These are highlights of the FEHB enrollment process. Please refer directly to opm.gov and your employing agency or retirement office for FEHB coverage effective dates, enrollment procedures and deadlines, and other information. To add an eligible family member to your Kaiser Permanente Self and Family enrollment, complete and return an Enrollment Change Form to us. These forms can be obtained at kp.org/feds or by calling Member Services.

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Please recycle. 60661015 October 2017

Kaiser Foundation Health Plan of the Northwest 500 NE Multnomah St., Suite 100 Portland, OR 97232

©2017 Kaiser Foundation Health Plan, Inc.

The right choice for a healthier youHaving a good health plan is important. So is getting quality care. With Kaiser Permanente, you get both.

Notice of Summary of Benefits and Coverage (SBC): Availability of Summary Health Information The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and coverage options. Choosing a health plan and coverage option is an important decision. To help you make an informed choice, each FEHB plan makes available a Summary of Benefits and Coverage (SBC) about each of its health coverage options, online and in paper. The SBC summarizes important information in a standard format to help you compare plans and options. This plan’s SBC is available on the internet at kp.org/feds. A paper copy is also available, at no charge, by calling 1-800-813-2000, Monday through Friday, 8 a.m. to 6 p.m. For TTY, call 711. To find out more information about plans available under the FEHB Program, including SBCs for other FEHB plans, please visit opm.gov/insure.

Not a member yet?For more information, visit kp.org/feds or call 1-855-315-1007, Monday through Friday, 7 a.m. to 5 p.m. Open Season hours: Monday through Friday, 6 a.m. to 7 p.m. Saturday and Sunday, 6 a.m. to 3 p.m.