Kaiser Permanente: You have access to full-service medical care if you use Kaiser’s doctors, hospitals and other healthcare providers. At Kaiser facilities, you pay no annual deductible under this plan and will generally receive 100% coverage with a co-pay for office visits. In a life-threatening emergency, you are covered wherever you seek services for a small co-payment. If you need a listing of Kaiser Permanente facilities, visit the web site at www.kaiserpermanente.org, attend a Benefits Fair, contact the plan’s Member Services, or contact your Department Representative. Also, if you have an eligible dependent who resides outside of the service network, please contact the Benefits Information Line at (951) 955-4981 for information regarding enrolling your dependent residing out of the service area.

All Other HMO Plans: You will choose a primary care physician (PCP), who is a part of the provider network. Your PCP will coordinate all of your healthcare needs. This PCP can be a general practitioner, OB/GYN or pediatrician. If you need specialty care (e.g. cardiology), your PCP will refer you to a network specialist or hospital. Through your PCP, you have access to full service medical care. You pay no annual deductible under this plan and will generally receive 100% coverage and pay a co-payment for office visits. In a life-threatening emergency, you are covered wherever you seek services. If you need a Provider Directory, visit the plan’s web site (by clicking on the plan name in the list above), attend a Benefits Fair, contact the plan’s Member Services, or contact your Department Representative.

Please refer to the individual medical plan booklets for detailed lists of covered expenses, and exclusions and limitations. Medical plan booklets are available from your Department Representative, at a Benefit Fair or by contacting the Benefit Information Line at (951) 955-4981.