Comparison of Kaiser Permanente plan networks

Overview of the health plans offered by Kaiser Permanente.

 

 HEALTH CARRIERPROVIDER NETWORKSPLAN TYPE
Core Kaiser Foundation Health Plan of Washington Broad group of Washington state providers we contract with directly, including Washington Permanente Medical Group.

Some larger employer groups have additional providers in their network.

Out-of-network coverage: None except emergency and medically necessary urgent care.
HMO
Core Select Kaiser Foundation Health Plan of Washington Exclusive high performing network that includes Washington Permanente Medical Group with select medical groups and providers to provide coverage in 6 core counties; remaining 12 counties are identical to the Core HMO network.

Out-of-network is limited to urgent and emergent coverage.
HMO
Connect Kaiser Foundation Health Plan of Washington Exclusive high performing network that includes Washington Permanente Medical Group with select medical groups and providers to provide coverage in 6 core counties.

Out-of-network is limited to urgent and emergent coverage.
HMO
Medicare Advantage HMO Kaiser Foundation Health Plan of Washington Broad group of Washington state providers we contract with directly, including Washington Permanente Medical Group.

Out-of-network coverage: None except emergency care and some certain circumstances.
HMO
Summit PPO Kaiser Foundation Health Plan of Washington Options, Inc. Exclusive high performing network that includes Washington Permanente Medical Group with select medical groups and providers to provide coverage in 6 core counties at the Tier 1 level, Tier 2 are the remaining providers in the Access PPO network. Tier 3 is out-of-network coverage by any licensed provider in the U.S. not directly contracted with Kaiser Permanente and First Choice Health and First Health Network.PPO
Access PPO

Elect PPO

Options Federal (Formerly GHO Federal or Omni PPO)
Kaiser Foundation Health Plan of Washington Options, Inc. Extensive network of Washington state providers we contract with directly, including Washington Permanente Medical Group and most major medical groups.

First Choice Health in Washington, Oregon, Alaska, Idaho, and Montana. In-network for Elect PPO in WA, (EXCLUDING 18 county Kaiser Permanente Washington service areas) OR, AK, ID, MT.

First Health Network in all other states.

Out-of-network coverage for all PPO Plans: Any licensed provider in the U.S. not directly contracted with Kaiser Permanente and First Choice Health and First Health Network.
Access PPO and Elect PPO preauthorization (PDF)
PPO
Options
(no longer available for new sales)
Kaiser Foundation Health Plan of Washington Options, Inc. Broad number of Washington state providers we contract with directly, including Washington Permanente Medical Group.

Out-of-network: Discounted rates from First Choice Health providers in Washington, Oregon, Alaska, Idaho, and Montana and First Health Network providers in all other states.

Any licensed provider in the U.S. without any discounts.
POS

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