2018 Provider Directory Southern California

1 H0524_H6050_18 SCPDv2_NM Kaiser Permanente Senior Advantage (HMO), Senior Advantage Medicare Medi-Cal (HMO SNP), and Medicare Cost Plans Provider Directory This Directory is current as of December 1, 2018. This Directory provides a list of Kaiser Permanente s current network providers. This Directory is for our Southern California service area, which includes all of Orange County and parts of Kern, Los Angeles, Riverside, San Bernardino, San Diego, and Ventura counties. If you live in a partly covered county, please see the service area description inside for the ZIP codes that are in our service area. To access Kaiser Permanente s online Provider Directory , you can visit For any questions about the information contained in this Directory (hardcopy or online), please call our Member Service Contact Center at 1-800-443-0815, seven days a week, 8 to 8 TTY users should call 711.

2 Kaiser Permanente is an HMO plan and a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. The Provider network may change at any time. You will receive notice when necessary. This document is available in a different format for the visually impaired by calling our Member Service Contact Center at the number listed above. ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-800-443-0815 (TTY: 711). ATENCI N: Si habla espa ol, tenemos a su disposici n servicios gratuitos de asistencia con el idioma. Llame al 1-800-443-0815 (los usuarios de la l nea TTY deben llamar al: 711).

3 Table of Contents Section 1 Introduction .. 1 What is the service area for Kaiser Permanente Senior Advantage, Senior Advantage Medicare Medi-Cal, and Medicare Cost plans? .. 3 How do you find Kaiser Permanente providers in your area? .. 4 Section 2 List of network providers .. 5 Kaiser Permanente 5 Baldwin Park, Bellflower, and South Bay .. 5 Inland Empire & Coachella Valley .. 55 Kern County, Valleys, and WVC .. 109 Metropolitan Los Angeles .. 154 Orange County .. 190 San Diego .. 222 Affiliated Locations .. 261 Baldwin Park, Bellflower, and South Bay .. 261 Inland Empire & Coachella Valley .. 264 Kern County, Valleys, and WVC .. 267 Metropolitan Los Angeles .. 270 Orange County .. 273 San Diego.

4 274 Affiliate Providers .. 278 Baldwin Park, Bellflower, and South Bay .. 278 Inland Empire & Coachella Valley .. 282 Kern County, Valleys, and WVC .. 285 Metropolitan Los Angeles .. 289 Orange County .. 292 San Diego .. 296 HearUSA Centers .. 304 Durable Medical Equipment Suppliers .. 307 Chiropractic Provider Directory .. 311 Notice of nondiscrimination .. 408 Multi-language Interpreter Services .. 409 1 Section 1 Introduction This Directory provides a list of Kaiser Permanente s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. Your Primary Care Physician You will have to choose one of our network providers listed in this Directory to be your Primary Care Physician (PCP).

5 The term PCP will be used throughout this Directory . Generally, you must get your health care services from your PCP. Your PCP meets state standards and is trained to give you primary medical care. He or she will usually practice general medicine, also called internal medicine or family practice. Women may also choose specialists in obstetrics-gynecology whom the Medical Group designates as Primary Care Physicians. Your PCP will provide most of your care. If you need a specialist, your PCP will help you choose a doctor in that field and work with him or her as part of your health care team. You can choose your PCP from any of our available primary care network providers. Once you make your choice, it is effective right away.

6 If you wish, you can change your PCP for any reason. Choosing or changing your doctor We believe that an important part of your total health is building a trusted relationship with your primary care doctor. He or she is your supporter for your health needs and goals, helping you with everything from preventive care exams and advice for healthier living to treating you when you re sick. Whether you re new to Kaiser Permanente or a longtime member looking for a change, choosing a personal doctor to coordinate your care is easy. You can learn about each doctor s certifications, specialties, languages spoken, interests, and more on to help you find the right fit for you. If you want to make a switch, you can change your doctor at any time and for any reason.

7 A doctor for your unique needs You can choose a personal doctor from one of the departments listed next. Adult or Internal Medicine (Internists) Family Medicine (Family practitioners) Obstetrics-Gynecology (Ob-Gyn) This department provides comprehensive gynecologic and obstetric care. Women 18 to 64 may choose an ob-gyn as well as a personal physician. We encourage sexually active teenage girls to also choose an ob-gyn. Pediatrics Pediatricians care for infants, children, adolescents, and teens. How to choose or change your doctor Online Search our Directory for primary care practitioners who are accepting new patients. Then browse their profiles to find the right doctor for you. Follow these steps: 1.

8 Go to 2. Choose your area. 3. Narrow your search by city, doctor name, etc. 4. Click Search. 5. Read about the doctors and click Select me when you find a good match that is accepting new patients. Phone Call our physician selection service at 1-888-956-1616, weekdays from 7 to 7 We ll talk to you about your needs and help you make your choice. For TTY for the Deaf, hard of hearing, or speech impaired, call 711. Your family is free to choose different doctors at different locations. 2 Getting Covered Care For Senior Advantage members, you must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor Kaiser Permanente will be responsible for the costs.

9 For Kaiser Permanente Medicare Cost members, you must use network providers for care to be covered by our Plan except in emergency or urgent care situations. You may use your Original Medicare coverage separate from your Health Plan benefits and obtain care from out-of-network providers. If you do so, ask the out-of-network Provider to file a claim directly with Medicare. You are responsible for Medicare coinsurance, any unmet portion of deductibles, and, for charges from providers who do not participate in Medicare, amounts up to the Medicare limiting charge. The network providers listed in this Directory have agreed to provide you with your health care and vision services. You may go to any of our network providers listed in this Directory ; however, some services may require a referral.

10 To see a specialist, you usually need to get your PCP s approval first. (This is called getting a referral to a specialist.) However, you do not need a referral to get specialty care from network providers in Ob-Gyn, optometry, psychiatry, and chemical dependency. Bills from out-of-network providers If you receive a bill from an out-of-network Provider , you should not pay the bill. Send it to our Claims Department and they will let you know how much you have to pay. Claims Department Box 7004 Downey, CA 90242-7004 Emergency and urgent care If you have an emergency medical condition, call 911 or go to the nearest hospital. When you have an emergency medical condition, we cover emergency care anywhere in the world.