Choice Products Mid-Atlantic States
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Out-of-Area PPO

For Employers

Choice Products are a great all-in-one solution that can help please your employees, while giving you the convenience of working with a single carrier. How? This Out-of-Area (OOA) Preferred Provider Organization (PPO)* plan combines an in-network provider option and an out-of-network provider option to offer your employees more choices. (Only available for mid-size and large group employees and their families who work and live outside the Kaiser Permanente Mid-Atlantic States coverage area).

Quick Documents

Provider Options by Location:

Kaiser Permanente States: The PHCS and Multiplan Networks provides access to care in the Kaiser Permanente states of CA, CO, GA, HI, MD, OR, VA, WA, and DC.

Non-Kaiser Permanente States: The Cigna Healthcare PPO Network* only provides access to care in non-Kaiser Permanente states

*Disclaimer: The Cigna Healthcare PPO Network refers to providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.

Quick Documents

Formularies

Out-of-Area PPO Formulary

Specialty Drugs List

Pharmacy Claim Form

Precertification Lists

VA OOA-PPO Precertification List

MD OOA-PPO Precertification List

D.C. OOA-PPO Precertification List

Other Documents and Forms

Precertification Request Form

Medical Claim Form

Nominate a PHCS and/or MultiPlan Provider

Member Care Transition Form

Member Coverage Documents

Out-of-Area PPO Plan Reference Guide

Out-of-Area PPO Overview Flyer for Members

Out-of-Area PPO Overview Flyer for Employers and Brokers

Out-of-Area PPO Information for Physicians

PHCS Provider Flyer

Your Rights and Protection Against Surprise Medical Bills – Maryland

Your Rights and Protection Against Surprise Medical Bills – District of Columbia

Your Rights and Protection Against Surprise Medical Bills – Virginia

Preparing for your Appointment

KPIC Notice of Language Assistance and Non-Discrimination

*Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP), underwrites the In-Network PPO Tier (Option 1) and Out-of-Network Tier (Option 2).

 

Overview

Plan overview and pricing information.

Onboarding Employees and Groups

How to implement and onboard employees and groups.

Employer Support

Where and how to get employer and broker support.