Footnotes
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One Pass® is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions and is a voluntary program.
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Rides may be provided by taxis, rideshare services, vans, and medical transport as determined by our transportation provider. Limited to 65 miles, one way
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This number can be dialed from both inside and outside the United States. Before the phone number, dial "001" for landlines and "+1" for mobile lines if you’re outside the country. Long-distance charges may apply, and we can’t accept collect calls. The phone line is closed on major holidays (New Year’s Day, Easter, Memorial Day, July Fourth, Labor Day, Thanksgiving, and Christmas). It closes early the day before a holiday at 10 p.m. Pacific time (PT), and it reopens the day after a holiday at 4 a.m. PT. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Travel support anytime (closed major holidays)
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When receiving care at a Kaiser Permanente facility. Some prescriptions are not available through the mail-order pharmacy. most prescriptions delivered to you
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In-home support is offered within the base plan for Silver, Enhanced, Gold or D-SNP plan members only. Core, Bronze, Silver, Enhanced, Gold and PPO Choice members may purchase Advantage Plus options that will provide additional hours per year. Activities of Daily Living (IADLs) within the home
Kaiser Permanente is an HMO, HMO-POS, and PPO plan with Medicare contracts. Enrollment in Kaiser Permanente depends on contract renewal.
The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the grievance process.
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