What does kaiser permanente cover for out of network providers?

2 answer

Answer

1179274

2026-01-17 02:55

+ Follow

Kaiser Permanente generally offers limited coverage for out-of-network providers, primarily through their Point of Service (POS) plan, if you have one. In such cases, you may need to pay higher out-of-pocket costs, including a higher deductible and coinsurance. Additionally, services rendered by out-of-network providers may require prior authorization and can be subject to specific limits. It's best to review your plan details or contact customer service for precise coverage information.

ReportLike(0ShareFavorite

1184095

2026-01-17 03:00

+ Follow

Kaiser Permanente 的覆盖范围因具体的服务和计划而异,但通常情况下,Kaiser Permanente 对于非网络内的提供商(即不在 Kaiser Permanente 医疗网络内的医生或医院)的覆盖范围相对有限。以下是一些一般性的信息:

1. 紧急和必要服务:如果紧急情况发生,或在 Kaiser Permanente 医疗网络内没有合适的医生或设施提供必要的医疗服务,Kaiser Permanente 可能会覆盖这些非网络内的服务。

2. 特定条件下的覆盖:Kaiser Permanente 可能在某些特定条件下覆盖非网络内的服务,例如当患者在 Kaiser Permanente 医疗网络外接受必要的专科治疗时。

3. 自付费用:对于非网络内的服务,患者通常需要自付更高比例的费用,包括自付额、共付金和自付上限。

4. 预授权要求:在某些情况下,Kaiser Permanente 可能会要求患者在使用非网络内的服务前获得预授权。

具体的服务覆盖范围和费用信息,建议您直接咨询 Kaiser Permanente 的客户服务或查看您的会员计划详细说明。

ReportLike(0ShareFavorite

Copyright © 2026 eLLeNow.com All Rights Reserved.