A Medical Group physician determines that it is feasible to maintain effective supervision and control of your care in the home, and that based on your health status, treatment plan, and home setting, you can be treated safely and effectively in the home. You must consent to receiving Kaiser Permanente at Home Services because you prefer to receive the care described in your treatment plan in your home. The care location must be within 30 minutes of a 911 response. The care location must have cell service. Services are provided or arranged by Kaiser Permanente and Medically Home. Medically Home is the Participating Provider we contract with to provide Services under this program, including: Telemedical visits and in-person home visits by a care team of specialized health care providers including physicians, nurse practitioners, physician assistants, RNs, physical therapists, occupational therapists, speech therapists, respiratory therapists, nutritionists, home health aides, and other healthcare professionals providing Services in accord with your Kaiser Permanente at Home treatment plan and the provider’s scope of practice and license. A medical command center staffed by physicians and nurses who monitor your care and coordinate your care team. The medical command center provides 24/7 telemedical monitoring and access to your care team. Equipment temporarily installed in your home to monitor your vital signs, such as temperature, pulse, blood pressure, oxygen levels, and weight. This information is sent automatically to the medical command center and is available to any member of your care team. Communication devices such as a tablet computer for video visits, a “pick up the handset” phone with direct connection to the medical command center, and a wearable personal emergency response system (PERS) call button to allow you to contact the medical command center 24 hours a day, 7 days a week if you are unable to get to a phone. This includes communication technology to support reliable communication, backup power supply, and backup internet. Equipment necessary to ensure that you are monitored appropriately in your home: blood pressure cuff/monitor, pulse oximeter, scale, and thermometer. Laboratory tests, mobile imaging (X-rays, ultrasounds), and EKGs. Safety items when Medically Necessary, such as shower stools, raised toilet seats, grabbers, long handled shoehorns, and sock aids. Meals when Medically Necessary while you are receiving care in the home. The Cost Shares for the following covered Services, described elsewhere in this EOC, will not apply when the Services are prescribed as part of your Kaiser Permanente at Home treatment plan: Durable Medical Equipment. Medical supplies. Ambulance transportation to and from Participating Facilities when ambulance transport is Medically Necessary. Physician assistant and nurse practitioner house calls. Emergency Department visits associated with this benefit. The Cost Shares for covered Services described elsewhere in this EOC will apply to any Services that are not part of your Kaiser Permanente at Home treatment plan (for example, DME not specified in your Kaiser Permanente at Home treatment plan). EWCLGDED1983ACT0124 51 WAPEBB-CL-ACT
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