participating personal physicians call Kaiser Permanente Member Services at (206) 630-0107 in the Seattle area, or toll-free in Washington at 1-866-648-1928 or by accessing the KFHPWA website at www.kp.org/wa. The change will be made within 24 hours of the receipt of the request if the selected physician’s caseload permits. If a personal physician accepting new Enrollees is not available in your area, contact Kaiser Permanente Member Services, who will ensure you have access to a personal physician by contacting a physician’s office to request they accept new Enrollees. To find a personal physician, contact Member Services or access the KFHPWA website at www.kp.org/wa to view physician profiles. Online you will find information on each physician’s location, education, credentials, and specialties. For your personal physician, choose from these specialties: • Family medicine • Adult medicine/internal medicine • Pediatrics/adolescent medicine (for children up to 18) Be sure to check that the physician you are considering is accepting new patients. If your choice does not feel right after a few visits, you can change personal physician at any time, for any reason. If you don’t choose a physician when you first become a KFHPWA Enrollee, we will match you with a physician to make sure you have one assigned to you if you get sick or injured. In the case that the Enrollee’s personal physician no longer participates in KFHPWA’s network, the Enrollee will be provided access to the personal physician for up to 60 days following a written notice offering the Enrollee a selection of new personal physicians from which to choose. 3. Specialty Care Provider Services. Unless otherwise indicated in Section II. or Section IV., Preauthorization is required for specialty care and specialists that are not KFHPWA-designated Specialists and are not providing care at facilities owned and operated by Kaiser Permanente. KFHPWA-designated Specialist. Preauthorization is not required for services with KFHPWA-designated Specialists at facilities owned and operated by Kaiser Permanente. To access a KFHPWA-designated Specialist, consult your KFHPWA personal physician. For a list of KFHPWA-designated Specialists, contact Member Services or view the Provider Directory located at www.kp.org/wa. The following specialty care areas are available from KFHPWA-designated Specialists: allergy, audiology, cardiology, chiropractic/manipulative therapy, dermatology, gastroenterology, general surgery, hospice, mental health and wellness, nephrology, neurology, obstetrics and gynecology, occupational medicine, oncology/hematology, ophthalmology, optometry, orthopedics, otolaryngology (ear, nose and throat), physical therapy, smoking cessation, speech/language and learning services, substance use disorder, and urology. 4. Hospital Services. Non-Emergency inpatient hospital services require Preauthorization. Refer to Section IV. for more information about hospital services. 5. Emergency Services. Emergency services at a Network Facility or non-Network Facility are covered. Enrollees must notify KFHPWA by way of the Hospital notification line (1-888-457-9516 as noted on your member identification card) within 24 hours of any admission, or as soon thereafter as medically possible. Coverage for Emergency services at a non-Network Facility is limited to the Allowed Amount. Refer to Section IV. for more information about Emergency services. Enrollees are covered for Emergency care and Medically Necessary urgent care anywhere in the world. If you think you are experiencing an emergency, go immediately to the nearest emergency care facility or call 911. Go to the closest urgent care center for an illness or injury that requires prompt medical attention but PEBB HMOHSA 2024 7