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Dual Choice PPO

Finding Doctors and Facilities

Dual Choice PPO makes it more convenient to find doctors and facilities for your care.

Here’s an overview of getting care with Dual Choice PPO.  You have the option to see Kaiser Permanente Providers in Georgia, Network Providers, or any licensed provider.

In-Network Providers

Kaiser Permanente Providers in Georgia & Network Providers

In Georgia:  Find Network Providers and Locations

In another Kaiser Permanente State:  The PHCS Network provides access to care in the Kaiser Permanente states of CA, CO, HI, MD, OR, VA, WA, and DC.

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

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

Find Kaiser Permanente Pharmacies in Georgia

Find MedImpact Pharmacies

Hospital Surprise Billing Rating

Kaiser Permanente Providers and medical offices in Georgia.

    • Access any Kaiser Permanente Provider, affiliated hospital, or pharmacy in Georgia, all within the integrated delivery system.
    • To find a provider in Georgia, browse our Dual Choice PPO Provider Directory or call Customer Service at 1-855-364-3185 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m., Eastern time.
    • To find a Kaiser Permanente pharmacy in Georgia, search the pharmacy directory.

Network Providers

  • You can work directly with Network Providers nationwide.
  • Search the provider directory for network providers and locations in Georgia.
  • Search the directory to Find Kaiser Permanente Pharmacies in Georgia
  • Live or traveling outside of Georgia?
  • No referral is needed for office visits to Network Providers or specialists.  However, your Network Provider will need to obtain pre-certification with PHCS providers in Georgia and other KP states of CA, CO, HI, MD, OR, VA, WA and DC for some services and procedures.   You are responsible for obtaining precertification. You must call 1-855-265-0311 (TTY 711) for precertification.  If using the Cigna PPO Network for care in non-Kaiser Permanente states, the Cigna PPO providers are responsible for obtaining precertification on your behalf when precertification is required. You won’t be financially responsible if a Cigna PPO provider fails to obtain precertification for covered services.
  • It is always a good idea to call the provider’s office to confirm that they’re a Network Provider.

Can I nominate a physician to become a Network Provider?

  • Yes. If you were seeing a doctor who is not a Network Provider, you can nominate the doctor to join the network.  Please keep in mind your provider may choose not to be contracted.
  • To nominate a PHCS provider in GA or another Kaiser Permanente state, visit multiplan.com/kaiser. To nominate a Cigna PPO Network provider outside of Kaiser Permanente, call Customer Service at 1-855-364-3185 (TTY 711), Monday through Friday 8a.m. to 6p.m., Eastern time.
  • Then, enter your provider’s name in the search box and follow the prompts to nominate them to the PHCS network.
  • The Network Provider Review process can take up to six months. Whether a physician or practitioner is accepted depends on a number of considerations, including the provider’s interest in joining, so a nomination doesn’t guarantee acceptance.

 

Out-of-Network Providers

Choose any licensed provider anywhere for care.

  • You can work directly with any licensed provider or facility anywhere.
  • No referral is needed for office visits to Out-of-Network Providers or specialists. However, you will need precertification for some services and procedures. You or your authorized representative must obtain precertification by calling 1-855-265-0311 (TTY 711).

You’ll generally pay the most out-of-pocket costs when you receive services from an Out-of-Network Provider or facility.