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Getting Care

Choose your doctor and change anytime.

Getting connected with a provider who suits your individual needs is the first priority. Choose from a wide range of great providers or stay with your current provider. And remember—you can change at any time. Your plan provides you with that flexibility.

Here’s an overview of getting care with KP Plus. You have the option to see Kaiser Permanente providers in Georgia, or any other licensed provider in the country.

In-Network Provider
Out-of-Network Provider

Kaiser Permanente Providers in Georgia

Many ways to access care through the Kaiser Permanente care delivery system.

Kaiser Permanente has 26 convenient locations in metro Atlanta and Athens.
Kaiser Permanente providers offer coordinated care with the lowest out-of-pocket costs for office visits and pharmacy.
Save time and trips with doctors, pharmacy, labs, and X-rays all under one roof at most locations.
Access quality care from wherever you are. Chat online, email your doctor, complete an e-visit, or schedule a phone or video visit. Learn more at kp.org/getcare.
Members can also use kp.org and our mobile app to schedule certain appointments, email their doctors, view lab results, and refill prescriptions online.
To find a Kaiser Permanente provider in the Georgia service area, search the Georgia Kaiser Permanente Provider Directory.

Out-of-Network Providers

Any other licensed provider or physician in the country

Call any licensed provider anywhere directly for care.

- Your out-of-network benefit covers care you receive from any licensed provider (who’s not in the Kaiser Permanente Georgia care delivery system) for up to 10 physician office visits or covered outpatient medical services each year.
- You don’t need a referral or prior authorization to use the out-of-network benefit.
- You’ll pay a higher copay to see your out-of-network provider than if you were seeing an in-network provider.
- You may also pay a higher coinsurance for procedures performed in the out-of-network provider’s office (such as drugs administered during an office visit).
- You may be responsible for any amount billed that is above the amount your plan covers. You may be asked to pay the full cost of the visit up front and submit a claim for reimbursement.
Helpful Tips
- When making an appointment. Make sure the provider understands that your plan allows you to see any licensed provider for certain covered outpatient services as long as you don’t exceed the annual visit limit.
- When checking in for your visit. Bring your ID card with you. If your provider has any questions, have them call the customer service center phone number on the back of your ID card.
- After your visit. When you receive services from an out-of-network provider, you may need to submit a claim and will be responsible for paying the difference, if any, between what is billed and what your plan covers.
- You’ll generally pay higher out-of-pocket costs when you receive services from an out-of-network provider or facility.

To make the most of your visits:

To make the most of your out-of-network visits, you may want to save them for office visits with your favorite out-of-network provider. You can do this by using Kaiser Permanente providers for labs, X-rays, and other procedures. That way, they’re covered by your in-network benefit, rather than your out-of-network benefit. We can send results to your out-of-network provider.

To find out more:

Refer to your Evidence of Coverage (EOC).
Contact the human resources/benefits officer where you work, if your employer provides your coverage.
Refer to your ID card or call Customer Service, Monday through Friday, 8 a.m. to 6 p.m. Eastern Time at 1-855-364-3185 (TTY 711).

*This product is underwritten by Kaiser Foundation Health Plan Georgia, Inc. (KFHP-GA).