KPWA Health Plan Highlights

Learn about your specific plan below or download your Health Benefits Guide.

Free Primary Care Visits*

With Kaiser Permanente, there is no co-pay when you see your primary care doctor (also called a Primary Care Provider, or PCP). You can see your PCP for wellness check-ups or when you are sick. Kaiser Permanente also offers virtual care options in many cases so you can get care from the comfort of home.

Urgent and Emergency Care
If you can’t get a same-day appointment with your doctor or have immediate health needs, your closest Kaiser Permanente urgent care center is an affordable solution.

Primary Care Provider/Online Visits: $0 Co-Pay
Urgent Care Visits: $0 Co-Pay
Emergency Room Visits: $200 Co-Pay

*Visits with your PCP have no co-pay, however if your doctor orders tests or lab work, you may have to pay a co-pay on those services.

Mental Health and Wellness Benefits

Your emotional health is as important as your physical health. Kaiser Permanente coverage includes professional support, medication, group therapy and alternative care, as well as:

  • Access to free emotional health and self-care apps like Calm, for mindfulness, and Headspace Care, for one-on-one emotional coaching.

  • Mental Health Care Chat, where you can easily arrange mental health care online.
  • Virtual assessments and e-visits to review your symptoms and get options that are right for you.

Prescription Benefits

Prescription medication (Rx) benefits are included in your coverage and transferring your prescriptions is simple! Just sign into your Kaiser Permanente online account or call Member Services.

Mail order is the most affordable option for you to get your prescriptions. Fill your prescriptions online, by phone or with the Kaiser Permanente app.

Rx Co-pay
Pharmacy:
30-day supply
Mail Order:
30-day supply
Generic Contraceptives*
$0
$0
Value-Based Drugs**
$4
$0
Preferred Generic
$8
$3
Preferred Brand
$25
$20
*If you work for a religious-based organization, your health plan excludes contraceptive coverage as permitted under the religious exemption of the Affordable Care Act. However, you will receive these at no cost to you (and without taking any additional action) from Kaiser Permanente, as long as you are enrolled in a health plan. **Value-based drugs are generic medications for treating various health conditions.

Vision Benefits

Kaiser Permanente provides comprehensive eye care. This includes 1 free eye exam every 12 months, and $600 every 12 months for vision hardware (like lenses, frames and contacts). You can choose from an extensive collection of high-quality eyewear that suits your style and budget. Adjustments and repairs are always complimentary.

Manage Chronic Conditions

Chronic conditions like diabetes, chronic pain or hypertension can affect your quality of life and require special treatment. Fortunately, they can be effectively treated through a healthy lifestyle, preventive care and ongoing management. In addition to primary care visits for general care and specialist referrals, your plan also offers:

  • Wellness coaching for individualized guidance to get and stay healthy.
  • Programs and guidance from a personalized care team to help manage your condition.
  • Smartphone apps for custom stretching programs, meditation, counseling and more.

Additional Benefits

Learn more about the dental, hearing and fertility and family-building benefits that are included in your $25 a month co-premium.

Dental Coverage Options
Progyny Logo
EPIC Hearing

Manage Your Health Benefits with an Online Account

  • View hours and eligibility for health benefits.
  • Apply for or make changes to healthcare coverage.
  • Access plan documents and forms.
  • Sign up for email communications about coverage.

Resources and Support

Get help with applying, questions about coverage, COBRA and more.

Call Customer Service at 1-877-606-6705 or email SEIU775BG-caregiver@magnacare.com.

Get Support in Your Language

Call Customer Service at 1-877-606-6705 or email SEIU775BG-caregiver@magnacare.com.

You will be connected to a representative who speaks your language and can assist with questions about applying for and managing your benefits.

Once you have been enrolled in healthcare coverage, language support will be available through your health plan.

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Caregiver Learning Center System Maintenance

June 6 (Thursday) – June 10 (Monday)

You can log in, enroll and take your training in the Caregiver Learning Center during this time. 

If you complete training during the System Maintenance, it will be sent to your employer after June 10. 

Please contact your employer if you have questions about your training requirement, deadline or payment.