Kaiser Permanente Medical Plan

Update on the Southern California fires and high winds

Kaiser Permanente is closely monitoring the fires and high winds throughout the Southern California area. Our top priority is the safety of our patients, members, staff, and community.

Most Kaiser Permanente facilities in Southern California are open and operating during normal business hours. However, the following facilities are currently closed:

• Sylmar Medical Offices
• Pasadena Medical Offices
• Pasadena Vision Essentials
• Thousand Oaks Hillcrest Drive Medical Offices
• Santa Monica Medical Offices
• Rosemead Target Clinic

Facility impacts are subject to change during this developing situation, check this page often for updated information. We will contact you if your appointment is affected by these closures.

Additionally, video visits and telephone appointments are available for primary care needs. If you have questions about scheduled appointments, you can contact our Appointment and Advice Call Center at 1-833-574-2273.

We will continue to evaluate the situation and provide updated information as it becomes available.

You can get emergency care, urgent care, or otherwise authorized care at a non-Kaiser Permanente facility.

If you reasonably believe you have an emergency medical condition, call 911 or go to the nearest emergency department. To request reimbursement for services provided outside of Kaiser Permanente, log into kp.org and navigate to the “Billing” section. Click on “Submit a claim for reimbursement.” You will be directed to a form that outlines the required information and asked to provide supporting documentation (e.g., receipts). This option is also available on the Kaiser Permanente Mobile App under Billing and Claims. If you prefer to use a paper form, you can download it on kp.org before sign-in under Forms & Publications, fill them out, and then mail them to our claims department. Southern California members, mail to: Kaiser Foundation Health Plan, Inc. Claims Department 5 P.O. Box 7004 Downey, CA 90242-7004

Reminder: Safeguard your health

It’s important to take precautions to stay healthy if you or your family are in an area being impacted by the current fires — especially people with respiratory conditions such as asthma and chronic obstructive pulmonary disease. We recommend that you:

• Follow safety precautions issued by the National Weather Service on high winds.
• Stay indoors and keep your windows closed (unless instructed otherwise).
• Use controller steroid inhalers (like QVAR) as prescribed.
• Use quick relief inhalers to help with shortness of breath.
• If you have oxygen, use it if you have difficulty breathing.
• Run an air conditioner but keep the fresh-air intake closed and the filter clean to prevent outdoor smoke from getting inside.
• Use fans in each room to help move the air in your house.
• If you have difficulty breathing and would like medical advice you may reach our Appointment and Advice Call Center at 1-833-574-2273. If you think you have a medical emergency, call 911 for assistance.

Your mental health can also be affected by wildfires

For people who have lost homes, been evacuated due to fire, or had fires in their yards, the emotional effects can be traumatic. People who already have mental health conditions are susceptible to increased symptoms due to the unstable environment.

Even if you don’t live in an area affected by wildfires, it’s possible to feel anxious or upset when hearing the devastating stories of people experiencing loss from fires. Our mental health clinicians are available to assist you.

Learn more about wildfires and how to protect yourself and your family.

Getting your prescriptions if you’re affected or displaced

For general pharmacy information or to refill a prescription over the phone, please call 1-866-385-2644 (M-F 8am-6pm). If you need an urgent prescription or refill, you can go to any open

Kaiser Permanente pharmacy. To search for a pharmacy near you, visit our Facility Directory.

If you would like your nonurgent prescriptions mailed to you, you can order them online on kp.org or call our Southern California Mail Order Pharmacy at 1-866-206-2983. (M-F 8am-6pm). Please note, it may take 3 to 5 days to deliver your prescriptions via mail.

For information about member coverage or how to redirect or replace your prescriptions, or if your Kaiser Permanente ID card has been lost, call our Member Services Contact Center.

Member Services Contact Center

If you have questions about the information provided here, please call our Member Services Contact Center, open 24 hours a day, 7 days a week (closed holidays).

English: 1-800-464-4000 
Spanish: 1-800-788-0616 
Chinese dialects: 1-800-757-7585 
TTY: 711

When calling, be sure to let our Member Services representative know you’ve been affected by the wildfires.

Red Cross Resources 

As a reminder, people can call 1-800-RED-CROSS for the latest shelter information and to access additional support. In addition to being a safe place to stay, Red Cross shelters can help folks with basic care items, mental health counseling, replacing medicines, or even help with pets.

If you are missing a loved one or friend or have become separated as the result of an evacuation or the fires, especially if someone is elderly or has a functional access need or has medical or mental health condition made more severe by the disaster, Red Cross has resources for reunification at redcross.org. You can also call 1-800-RED-CROSS and ask for help with an “Emergency Welfare Inquiry.”

Kaiser Permanente – Northern and Southern California

• The deductible is $1,000 for employee-only coverage and $2,000 for employee-plus-dependents coverage.
• The deductible only applies to outpatient surgery, hospitalization and emergency care.
• For in-network doctor visits, virtual visits, or services, you pay a copay of $20 per visit.
• For other in-network services and emergency room visits, you pay 20% after you meet your deductible.
• The out-of-pocket maximum is $4,000 for employee-only coverage and $8,000 for employee-plus-dependents coverage.
• The plan does not provide out-of-network coverage, except in the case of a medical emergency.
• For care while traveling, Kaiser provides access to virtual care and has partnered with Target Minute Clinics and Concentra urgent care centers across the country for in-person visits as needed.

Find out how your medication is covered