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Boulder County Kaiser Permanente Announcement

If you have an employer group plan from Kaiser Permanente and have the Triple Option Point of Service plans and PPO plans in Boulder County, Colorado, there are some very important changes.

PHCS Network Changes:
Boulder Community Hospital and the Boulder Valley IPA, participating/preferred providers for Added Choice Triple Option and PPO members, notified Private Health Care Systems (PHCS) that effective Sept. 1, 2006 they would no longer be a participating provider for Kaiser Permanente Added Choice Triple Option and PPO members. This includes the following facilities:
a. Boulder Community Hospital
b. Boulder Medical Center
c. Boulder Ambulatory Surgery Center
d. Community Medical Center
e. Community Reference Laboratory
f. Mapleton Center for Rehabilitation Services
g. Mapleton Center for Rehabilitation Services-Longmont,
h. Mapleton Behavioral Health Services,
i. Miriam R Hart Regional Radiation Therapy Center,
j. Boulder Community Homecare,
k. Boulder Center for Sports Medicine
l. Therapy Clinic at Gunbarrel
m. Endoscopy Center of the Rockies.

Kaiser is actively working with Boulder Community Hospital and Boulder Valley IPA to reach an agreement as late as August 30th. Kaiser Permanente is committed to providing high quality, affordable care to the residents of Boulder County and Boulder Valley. Kaiser Permanente continues to have a network of participating/preferred providers in Boulder County and Boulder Valley available to our Added Choice Triple Option and PPO members. This network includes hospital and physician providers.

Kaiser Permanente will support members in the transition of care by continuing to cover all services received from these providers as Tier 2 Participating providers for Added Choice Triple Option plans and In-Network Preferred providers for PPO plans through November 30, 2006. Any member in the third trimester of pregnancy will be covered for services received through delivery. After November 30, 2006, Kaiser Permanente Added Choice Triple Option and PPO members can continue to access Boulder Community Hospital and Boulder Valley IPA providers however out-of-network charges will apply.

A letter is being mailed to all employer groups with members enrolled in the Added Choice Triple Option and PPO plans to inform them of this important change and Kaiser Permanente’s transition of care plan. In addition, PPO and POS members will be receiving a letter to inform them of this important change.


This post first appeared on Colorado Health Insurance Insider, please read the originial post: here

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Boulder County Kaiser Permanente Announcement

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