KP-plan-information

Getting care with Kaiser Permanente

With a Kaiser Permanente WA health plan, you get access to high-quality health care, when you want it. Whether you choose to come in to a medical center, engage with your care team through email, talk to a clinician with an online chat, or call our 24/ Nurse hotline, you can access care on your own time. We also have mail-order pharmacy services and a mobile app.


How do I choose a personal provider, and how can I change providers?
To find a provider, check our website for the most current information, refer to our Provider Directory, or call Member Services at 1-888-901-4636. Our Member Services representatives can help you choose a doctor based on his or her location, special interests, gender, or other factors that are important to you. Also remember that each family member may choose a different provider. If for any reason you wish to change doctors, you can at any time.

How can I see a specialist?
With your Kaiser Permanente WA health plan, you can choose from 500 specialists in over 60 specialties — most without a referral. These specialists are located at our Kaiser Permanente medical offices. To find out which specialists are available, please call Member Services at 1-888-901-4636 or speak to your primary care provider. If you wish to see a specialist who does not practice at a Kaiser Permanente medical office, talk with your primary care provider about a referral.

How do you cover services like acupuncture and naturopathy?
The PEBB plans cover a limited number of acupuncture, naturopathy, and chiropractic visits without requiring a referral from your primary care provider. Massage therapy services require a prescription and care plan from your primary care provider if he or she determines the services are medically necessary.

How do I access routine care?
Routine care is available at Kaiser Permanente medical offices or at facilities in our contracted network. Please refer to your Provider Directory on our website for specific phone numbers for the facility of your choice.

How do I access urgent care?
Five of our medical centers have Urgent Care Centers, most with evening, weekend, and holiday hours including Bellevue, Olympia, Seattle (Capitol Hill), Silverdale, and the Tacoma Medical Center. Urgent Care Centers at the Bellevue Medical Center, Capitol Hill Campus in Seattle, and Tacoma Medical Center are open 24 hours a day, seven days a week.

For urgent care during business hours, call your provider's office or the Consulting Nurse Service. For urgent care after business hours, on weekends, or on holidays, call the Consulting Nurse at 206-630-2244 for the Seattle area. For all other areas in Washington State, call 1-800-297-6877. The nurse will listen to your concerns and direct you to the most appropriate care.

How do I access emergency care?
In a life-threatening emergency, call 911 or your local emergency number. If you are unable to do so, ask someone to call for you or to take you to the nearest emergency care facility. You may go to any hospital in your area for emergency care. Remember that you may save money if you go to an emergency room at any of our contracted hospitals if possible. Refer to Emergency and Urgent Care for more information. The Consulting Nurse Service can also direct you to the best place near you for your particular emergency.

How do I know if I need urgent or emergency care?
When you want care advice or need to know if you should get immediate medical attention, Kaiser Permanente WA's Consulting Nurse Service can help 24 hours a day. In the Seattle area, call 206-630-2244. For all other areas in Washington State, call 1-800-297-6877.

Use emergency care for sudden, unexpected medical conditions that, in the reasonable judgment of a prudent lay person, would endanger a person's life or seriously harm the person's health if not treated immediately by a licensed medical professional. Emergency medical conditions include:

  • Suspected heart attack or stroke
  • Sudden or extreme difficulty breathing
  • Bleeding that will not stop or deep cuts
  • Major burns
  • Seizures
  • Sudden and severe headache or abdominal pain
  • Poisoning or suspected poisoning

If someone in my family gets a serious illness and needs hospitalization, where will they go if I am a Kaiser Permanente WA member?
Kaiser Permanente WA's priority is putting patients first — which always means giving you the best care possible. If you or anyone in your family has a serious illness and needs hospitalization, you can rest assured that Kaiser Permanente WA has amazing partners in care across our service area, including seven hospitals where we have providers on the medical staff. Your primary care provider will help coordinate your care to the place that best suits your needs.

How do I access routine care, urgent care and emergency care when I'm away from home?
You are covered for emergency and medically necessary urgent care worldwide. In the case of a life-threatening emergency, call 911 or the local emergency number where you are visiting. If you are admitted to the hospital, you or a family member must call the Emergency Notification Line at 1-888-457-9516 within 24 hours, or as soon as reasonably possible. For other care out-of-area, call the Consulting Nurse Service for advice on what to do for your particular health issue.

What services are offered at Kaiser Permanente medical offices?
You can get one-stop services at our 31 Kaiser Permanente medical offices where you'll find that, in addition to seeing your doctor, you usually can get lab tests, X-rays, and pharmacy services. Our Kaiser Permanente medical offices also provide specialty care services. See our Provider Directory for a list of Kaiser Permanente specialists and where they are located.

It seems Kaiser Permanente is very proactive about preventive care. What resources are available to me?
At Kaiser Permanente, we believe in getting healthy and staying that way. That's why we offer an array of wellness resources and put a priority on preventive care so you can avoid problems before they start. From your annual wellness visit and recommended screenings, to a proactive health risk assessment questionnaire, to access to health coaching 24/7 for additional support, we provide you with a variety of clinical help so that you can be your healthiest self. We also have tobacco cessation programs, classes and support groups, and a whole lot more.

Questions?

Kaiser Permanente has set up a special Customer Service line just for active PEBB employees.

Speak with a representative Mon. – Fri. 8 a.m. – 6 p.m.

Call 1-866-648-1928

For Medicare questions

Medicare members call to speak with a licensed Kaiser Permanente WA representative:

1-800-581-8252 (TTY 711)

Provider Directories

Find a Provider For SoundChoice Subscribers

Find a Provider For Classic, CDDHP, and Value Subscribers)

Find a Provider Medicare Advantage Retirees

Frequently Asked Questions

Find answers to frequently asked questions about our online services to manage your care, including paying premiums or bills, refilling prescriptions, emailing your doctor, and more.