An Open Enrollment Q&A with Kaiser Permanente


Kaiser Permanente focuses on treating the entire individual and offering members with full care expertise. By means of our built-in care mannequin, we ship a sturdy suite of illness administration, wellness, and workforce well being packages that assist members keep wholesome and organizations help a thriving workforce.

Psychological Well being
Kaiser Permanente gives a complete, built-in continuum of behavioral well being and substance use dysfunction providers as a part of its commonplace well being plan advantages. Providers are embedded inside Kaiser Permanente’s coordinated care mannequin and embody specialty psychological well being care, psychiatry, substance use dysfunction remedy, built-in ache providers, behavioral well being scientific pharmacy help, and focused packages for populations with distinctive wants, together with pregnant members, adolescents/youth, rural communities, and members with higher-acuity or complicated behavioral well being wants. This built-in mannequin helps early identification, evidence-based remedy, practical restoration, and coordination throughout medical, behavioral well being, pharmacy, and specialty care groups.

Kaiser Permanente integrates psychological well being screening and help all through the care expertise. We routinely display for melancholy, nervousness, psychological misery, and substance use considerations, with further screening for members with persistent situations, pregnant members, and older adults to help early identification and intervention.

To make psychological well being care extra accessible, we combine behavioral well being providers throughout our care supply system. Many outpatient psychological well being providers are co-located with main care and specialty care settings, and psychological well being clinicians work alongside main care groups to streamline referrals, enhance care coordination, and cut back stigma. We additionally supply digital care choices that make it simpler for members to attach with behavioral well being professionals when and the place they want help.

Digital Apps
We offer a number of pathways for members to entry psychological well being and substance use care. Members can find out about obtainable sources on-line, join by way of their main care doctor, self-refer to specialty psychological well being providers, or be recognized by way of routine screenings. This complete strategy helps guarantee members obtain the extent of care that greatest meets their particular person wants.

For members who don’t require specialty care, we provide no-cost digital self-care instruments rooted in evidence-based scientific practices. By means of partnerships with Calm and Headspace, members can entry sources that help stress administration, sleep, mindfulness, relationships, persistent ache administration, and general emotional well-being. Members also can discover on-line lessons, self-guided packages, and wellness sources designed to assist them construct wholesome habits and enhance psychological well-being.

Preventive Care
Prevention has lengthy been a cornerstone of Kaiser Permanente’s strategy to well being care, and we constantly rank among the many nation’s prime well being plans for preventive care. We acknowledge that prevention goes past avoiding sickness. It means selling general well-being by supporting bodily, psychological, and social well being. By understanding the distinctive wants, objectives, and preferences of every member and employer group, we ship personalised packages and sources that assist individuals keep wholesome, thrive, and obtain their greatest well being.
We promote lifelong well being by way of personalised screenings, preventive care, and wellness help tailor-made to every member’s age, well being standing, and wishes. By means of shared decision-making, our care groups assist members navigate immunizations, screenings, medical procedures, and psychological and behavioral well being providers. Members also can entry digital instruments on kp.org, together with a symptom checker and the Whole Well being Evaluation, which gives personalised suggestions for Wholesome Life-style Applications.

Wellness
Kaiser Permanente presents members entry to a broad vary of well being and wellness packages, a lot of which can be found at no further price as a part of our built-in care supply mannequin. By embedding these providers inside our core choices, we make it simpler for members to entry the help they should enhance their well being and well-being.
Our Permanente Medical Teams develop scientific wellness packages that complement our complete preventive care and screening providers. We tailor these packages to handle members’ distinctive demographic and scientific wants, together with well being considerations which might be prevalent inside particular areas and communities.

Members can take part in lessons, workshops, and help teams supplied each on-line and at choose amenities. Out there packages fluctuate by area and are listed at kp.org/lessons. Members even have entry to a variety of wellness sources, instruments, and packages obtainable throughout all Kaiser Permanente areas by way of kp.org/health-wellness.

Scientific wellness packages could embody:

  • Vitamin counseling (resembling weight reduction and a nutritious diet)

     

  • Prenatal counseling and training

     

  • Substance abuse prevention

     

  • Alcohol-dependency counseling

     

  • Stress discount packages

     

  • Continual illness self-management packages

     

  • Train counseling and cardiovascular health packages

     

  • Violence Prevention and Anger Administration packages

     

  • Smoking Cessation program

     

  • Well being danger value determinations

     

  • Harm prevention program

Digital Care
Kaiser Permanente makes it straightforward for members to entry care when and the place they want it. Our built-in digital care providers join members with their care groups by way of safe, handy digital instruments that help ongoing relationships and seamless care coordination. As a result of digital visits are absolutely built-in with our care supply mannequin and digital well being file, members profit from continuity, high quality, and a related care expertise.

Members can entry a variety of digital care providers, together with video visits, scheduled telephone appointments, on-line chat, safe messaging, e-visits, distant monitoring, on-line bodily remedy, phone assessments, and 24/7 nurse recommendation, when clinically acceptable and obtainable. For instant wants, members also can use “Get Care Now” by way of kp.org or the Kaiser Permanente cellular app to attach with a clinician 24/7.

These digital care choices assist members obtain care within the setting that most closely fits their wants whereas bettering entry, strengthening engagement, supporting preventive care and persistent situation administration, and enhancing care coordination.

  • Video visits and scheduled phone appointments: Members can join with Kaiser Permanente suppliers by way of safe two-way video or scheduled phone appointments when clinically acceptable.

     

  • Chat and safe messaging: Members can chat with a clinician or securely electronic mail their care group with non-urgent questions, prescriptions, follow-up data, and care steerage.

     

  • E-visits: Members full a web based questionnaire about their situation and obtain self-care steerage, an appointment, or an evaluation and remedy plan from a Kaiser Permanente doctor.

     

  • Distant monitoring: Members with diabetes, hypertension, pregnancy-related wants, or different situations could share well being information with Kaiser Permanente suppliers remotely utilizing related expertise.

     

  • 24/7 recommendation and pressing digital entry: Skilled nurses and clinicians can be found by phone 24/7 to evaluate signs, carry out triage, and assist decide the correct degree of care.

Extra Member Sources
By means of kp.org, members can entry a wealth of well being and wellness sources designed to help knowledgeable well being selections and wholesome life-style decisions. We offer instructional content material, movies, podcasts, self-guided instruments, region-specific lessons, and well being enchancment packages that assist members handle their well being, stop sickness, and enhance general well-being. Sources can be found on a variety of matters, together with:

  • BMI calculators

     

  • Kids and teenage well being 

     

  • Class choices on numerous well being and wellness matters with schedules by area

     

  • Complementary and different care (nontraditional care)

     

  • Resolution help/assist instruments for signs, medical assessments, surgical procedures, remedies

     

  • Continual illness and persistent situation administration

     

  • Drug encyclopedia and regional formularies

     

  • Emotional and behavioral well being

     

  • Health and getting energetic

     

  • Wholesome Existence packages 

     

  • Well being training supplies/brochures

     

  • Children’ wellness video games and actions

     

  • Males’s well being

     

  • Being pregnant, new child, well-baby care (prenatal/postnatal)

     

  • Preventive care

     

  • Quitting smoking (smoking cessation)

     

  • Older adults’ well being and growing old

     

  • Weight administration

     

  • Ladies’s well being

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