Can I receive care from out-of-network providers?

Kaiser Permanente - Oregon/Washington primarily operates as a managed care organization, which means that it focuses on providing health care services through its own network of providers. Generally, members are encouraged to receive care from in-network providers to ensure the highest level of coverage and reduced out-of-pocket costs. However, there are specific circumstances under which out-of-network care might be possible. If a member requires a service that is not available within the Kaiser Permanente network, they may explore options for obtaining care from an out-of-network provider. In such cases, prior authorization may be necessary to ensure that the services will be covered, and the costs may differ substantially compared to in-network rates. It is essential for members to understand the details of their specific benefit plan, as the rules regarding out-of-network care can vary. To gain a comprehensive understanding of the policies related to out-of-network providers, members should review their plan documents or visit the Kaiser Permanente website. This resource can provide current information about available services and how to navigate care options.