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IBEW Local 11-LA NECA Retiree Health Plan
Summary Plan Description (SPD)


BASIC INFORMATION

In most instances, Kaiser Permanente owns its own hospitals and medical centers. You may enroll in Kaiser Permanente if you live or work within any of the Kaiser Permanente zip code service areas.

Once enrolled, you can use any Kaiser Permanente facility. However, it is suggested that you choose a Kaiser Permanente facility closest to your home, or most convenient for you to receive most of your care.

It is important to note that in order to receive covered benefits, you must use a Kaiser Permanente Plan facility to provide care for you and your dependent spouse. Referrals to certain specialists may require a referral by your primary care provider.

Kaiser Permanente Plan benefits apply when your care is provided, prescribed, or directed by a Kaiser Permanente physician except where specifically stated in emergency situations as described in the Kaiser Permanente descriptive literature.