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


Basic Information

This section modified by: Amendment 35.   View Previous Language

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

Once enrolled, you can use any Kaiser facility. However, it is suggested that you choose a Kaiser 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 Plan facility to provide care for you and your dependent(s). Referrals to certain specialists may require a referral by your primary care provider.

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

Complete benefits and information about the Kaiser Plan are described in their descriptive literature or call the Customer Service Call Center at 1(800) 464-4000.