What are automatic refills?

• Kaiser Medication Copay
• Kaiser Prescription Copay Form
• Kaiser Permanente Copay
• Kaiser Prescription Copay Program

And when you order refills by mail, you get a 90-day supply and pay only 2 30-day supply plan pharmacy copays.The prescription drug coverage described on the MedImpact or Optum websites is a summary of the features of the Kaiser Permanente health plan. Prescription Drugs. Kaiser members are automatically enrolled in the two-tier Kaiser prescription drug plan. Prescriptions are included in the annual Out-of-Pocket Maximum. Manage your prescriptions online at kp.org or via the KP mobile app then pick-up prescriptions at a Kaiser pharmacy or enroll in the mail order program and save even more. Kaiser Permanente Senior Advantage Standard (HMO) H9003-006 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Kaiser Permanente available to residents in Oregon and Washington. This plan includes additional Medicare prescription drug (Part-D) coverage. The Kaiser Permanente Senior Advantage Standard (HMO) has a monthly premium of $44.00 and has an in-network Maximum Out-of. Kaiser Permanente's microsite for County of Sonoma employees. The Deductible First HDHP plan provides a 21% savings compared to the current Kaiser Permanente $10 Copay Plan. This plan requires a member to meet the calendar year deductible FIRST before ANY plan benefits will be paid, except covered preventive services. Kaiser Permanente pharmacy. Just present your blue ID card and prescription to the Kaiser Permanente pharmacist. Pay copays for most generic and brand-name drugs. ou can order refills three convenient ways: online, Y by phone, or by mail. For more details. o find a Kaiser Permanente pharmacy near you, visit T.

When you enroll qualified prescriptions, Kaiser Permanente will refill your prescriptions automatically at the right time, unless you cancel. We will also contact your doctor to renew a prescription once the last refill is up or the prescription is about to expire.

You can select which prescriptions to include in this service. Before we process a refill, we’ll send you a reminder via text message in case you want to make changes.

What is the cost of enrolling?

There’s no additional cost to enroll in automatic refills. There are also no service, shipping, or handling charges to have qualified prescriptions mailed to you. Unless you cancel, your copay* or coinsurance costs will be charged when an order ships.

*Copayment, copay, or coinsurance is the amount a plan member is required to pay for a prescription in accordance with a plan. The amount may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with a balance, if any, paid by a plan.

How do I enroll?

1. Sign in at kp.org/wa and select 'access pharmacy services.'
2. Scroll down to click on 'sign up now' under prescription preferences.
3. Complete the steps to enroll in automatic prescription refills.

What are the benefits of having my prescriptions enrolled?

You can save time and energy by not having to refill or renew your prescriptions manually. We'll take care of it for you. This also helps ensure that you won’t miss taking an important medication because of a forgotten refill.

What are the minimum requirements for enrollment?

To provide you with the best service, we ask that you:

1. Register at kp.org/wa.
2. Update your communication preferences to allow text messaging for prescription reminders. Please make sure you have a valid mobile phone number on file.
3. Keep a bank card on file for payment.

Members age 13 to 17 are not eligible at this time.

Are all of my prescriptions eligible?

No, not all prescriptions are eligible for automatic refill or renewal. This service is available for many common maintenance medications taken on a long-term basis, such as medications for managing blood pressure, cholesterol, or diabetes. Some medications, such as controlled substances and over-the-counter medications, are not eligible for this service. You will receive a confirmation with medications that have been enrolled.

How does the automatic refill service work?

1. Request enrollment.
2. Kaiser Permanente will enroll all eligible prescriptions.
3. You will receive a secure message from Kaiser Permanente confirming the medications that have been enrolled.
4. Approximately 10 to 14 days before your refill due date, you will receive a text message reminder. At that point, you will have 2 days to request changes, delay, or cancel the refill before we begin processing your prescription through our pharmacy.
5. The Kaiser Permanente mail-order pharmacy will ship your prescriptions to you.
6. Once they’ve been mailed, you’ll receive a text notification with shipment tracking information.

How do I delay or cancel an automatic refill?

Kaiser Medication Copay

The best way to cancel or make changes is when you receive a text message reminder that your refill due date is coming up. To request changes at another time, please text the Kaiser Permanente pharmacy at 452-80, and we’ll respond within one business day. If you do not cancel within 2 days of receiving the reminder, your prescription refill or renewal order will be processed. Your current payment method will be charged for your copay* when the order ships (if applicable).

*Copayment, copay, or coinsurance is the amount a plan member is required to pay for a prescription in accordance with a plan. The amount may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with a balance, if any, paid by a plan.

When and how will you contact my doctor for a prescription renewal?

If your prescription has expired or run out of refills, we’ll contact your doctor’s office via electronic request, fax, or phone. If your doctor does not respond or declines the renewal, we will not be able to ship that medication automatically. If your doctor approves the renewal, we will process the order and send the medication to you.

What if my doctor changes my prescription or adds a new prescription?

Changes to existing prescriptions, such as how you take the medication, should not impact the automatic refill process. If you start a new medication that’s eligible, it will be enrolled automatically — no action is needed. If you don’t receive a text message confirmation and would like to confirm that your prescription is enrolled, please text our pharmacy at 452-80. We’ll respond within one business day.

How do I pay for prescriptions that are enrolled?

If you have a copay* or coinsurance, we will charge your default payment option when your prescription order is shipped. Prescriptions enrolled in automatic refills and renewals are not eligible for the installment copayment plan.

*Copayment, copay, or coinsurance is the amount a plan member is required to pay for a prescription in accordance with a plan. The amount may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with a balance, if any, paid by a plan.

Kaiser Prescription Copay Form

How do I add a stored bank card for payment?

To add or update a stored bank card, call our pharmacy at 1-800-245-7979 (TTY 711), Monday through Friday, 7:30 a.m. to 7 p.m.; Saturday and Sunday, 8 a.m. to 4:30 p.m. You can also save your payment method when you pay for a prescription refill ordered through kp.org/wa or the Kaiser Permanente Washington mobile app.

How do I remove a prescription if I no longer want it refilled automatically?

When you receive our text message reminder that your refill due date is coming up, you can contact us within 2 days to request that the prescription be removed from automatic refills (otherwise it will be processed and shipped). To notify us at another time, text the Kaiser Permanente pharmacy at 452-80. We’ll respond within one business day.

How can I track my order once it's been mailed?

When your order ships, you'll receive a text message with tracking details. You can also view your order status at kp.org/wa under 'My Prescriptions.'

Can I return an automatic prescription refill?

We do not accept returns of prescriptions filled through our automatic refill service. You can cancel an order in advance when you receive a text message reminder (approximately 10 to 14 days before your prescription is shipped). You’ll have 2 days after receiving the reminder to notify us of any changes before your prescription is processed. After that, we’ll no longer be able to make changes or cancel your prescription.

Kaiser Permanente Copay

If you have additional questions, contact us:

• Send a text to 452-80, and we'll respond within one business day.
• Call us at 1-800-245-7979 (TTY 711), Monday through Friday, 7:30 a.m. to 7 p.m.; Saturday and Sunday, 8 a.m. to 4:30 p.m.
• Sign in at kp.org/wa to chat online with pharmacy staff.

How to use Kaiser Permanente’s prescription drug pricing tool

Kaiser Prescription Copay Program

• 1. Choose the link for FEHB coverage for your option (for example, High Option) above. You will be directed to PilotRx.
  2. Type the first few letters or entire name of a drug, then choose the dose and form (capsule, tablet, liquid, etc.)
  3. You will see the cost-sharing you pay in the “Your Cost” column. Note the tool will show the most common quantity and day supply for that drug. If you change the location or quantity, the results will be added to your list so you can compare all your options.
  4. If you see “Not Covered”, “N/A” for cost-sharing or want to find a lower cost drug, press “View Most Commonly Dispensed Similar Drugs”. You may find a generic equivalent that will save you money.
• 1. Choose the link for “FEHB coverage with Senior Advantage for Federal Members” above. You will be directed to OptumRx.
  2. Scroll down to choose the “Drug pricing tool” link. You will be asked to:
     • Select a plan (for example, Standard Option Senior Advantage)
     • Enter a pharmacy location
     • Type a drug name (you may type the first few letters)
  3. You will see the cost-sharing you pay in the “You pay” column. Note the tool will show the most common quantity and day supply for that drug. To find a lower cost drug, click on the “Lower cost options” tab.
  4. If you choose a drug and it is not covered, you will see a “Coverage alert”.