Make the most of your benefit and Kaiser Permanente resources. Check out the information below and get started today.

Your Choices

You have choices when it comes to getting your prescriptions filled (or refilled):

• Use any of our 24 Kaiser Permanente medical facilities that have a pharmacy on site.
• Use the Kaiser Permanente mail order service to have prescriptions mailed right to your home with free shipping. (You can’t use Express Scripts to fill or refill your prescriptions.)
• If you’re not near a Kaiser Permanente facility, you can get your initial prescription filled at any TRICARE^®-authorized retail pharmacy. After the initial fill, refills are only available at a Kaiser Permanente facility or through our home delivery service.
• If you’re currently using the VA to get your prescriptions, you can continue to do that.

Your Costs

Like with TRICARE Prime, your cost will vary depending on the category of drug (generic, preferred, etc.) on our formulary (drug list.) Kaiser Permanente’s formulary is slightly different than TRICARE’s, so the cost for certain drugs might be different. Get more detail on our website. For questions about specific drug costs, call 1-833-642-5973.

You can get a 90-day supply of medication—at a reduced copay—when ordering refills through Kaiser Permanente’s home delivery service. Order most prescriptions from the comfort of home and enjoy free shipping by signing in to the KP app or visiting kp.org/rxrefill.

When you need care quickly (but it’s not an emergency¹), you can call Kaiser Permanente 24/7 for nurse advice and help finding a nearby location. We can even help you get a same/next day phone or video appointment. Your in-person urgent care options in metro Atlanta include:

• Three Kaiser Permanente Comprehensive Medical Centers
  • Get 24/7, walk-in care—even for more serious (but non-life-threatening) issues like deeper cuts, broken bones, stomach pain, and dehydration—at our Duluth, Jonesboro and Kennesaw locations.
• Approximately 50 Kaiser Permanente affiliated network locations, including certain locations from Children’s Healthcare of Atlanta, Concentra, Northside Family Medicine & Urgent Care, and Peachtree Immediate Care. Some locations have after-hours care.
• Any TRICARE-authorized urgent care center, some with after-hours care.

For 24/7 help finding a Kaiser Permanente or affiliated network location near you, call
1-833-642-5973 or visit our directory. (Find for TRICARE-authorized locations here.

1 An emergency medical condition is a medical or psychiatric condition that requires immediate medical attention to prevent serious jeopardy to your health. If you have an emergency and are in the United States, call 911 or go to the nearest hospital. Outside the U.S., go right to the nearest hospital or place where you can get the medical care you need. If you’re admitted to a non-Kaiser Permanente hospital, we ask that you or the hospital contact us within 24 hours of admission to enable the coordination of your care.

When you’re temporarily outside metro Atlanta, you’ll have many options for accessing care. Get care on the go—with no copay—with:

• 24/7 nurse advice by phone
• A same/next day video visit or phone appointment
• Online chat with a doctor
• Emailing your doctor’s office

Your TRICARE Prime benefits through Kaiser Permanente include coverage for:

• Emergency care at any licensed hospital¹
• Urgent care at
  • any Kaiser Permanente facility offering urgent care
  • any TRICARE-authorized urgent care center
  • a military hospital or clinic (if space is available)
• One fill of a prescription at any of the above locations, or any TRICARE retail network pharmacy.

When you’re temporarily in another Kaiser Permanente region, you also have additional benefits. (Kaiser Permanente provides care in all or parts of California, Colorado, Hawaii, Maryland, Oregon, Virginia, Washington, and Washington, D.C.) When in one of these areas, you can get Visiting Member benefits — which include coverage for routine (primary) care or specialty care from Kaiser Permanente providers. For assistance, call us toll-free at
1-833-642-5973.

If you are not in another Kaiser Permanente region, you can use a military hospital or clinic (if space is available). You can also go to any TRICARE network provider, but point of service charges may apply.

1 An emergency medical condition is a medical or psychiatric condition that requires immediate medical attention to prevent serious jeopardy to your health. If you have an emergency and are in the United States, call 911 or go to the nearest hospital. Outside the U.​S.​, go right to the nearest hospital or place where you can get the medical care you need. If you’re admitted to a non-Kaiser Permanente hospital, we ask that you or the hospital contact us within 24 hours of admission to enable the coordination of your care.

You won’t need a referral to see any specialist at a Kaiser Permanente medical facility.² To find Kaiser Permanente specialists—and even schedule an appointment for most specialties—you can visit kp.org/doctors. You can also call 1-833-642-5973 to find a doctor and schedule your appointment.   

If your primary care doctor recommends seeing a specialist during a visit, he/she just enters it in our system. You won’t have to wait for any approvals, and can schedule an appointment as soon as you’re ready.

Vision
Need an annual eye exam? Visit TRICARE.mil/EyeExams for more information.

2 Some specialists may require a clinical evaluation or additional information before they see a you. This can be coordinated by your Primary Care Physician (PCP).