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SUPPLEMENTAL OPTOMETRY and OPTICAL OPTIONS

Kaiser Permanente has partnered with a network of external providers for alternative options to help you get the care you need. To use these external providers for routine eye exams, contact lenses and eyewear needs, please review the following information:

What is covered:

Services-Routine eye exam for glasses, contacts, and initial contact lens exams.

Benefits-Your Kaiser Permanente benefits will be the same using an eternal provider with exceptions listed below.

Exceptions:

Members utilizing the Medical Financial Assistance (MFA) program, are not covered with external Kaiser Permanente Partners:


Contact Lens Fitting Fee:

Members seen by an external Kaiser Permanente Partner for a contact lens exam will be subject to these partners contact lens fitting fee. These fees apply to children and adults.


Medically Necessary Eye Care:

Members with any symptoms or needing a medical eye exam (diabetic eye exam, cataract check, etc.) will need to be seen at Kaiser Permanente.

Hardware:

Members can get prescription glasses and contact lenses at an external Kaiser Permanente Partner location. If a member chooses to purchase hardware at an external Kaiser Permanente Partner location, members will pay out of pocket and submit for reimbursement at Kaiser.

How to get reimbursed: Fill out the reimbursement form on kp.org by following these steps:

Sign into kp.org -> Go to “Coverage & Costs” – then under “Helpful resources” click on ‘Submit a claim’.
There, you may enter a claim directly online, or download a PDF to print, complete and mail.

Questions regarding reimbursement?

Contact Eyecare Solutions Desk at 1-800-813-2000 – option 3, then option 3 again.

Patient was seen at a KP Partner location and told to follow-up with Kaiser:

If an external provider advises you to consider cataract surgery, please phone our Appointing Center at 1-800-813-2000 option 3 and provide this information to an eye care representative.

How to use External Partner Providers:
PORTLAND METRO AREA

Beaverton Eye Health
503-350-2727
Address:

12345 SW Horizon Blvd Suite 49, Beaverton, OR 97007
Contact lens fitting fees:
Previous Wearer: $45
New Wearer: $85

Bridgetown Optometric Associates (Tigard)
503-968-5249
Address:

11577 SW Pacific Hwy, Tigard, OR 97223
Contact lens fitting fees:
Previous Wearer: $60
New Wearer: $90

Eye Health Northwest
503-344-5100
Locations:
Contact lens fitting fees:

Previous Wearer: $75
New Wearer: $150

Polsinelli Optometry
503-342-6853
Address:

4859 Meadows Road, STE 155, Lake Oswego, OR 97035
Contact lens fitting fees:
Previous Wearer: $79 and up
New Wearer: $79 and up

Remy J. Delplanche, O.D.
503-644-5665
Address:

4280 SW Cedar Hills Blvd., Beaverton, OR 97005
Contact lens fitting fees:
Inquire with external provider at time of scheduling

Sherwood Family Eye Health
503-625-2727
Address:

16814 SW Edy Rd Suite 124
Sherwood, OR 97140
Contact lens fitting fees:
Previous Wearer: $45
New Wearer: $85


SALEM

Eye Care Physician and Surgeons (Salem/Keizer)
503-585-2022 (option 5 for appointments)
Locations:
Contact lens fitting fees:

Previous Wearer: $47
New Wearer: $150 and up


SW WASHINGTON

Vancouver Clinic
360-541-2930
Locations:

Contact lens fitting fees:

Previous Wearer: $60 and up
New Wearer: $60 and up

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