Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.


2101 East Jefferson Street
Rockville, MD 20852
Telephone: (301) 816-2424
Member Services: (301) 468-6000
Provider Services: (800) 882-4462

Web site: www.kaiserpermanente.org

Key Staff
President – Marilyn Kawamura
Medical Director – Philip Carney, Jr., MD
Director of Provider Relations – Renee Friddle
Government relations – Laurie Kuiper

Other Contacts
General Company Information – Laurie Kuiper
Grievance/Appeals Procedures – April Goss
Quality Improvement – Kay Lewis
Pharmacy Benefits – Susan Downard

Specialized Health Care Services
Service In-House Contracted
Mental Health X
Pharmacy Benefit Mgmt. X
Vision Care X
Dental Care X
Disease Mgmt. X
Utilization Mgmt. X

 

Market Segment
Market Segment HMO/POS PPO
Individual X
Small Group (2-49 Employees) X
Large Group (50+ Employees) X
Administrative Services Only (ASO)

 

Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs 194
Physician Specialists 1772
Hospitals 11
OB/GYNs 122

 

Enrollment (as of January 31, 2007)
Standard HMO 168545
Point-of-Service (POS) 9598
Medicare Cost 10609

 

Virginia HMO Service Area:
Counties
Arlington, Fairfax, Loudoun, Prince William

Cities
Alexandria, Fairfax City, Falls Church, Manassas, Manassas Park