Benefits while traveling

Before you travel

• Pack your medical plan ID card. (If you need an ID card, contact your plan.)
• Note your plans’ toll-free and local numbers in case you need to use them. If you are traveling internationally, be sure you are comfortable with making international calls. Visit Country Code’s How to dial internationally webpage to learn how to make international calls before traveling outside the U.S.
• Pack prescription drugs and medications in the original bottle or package, and if you are going to be gone for an extended time, ask your plan about getting extra refills.
• Wear a medical ID bracelet for any allergies or special medical needs.
• Research any travel restrictions or other requirements, such as required vaccinations.

While you're traveling

• You pay your copayments, coinsurance, deductibles, and other costs for covered services received outside the plans’ service areas.
• If you seek medical care while traveling, contact your plan. They can help answer your questions, help you find providers or access care, and provide details on requirements for submitting claims from another country.
• In most cases, Medicare won’t pay for health care or supplies you receive outside the U.S. Visit Medicare’s Travel outside the U.S. webpage for more information.

Medical services

Kaiser Permanente NW

For more information visit Kaiser’s Care while traveling webpage.

Medicare members: Emergency and urgent care are covered within the U.S. and outside the U.S. You pay 20% coinsurance for nonemergency care. Limits apply to nonemergency care. Call the plan for details at 1-877-221-8221.

Out-of-area (within U.S.)

• Emergency care is covered. After emergency admission, call Kaiser Permanente NW at 1-800-813-2000 (TRS: 711) as soon as possible.
• Urgent care is covered at out-of-network facilities when you are outside the Kaiser Permanente service area. You may also visit any Kaiser Permanente urgent care clinic in other Kaiser Permanente regions. In states without Kaiser Permanente providers, you can receive urgent care at a CVS MinuteClinic.
• Nonemergency care may also be covered in limited situations with approval from your plan. Call the Away from Home Travel Line at 1-951-268-3900 (TRS: 711) to confirm you are in a location that qualifies.

Outside U.S.

• Emergency and urgent care are covered worldwide. After emergency admission call Kaiser Permanente NW at 1-800-813-2000 as soon as possible.
• For urgent care call the Away from Home Travel Line at 1-951-268-3900. Long-distance charges may apply; no collect calls.
• If you’ve received care or are in the hospital, call Kaiser Permanente NW at 1-800-225-8883 to let them know.

Prescription drugs

Ask for an early or extra refill 1 to 2 weeks before you travel. Travel immunizations are not covered.

Kaiser Permanente WA

For more information visit Kaiser’s Care while traveling webpage.

Medicare members: Call Kaiser Permanente WA Medicare member services at 1-888-901-4600 (TRS: 711).

Out-of-area (within U.S.)

• Emergency and urgent care are covered at network and nonnetwork facilities. After emergency admission, call Kaiser Permanente WA’s Hospital Notification Line at 1-888-457-9516 within 24 hours, or as soon as possible.
• Nonemergency care is covered at Kaiser Permanente facilities in other Kaiser regions as a visiting member. To set up visiting member access, call Kaiser Permanente WA member services at 1-866-648-1928.
• In states without Kaiser Permanente providers, you can receive care at any urgent care location, or retail clinic.

Outside U.S.

• Emergency and urgent care are covered worldwide. After emergency admission call Kaiser Permanente WA’s Hospital Notification Line at 1-888-457-9516 within 24 hours or as soon as possible.
• Nonemergency care is covered with approval from your plan. Call Kaiser Permanente WA member services at 1-866-648-1928.

Prescription drugs

Ask for an early or extra refill from pharmacy 1 to 2 weeks before you travel. You can ask for up to a 90-day supply. Prescriptions filled outside the Kaiser Permanente service area may not be covered.

Premera Blue Cross Medicare Supplement Plan F and Plan G

Call Premera at 1-800-817-3049 (TRS: 711) for more information.

Plan F and Plan G do not cover prescription drugs. Travel immunizations are not covered.

Out-of-area (within U.S.)

Emergency, nonemergency, and urgent care are covered nationwide when seeing a provider who accepts Medicare.

Note: If you are in Plan G, you may also be responsible for the Medicare Part B deductible.

Outside U.S.

Emergency care is limited coverage for the first 60 days of a trip outside the U.S. You pay first $250, then 20% coinsurance thereafter. Nonemergency care is not covered.

Note: If you are in Plan G, you may also be responsible for the Medicare Part B deductible.

Uniform Medical Plan (UMP)

Call UMP Customer Service at 1-888-849-3681 (TRS: 711) or refer to your plan’s certificate of coverage for more information.

Out-of-area (within U.S.)

UMP has nationwide coverage, which means you can get coverage anywhere while you travel within the U.S. However, a few benefits are covered at the network rate, regardless of network status:

• Emergency care.
• Urgent care at Regence BlueShield preferred providers (network providers for UMP Plus) and Blue Cross and Blue Shield plan providers.

Out-of-network providers for covered services are paid at the out-of-network rate.

UMP Plus members: These plans are for services inside Washington State. If you travel outside of the state and have a medical emergency, the plan will cover at the same rate. For nonemergent services, the plan will pay 50% of the allowed amount after deductible as there are no in-network providers outside of Washington.

Medicare members: Services are covered when you see providers who accept Medicare.

Outside U.S.

Call Blue Cross Blue Shield Global Core Service Center at 1-800-810-2583 or call collect at 1-804-673-1177 to find providers outside the U.S. You can also use the online provider search tool on the Blue Cross Blue Shield Global Core website.

UMP has worldwide coverage so you can get coverage anywhere while you travel outside of the U.S. However, a few benefits are covered at the network rate, regardless of network status:

• Emergency care.
• Urgent care at Regence BlueShield preferred providers (network providers for UMP Plus) and Blue Cross and Blue Shield plan providers.

Out-of-network providers for covered services are paid at the out-of-network rate.

UMP Plus members: These plans are for services inside Washington State. If you travel outside of the state and have a medical emergency, the plan will cover at the same rate. For nonemergent services, the plan will pay 50% of the allowed amount after deductible as there are no in-network providers outside of Washington.

Medicare members: Services are covered when you see providers who accept Medicare.

Prescription drugs

Ask for an early refill or extra supply of prescription drugs two weeks before your trip. To request a travel override, call ArrayRx at 1-888-361-1611 (TRS: 711).

A maximum of two travel override requests per year are allowed (includes travel within or outside U.S.). Benefits are limited to prescription drugs approved by the U.S. Food and Drug Administration (FDA) for use in the U.S. You will pay applicable charges (deductible and coinsurance) for each extra supply received.

Travel immunizations are not covered.

Out-of-area (within U.S.)

Request up to a 90-day supply per prescription (or as allowed under that prescription). You may access network pharmacies across the U.S.

Outside U.S.

Request up to a six-month supply (or as allowed under that prescription). You may purchase prescription drugs worldwide. You will pay the difference between the allowed amount and what the pharmacy charges. It will not apply to your prescription drug deductible or prescription out-of-pocket limit for prescriptions purchased outside the U.S. as there are no international pharmacies in the network.

Medicare members: The vacation override policy allows you an early refill for your prescriptions before traveling outside of the U.S., or if you expect you will run out of your medications while traveling where there are no contracted pharmacies. You may request up to a 90-day supply per prescription. You are allowed only two vacation overrides per plan year. Contact ArrayRx at 1-833-599-8539 for your vacation override request no more than two weeks before you travel.

UnitedHealthcare

Call UnitedHealthcare at 1-855-873-3268 (TRS: 711) for more information.

Within U.S.

UnitedHealthcare plans have nationwide coverage, so you can see any provider who accepts Medicare and bills UnitedHealthcare. The coverage area also includes United States territories.

Outside U.S.

All care is covered internationally. You pay for services initially but will be reimbursed by the plan. Services are reimbursed at 100% of billed charges, minus applicable copays and deductibles.

Prescription drugs

When traveling within the U.S. you have access to network pharmacies nationwide. If you are leaving the country, you may be able to obtain a greater day supply to take with you before leaving for the country. You also have foreign travel prescription drug coverage. To use this benefit, you will need to pay the full cost of the drug and then submit a reimbursement claim. We’ll reimburse you minus any applicable copays for each 30-day supply. Travel immunizations are not covered.

Dental services

DeltaCare

Call DeltaCare at 1-800-650-1583 after receiving emergency care.

Out-of-area (within U.S.)

Your network primary care dentist provides urgent and emergency dental care or a referral within 24 hours of being contacted. You must visit a DeltaCare network provider for all dental care. Note: The DeltaCare service area is limited to Washington.

Urgent care from a non-DeltaCare dentist is covered when you are more than 50 miles from a DeltaCare network office. Treatment is limited to the care necessary to evaluate and stabilize your condition until you can get to your primary care dentist.

Outside U.S.

Urgent dental care outside the U.S. is covered. Treatment is limited to the care necessary to evaluate and stabilize your condition until you can get to your primary care dentist.

Uniform Dental Plan

Call 1-800-537-3406 (TRS: 711) before you travel for details.

Out-of-area (within U.S.)

Use Delta Dental preferred provider organization (PPO) network dentists for the best rates. The PPO network includes over 104,000 dentists nationwide. You may see any licensed dentist within the U.S. for care, but out-of-network dentists will cost you more.

Outside U.S.

Emergency dental care outside the U.S. is covered. Submit an out-of-country claim form within six months of treatment for reimbursement. Claims are processed on the same basis as non-participating dentist claims.

Willamette Dental

Call Willamette Dental at 1-855-433-6825 (TRS: 711) after receiving emergency care.

Out-of-area (within U.S.)

Willamette Dental Group’s offices in Washington, Oregon, and Idaho provide care for dental emergencies while you are traveling. Call Willamette Dental at 1-855-433-6825 (TRS: 711) to make an appointment.

If you are more than 50 miles from a Willamette Dental Group office, visit any licensed dentist for emergency treatment and Willamette will reimburse up to $200 (minus your copays).

Outside U.S.

Visit any licensed dentist for emergency treatment and Willamette will reimburse up to $200 (minus your copays).

Vision services

Davis Vision by MetLife

Out-of-area (within U.S.)

This vision plan includes access to the Davis Vision by MetLife network. The network is located throughout the United States. If you visit an out-of-network provider, you are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a Davis Vision by MetLife claim form and itemized receipt within 180 days of the date of service. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.

Outside U.S.

Services and materials obtained while outside the United States, except for emergency vision care, are exclusions of the plan. Emergency vision services provided outside the U.S. are covered on an out-of-network basis. You are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a Davis Vision by MetLife claim form and itemized receipt within 180 days of the date of service. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.

EyeMed

Out-of-area (within U.S.)

EyeMed has nationwide coverage. Visit EyeMed's Access Network to find an in-network provider based on your ZIP code. You can also visit an out-of-network provider; however, you will pay for services in full and will need to submit an out-of-network claim form along with the itemized receipts online, through the mobile app, or by mail for reimbursement of covered services. You can submit an out-of-network claim form for reimbursement up to 15 months from the date of service. Refer to the Certificate of Coverage for benefit provisions for services received out-of-network.

Outside U.S.

You can visit any provider outside the U.S. and submit an out-of-network reimbursement claim along with itemized receipts online, through the mobile app, or by mail to be reimbursed for any covered services expenses incurred. You can submit an out-of-network claim form for reimbursement up to 15 months from the date of service. EyeMed accepts receipts in foreign languages and foreign currency. EyeMed will convert to U.S. dollars and process the claim. Reimbursements are issued in U.S. dollars and can be mailed to addresses in the U.S., Canada, Puerto Rico, or the U.S. Virgin Islands. Refer to the Certificate of Coverage for benefit provisions for services received out-of-network.

MetLife Vision

Out-of-area (within U.S.)

This vision plan includes access to the VSP Choice Network, along with additional MetLife providers. The network is located throughout the U.S. If you visit an out-of-network provider, you are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a MetLife Vision claim form and itemized receipt within 6 months of the date of service. You may be able to assign the claim to the out-of-network provider. Ask your provider if they accept assignment of claims. If the provider accepts the assignment, they will submit the claim on your behalf. You will be responsible for any charges not covered by the plan. Refer to your Certificate of Coverage for benefit provisions for services received out-of- network.

Outside U.S.

Emergency vision services provided outside the U.S. are covered on an out-of-network basis. You are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a MetLife Vision claim form and itemized receipt within 6 months of the date of service. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.