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Getting care while traveling just got easier

Kaiser Permanente’s agreement with Cigna provides more convenient access to care when you’re away from home.

The last thing anyone wants to worry about while traveling for work or on vacation is how to get emergency or urgent health care if you need it during your trip. A new collaboration with Cigna eases that concern for Kaiser Permanente members.

Our members who are away from home can now access Cigna’s national PPO, or preferred provider organization, network of physicians and providers should they need emergency or urgent care during their travels.

“This new feature provides our members an improved experience, added convenience, and greater confidence that if they get sick or are injured while away from home, they will have access to great care,” said Arthur Southam , MD, executive vice president of health plan operations for Kaiser Permanente. “This gives our members another option to get the high-quality care they need, wherever they are.”

More ways to get care

Our members now have even more ways to get care when and how they need it — virtually and in person. With Get Care Now on kp.org , members have 24/7 access to care from Kaiser Permanente health care professionals by phone or video. For in-person care while away from home, Kaiser Permanente members are covered for urgent and emergency care, anywhere in the world. This new access to Cigna’s U.S. provider network makes getting that care easier and more convenient.

As part of this improved experience with Cigna, members with Kaiser Permanente HMO or exclusive provider organization plans won’t pay up front or have to file a claim for reimbursement — they will only be responsible for their regular copay or other cost share.

And if it’s more convenient, members can still go to any urgent or emergency care facility while traveling and submit a claim to Kaiser Permanente for reimbursement.

Learn more about how to get urgent or emergency care away from home .

Helpful tips before traveling

Are you a Kaiser Permanente member who travels on business trips, to visit family, or for vacation? Make sure you know how to get care while away from home.  

  • Register on kp.org so you can see your health information online and email your Kaiser Permanente doctor’s office with nonurgent questions anytime.
  • Get our Kaiser Permanente app to stay connected when you’re on the go and for quick access to your digital ID card. You can also order a new or replacement card before you travel.
  • Save the Away from Home Travel Line phone number, 951-268-3900 (TTY 711), to your mobile device for travel support anytime, anywhere.
  • See your doctor   (sign in required) if you need to manage a condition during your trip.
  • Refill your eligible prescriptions (sign in required), including contact lenses, to have enough while you’re away. Be sure to refill at least 1 or 2 weeks before your trip so there’s time to process your request.
  • If you travel by plane, keep your prescription medications with you in your carry-on baggage.
  • Make sure you understand  what services are covered while you travel . Call the Away from Home Travel Line if you have any questions.

Visit kp.org/travel to learn more.

Note: The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna PPO Network is available through Cigna's contractual relationship with the Kaiser Permanente health plans.

The Cigna PPO Network is provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.

The Cigna PPO Network is not available to HMO and EPO members enrolled in coverage issued by Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc.

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IMPORTANT — If you are a Kaiser Permanente member and require care while traveling internationally:

Please call the Away from Home Travel Line at 951-268-3900 for travel support, or visit the Care while traveling page for important resources.

Due to security protocols, you might not be able to access kp.org from your current location. In order to securely access your kp.org account, you will need to use a VPN that provides a US-based IP address. Find more information about VPNs while traveling  here  or  here .

Kaiser Permanente International is an educational subsidiary that introduces health care leaders who are based outside the United States to the Kaiser Permanente model. Through our programs and speaking engagements, we share Kaiser Permanente’s continuing journey to deliver high quality, patient-centered, affordable health care.

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If you are a Kaiser Permanente member and require care while traveling internationally

Traveling internationally and need to access kp.org.

Due to security protocols, you might not be able to access kp.org from your current location. In order to securely access your kp.org account, you will need to use a VPN that provides a US-based IP address.

  • Find more information about VPNs while traveling here or here .

Questions about travel coverage?

If you would like to speak with a Kaiser Permanente representative for help while traveling or more information about your travel coverage, call 951-268-3900 (international rates may apply).

Medical emergency while traveling?

If you are travelling internationally and have a medical emergency, immediately go to the nearest hospital or any facility that can give you the care you need. Kaiser Permanente won’t be able to help manage your care until your emergency or urgent care need is under control or is being managed by a doctor.

  • If you get emergency care, call 1-888-859-0880 when your condition is stable to let us know you’ve been treated for an emergency or admitted to a hospital. If you’re a member in Southern California, please instead call 1-800-225-8883. If appropriate, the doctor treating you can call instead. We’ll talk to the doctor treating you to discuss your condition and health plan coverage, and help you decide what to do next. We have interpreter services that allow us to talk to doctors who don’t speak English.
  • Should you need significant medical care, like hospitalization and treatment, while traveling internationally, we have a vendor that will work with your Kaiser Permanente regional care team and claims department to help you get the care you need.
  • Upon return from your international trip, notify your personal doctor of hospitalization or urgent care services you received during your visit. Your medical care team can help you monitor any conditions that arose when you were traveling.

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Before You Go

Planning a trip outside the United States? Our Travel Advisory Service offers health advice tailored to your destinations, activities, and medical history. The appointments are phone consultations with our travel nurses who are certified by the International Society of Travel Medicine and work under the direction of Kaiser Permanente's Infectious Disease physicians. We recommend your consultation be scheduled at least 4 to 6 weeks before departure to plan for recommended vaccinations and medications. However, even if you are leaving soon, the nurse can help you get needed travel vaccinations and medications.

While You're Traveling

Need care while traveling? Call Member Services. They can help you find the closest in-network care option, whether you're traveling within the United States or internationally.

Emergency and urgent care

No matter what health plan you have, you're covered for emergency and urgent care when you're away from the Kaiser Permanente Washington region.

If you have a medical emergency while traveling within the U.S., call 911 or the local emergency assistance number immediately. Then within 24 hours or as soon as reasonably possible, call our Hospital Notification Line for the United States at 1-888-457-9516 ( 206-901-4609 ), option 3 and option 4, so we can follow up on your care.

If you have been hospitalized outside the United States and need assistance, call our international Hospital Notification Line at 1-888-457-9516 ( 206-901-4609 ), option 2.

Quick links

Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. You can compare benefit information, networks, and monthly premiums.

Please call Member Services to speak with a representative Monday through Friday, 8 a.m. to 6 p.m.

1-888-901-4636 (TTY 711)

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Learn about Our Travel Questionnaire | My Doctor Online

My Doctor Online

Learn about our travel questionnaire.

If you’re traveling abroad and need a phone appointment with a travel nurse, complete a Travel Questionnaire in advance. This will save time during your appointment. Each traveler needs to complete a questionnaire.

The Travel Questionnaire is located in your "medical record" on kp.org under "Questionnaires."

The information gathered from the Travel Questionnaire:

  • Helps our travel nurses make recommendations about vaccines or other preventive care you may need.
  • Becomes part of your medical record.

To complete the Travel Questionnaire, you’ll need the following information:

  • Travel itinerary, including layovers
  • List of prescription medications you take
  • List of vaccines from non-Kaiser Permanente providers
  • Your name as it appears on the passport
  • Medical history of conditions that may lower your immune system
  • Vaccines and/or medications you’ve received from non-Kaiser Permanente providers
  • Current weight for all children less than 18 years of age

Each family member who's traveling should complete a Travel Questionnaire. If you've set up caregiver access on kp.org to act on behalf of another family member, you’ll be able to complete the Travel Questionnaire for them.

Additional References

  • Online travel questionnaire

If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.

This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only. 

Citizen of Travel

Kaiser Permanente International Travel Coverage: Understanding Your Health Benefits Abroad

Traveling internationally can be an incredibly enriching experience, broadening horizons and exposing travelers to new cultures and environments. However, it comes with its own set of challenges, particularly regarding healthcare. Kaiser Permanente offers international travel coverage, providing peace of mind to members who might need to access medical services abroad. Understanding the intricacies of this coverage is vital to ensure that you are well-prepared for any health-related eventuality while outside your home country.

A passport, airplane ticket, and travel insurance brochure lay on a table. The Kaiser Permanente logo is prominently displayed on the brochure cover

Members of Kaiser Permanente benefit from comprehensive services designed to protect their health during international travel. This includes access to a range of medical services, from the necessary vaccines and medications before departure to urgent and emergency care if the need arises while abroad. The organization provides guidance and supports through resources that are essential for trip planning and during emergencies. They also offer a streamlined process for seeking reimbursement for medical expenses incurred overseas, ensuring their members are not left financially strapped due to unanticipated health issues.

Key Takeaways

  • Kaiser Permanente’s international coverage is comprehensive for members abroad.
  • Urgent and emergency care, as well as pre-trip resources, are available.
  • Members can access clear guidelines for service reimbursement during travel.

Eligibility and Enrollment

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Kaiser Permanente provides international travel coverage for its members, but understanding specifics about eligibility and the enrollment process is crucial before planning a trip.

Understanding Your Coverage

Kaiser Permanente members can access emergency and urgent care services worldwide. However, the scope of coverage and the way members receive care may vary by location . Before traveling, members should review their benefits to understand what services are covered abroad.

Kaiser Permanente Membership

Membership is required to access Kaiser Permanente travel coverage. This means that individuals must be enrolled with the Kaiser Foundation Health Plan or one of its subsidiaries. Eligibility for membership typically depends on several factors, including residence in a service area and, in some cases, employment with a Kaiser-affiliated organization.

Enrollment Period

There are designated enrollment periods during which individuals can sign up for a health plan. For most, this occurs during an annual open enrollment window or following a qualifying life event. It’s important for travelers to ensure their membership status is active and to address any concerns about their eligibility before embarking on international travel.

Coverage Details

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Kaiser Permanente provides comprehensive coverage for members who are traveling, ensuring access to necessary healthcare services while away from home. Below are the specifics of what this travel coverage includes.

Benefits While Traveling

When Kaiser Permanente members travel, they can have peace of mind knowing their plan includes benefits for urgent and emergency care worldwide. This coverage ensures that during a trip, whether within the United States or internationally, members can receive the necessary medical attention they require.

Emergency Care

For emergency care needs, members are covered globally. In case of an emergency, individuals should proceed to the nearest hospital. If members visit an emergency room while away, they can receive care with the assurance that their plan provides coverage for such unexpected incidents.

Preventive Services

Preventive services are essential, especially when traveling. Members have access to pre-scheduled immunizations and vaccines , including the Covid-19 vaccine , before departure. For those who require prescriptions during travel, it’s advised to consult with a Kaiser Permanente clinician to ensure continuity of care while abroad.

Using Your Coverage Abroad

A traveler holding a Kaiser Permanente international travel coverage card while standing in front of a world map with various destinations marked

When traveling internationally, Kaiser Permanente members can access healthcare services and understand claims and reimbursement processes through the insurer’s partnership with Cigna and affiliate networks.

Access to Healthcare Providers

Members traveling abroad may seek care from Cigna’s global network of healthcare providers. For more immediate needs such as minor illnesses or injuries, one can visit MinuteClinics without prior authorization. Kaiser Permanente’s coverage includes access to a wide array of healthcare providers outside the United States, ensuring that members receive care when and where they need it.

Claims and Reimbursement

Filing a claim for covered services overseas typically involves submitting documentation of the care received and expenses incurred. Kaiser Permanente members should save all receipts and detailed bills from their visit to a healthcare provider for reimbursement purposes. In the event that members pay out-of-pocket for services, they may submit a claim to Kaiser Permanente for potential reimbursement according to the terms of their plan. If treated within the PPO Network , billing is usually directly settled between the provider and the insurer, easing the process for members.

Financial Aspects

A globe surrounded by travel documents, passports, and a Kaiser Permanente insurance card

When considering Kaiser Permanente’s international travel coverage, it’s vital to understand the specific costs and how payments are handled. The financial responsibilities of the traveler, such as copays and coinsurance, depend on the particulars of their plan.

Understanding Costs and Payments

The costs associated with international travel coverage can vary. Members should be aware of their deductible —the amount paid out-of-pocket before the plan starts to cover expenses. After meeting the deductible, members typically share the cost of covered healthcare services with Kaiser Permanente; this is where coinsurance applies. It’s crucial to know your plan’s limitations, as some services may not be covered abroad, or they might be subject to higher out-of-pocket expenses.

Copays and Coinsurance

Copays are fixed amounts paid each time a member receives a service, like an urgent care visit or prescription, and do not count toward the deductible. On the other hand, coinsurance may kick in after you’ve paid your deductible. For example, if your plan has a 20% coinsurance, you would pay 20% of the cost for a medical service, while Kaiser Permanente covers the remainder. Be sure to check whether these costs differ when traveling internationally, as they can significantly affect the overall financial burden of medical care outside the U.S.

Remember, while managing health-related expenses during travel, consider how to best utilize international travel credit cards for payments or emergencies, which may provide additional support and benefits.

Travel Resources and Support

Kaiser Permanente offers comprehensive support to members traveling internationally, including advisory services, convenient digital tools, and accessible assistance by phone.

Travel Advisory Services

Members heading abroad can benefit from tailored recommendations through the Kaiser Permanente Travel Advisory Service . It considers the destination, activities, and one’s medical history to provide detailed health advice. This service ensures peace of mind for travelers concerning their health care needs.

KP.Org and Kaiser Permanente App

For immediate access to health records and care services while traveling, members can utilize the KP.Org website and the Kaiser Permanente app . Both platforms offer 24/7 care options and support, which is essential in managing health effectively from anywhere around the globe.

Phone and Online Assistance

For times when in-depth support is needed, the Away from Home Travel Line offers telephone assistance, making it possible to reach a dedicated support center. Members can even place collect calls when outside the U.S., ensuring they have a way to get help whenever necessary.

Preparing for International Travel

When planning to travel abroad, it’s important for one to consult with a healthcare provider to ensure they have the necessary vaccinations and medications. Being prepared minimizes health risks while away from home.

Vaccinations and Medications

One should schedule a visit with their doctor approximately 4 to 6 weeks before departure. Vaccines are crucial as they protect against diseases that are more common in other parts of the world or that are rarely found in the United States. Some destinations may require proof of vaccination for entry. For example, many countries require the COVID-19 vaccine for entry. Additionally, one may need medications for travel-related conditions such as malaria or traveler’s diarrhea, especially if they’re traveling to areas where these conditions are prevalent.

Travelers should carry a list of their current medications and a copy of their prescriptions. It’s also wise to carry a self-test kit for prompt illness assessment during travel.

Travel Health Tips and Self-Care

Staying healthy while traveling is paramount. Individuals should seek guidance from travel clinics about potential health risks at their destinations. Wellness apps can offer handy health tips and keep one connected to their healthcare provider. Here are some self-care tips to consider:

  • Hydration : Drink plenty of water to stay hydrated.
  • Healthy Eating : Choose safe foods and avoid street vendors.
  • Sun Protection : Use sunscreen and protective clothing in sunny climates.
  • Regular hand-washing with soap and water or hand sanitizer.
  • Have a medication plan in place, including adjustment for time zones.

By following these guidelines and staying informed about the health risks of their destination , travelers can enjoy their international experiences while minimizing health risks.

Frequently Asked Questions

A traveler holding a Kaiser Permanente international travel coverage brochure, with a world map and passport in the background

When traveling abroad, Kaiser Permanente members have access to medical care and travel coverage options that help ensure health and peace of mind during their journeys.

Can Kaiser Permanente members receive health care services while traveling abroad?

Yes, Kaiser Permanente provides its members with urgent and emergency care services while they are abroad, ensuring they can get medical assistance wherever they travel worldwide.

Does Kaiser Permanente offer travel insurance for international trips?

While Kaiser Permanente covers emergency and urgent care during travel, it does not provide a separate travel insurance. Members should review their plan for specific coverage details and consider additional travel insurance if needed.

What are the costs associated with international travel coverage through Kaiser Permanente?

Costs for international travel coverage vary depending on a member’s specific health plan. Some services may be reimbursed by Kaiser Permanente, such as travel and lodging expenses for covered treatments.

Are there dedicated phone support lines for Kaiser Permanente members traveling internationally?

Kaiser Permanente members can access assistance through international phone support, providing guidance and directions for receiving necessary medical services while overseas.

How does Kaiser Permanente’s coverage work in the event of hospitalization in a foreign country?

When hospitalized internationally, Kaiser Permanente members are covered for emergencies. However, they must contact Kaiser Permanente as soon as possible to ensure that the care and associated costs align with their benefits.

What is the protocol for Kaiser Permanente members if they contract COVID-19 while traveling overseas?

If a member contracts COVID-19 while abroad, they should follow local health protocols and contact Kaiser Permanente for assistance on coverage for COVID-19 related care and guidance on necessary steps to take while away from home.

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IMAGES

  1. Areas of Expertise

    kaiser permanente international travel

  2. Welcome

    kaiser permanente international travel

  3. Travel Nursing with Kaiser Permanente and AMN Healthcare

    kaiser permanente international travel

  4. Provider Information

    kaiser permanente international travel

  5. Resources

    kaiser permanente international travel

  6. Customized Programs

    kaiser permanente international travel

COMMENTS

  1. Travel Emergency Health Care and Coverage

    Learn how to get urgent and emergency care anywhere in the world with Kaiser Permanente and Cigna PPO Network providers. Find out how to prepare for a healthy trip, access care on the go, and submit a claim for reimbursement.

  2. PDF Kaiser Permanente Travel Coverage Brochure

    As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world. Whether you're traveling in the United States or a foreign country, this brochure will explain what to do if you need emergency or urgent care during your trip. It's important to remember that how you get care can vary depending on where you ...

  3. Prepare for Health Care Before You Travel

    Most Kaiser Permanente plans don't cover routine care (like checkups, preventive screenings, and flu shots) outside of a Kaiser Permanente area, so make sure to get them before your trip. 13 If you'll be away for a long period of time, call the Away from Home Travel Line at 951-268-3900 (TTY 711) to learn about your coverage options. 5 Some ...

  4. Travel clinics

    Kaiser Permanente Washington members (formerly Group Health Cooperative), call: 206-326-3488 (TTY 711) Hours vary depending on location Northern California. Complete an International Travel E-visit to see if you need an appointment with a travel nurse or other care

  5. How to Get Care While Traveling

    In a Kaiser Permanente area: Call the Away from Home Travel Line at 951-268-3900 (TTY 711). 1 We'll help you find a pharmacy nearby. Depending on your plan, you may need to pay for your medication upfront and file a claim for reimbursement later. 2 You'll also need to pay any copays, coinsurance, or deductible payments you would pay at home.. Outside of a Kaiser Permanente area: You can ...

  6. MDO Health Guide

    Your Doctors, Your Care - Kaiser Permanente of Northern California

  7. Travel Health

    Walk around the plane every 1 to 2 hours during flights to prevent dangerous blood clots during long periods of travel. Sitting still slows down the blood flow in your legs and raises your blood clot risk. Consider wearing compression stockings. Take steps to prevent jet lag.

  8. Getting care while traveling just got easier

    Get our Kaiser Permanente app to stay connected when you're on the go and for quick access to your digital ID card. You can also order a new or replacement card before you travel. Save the Away from Home Travel Line phone number, 951-268-3900 (TTY 711), to your mobile device for travel support anytime, anywhere.

  9. Common questions about our travel service

    For further questions about travel or more information please contact the Kaiser Permanente Travel Advisory Department at: 206-326-3838, option #3. We look forward to speaking with you! Answers to common questions about using Kaiser Permanente's Travel Advisory Service, and other travel-related issues.

  10. Contact Us

    Contact Us. IMPORTANT — If you are a Kaiser Permanente member and require care while traveling internationally: Please call the Away from Home Travel Line at 951-268-3900 for travel support, or visit the page for important resources. Due to security protocols, you might not be able to access kp.org from your current location.

  11. Travel

    Call Member Services at 1-866-648-1928 (TTY 711 ). They can help you find the closest in-network care option, whether you're traveling within the United States or internationally. If you're a Kaiser Permanente Medicare Advantage member, call Medicare Member Services at 1-888-901-4600 (TTY 711 ), 8 a.m. to 8 p.m., 7 days per week.

  12. Travel Clinic

    If you have a chronic medical condition, please contact your personal care provider before your trip as well as an appointment for travel clinic. For any questions, call 1-866-454-8855. Find out more about Kaiser Permanente Travel Clinic at our Santa Clara, Campbell, Milpitas, and Mountain View location. We look forward to meeting you and ...

  13. E-visit for International Travel

    Due to the ongoing Covid-19 pandemic, the CDC and our travel medicine physicians do not recommend international travel. If patients must travel, wait until they are fully vaccin ated against Covid-19. ... Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii ...

  14. Learn about a Travel Nurse Appointment

    We only provide care for international travelers. If you're new to Kaiser Permanente, you'll need to see your doctor prior to making a travel appointment. During your travel nurse appointment. ... The travel nurse's recommendations are reviewed by a travel doctor, who approves any travel medications and/or vaccines within 2 business days. ...

  15. Travel

    The appointments are phone consultations with our travel nurses who are certified by the International Society of Travel Medicine and work under the direction of Kaiser Permanente's Infectious Disease physicians. We recommend your consultation be scheduled at least 4 to 6 weeks before departure to plan for recommended vaccinations and medications.

  16. PDF TRAVEL COVERAGE Getting care away from home

    Call the Away from Home Travel Line at 951-268-3900, and let them know you plan to visit another Kaiser Permanente service area for care. • You'll get a new medical record number (MRN) or health record number (HRN) and information on making an appointment.

  17. International Travel Advisory Clinic

    Personalized advice from our travel health care experts. Whether it's your first time traveling internationally or you're a seasoned traveler, there's a lot to do to prepare for your upcoming …

  18. Learn about Our Travel Questionnaire

    Each traveler needs to complete a questionnaire. The Travel Questionnaire is located in your "medical record" on kp.org under "Questionnaires." The information gathered from the Travel Questionnaire: Helps our travel nurses make recommendations about vaccines or other preventive care you may need. Becomes part of your medical record.

  19. Kaiser Permanente International Travel Coverage: Understanding Your

    Members of Kaiser Permanente benefit from comprehensive services designed to protect their health during international travel. This includes access to a range of medical services, from the necessary vaccines and medications before departure to urgent and emergency care if the need arises while abroad.

  20. PDF Emergency and urgent care away from home

    Away from Home Travel Line. When traveling internationally, call the travel line at 951-268-3900* to avoid challenges associated with toll-free numbers. California. 1-800-464-4000 (English and interpreter services for more than 150 languages) 1-800-788-0616 (Spanish) 1-800-757-7585 (Chinese dialects) TTY 711.

  21. Travel Clinic

    Learn more about Kaiser Permanente International Travel Services; Visit the United States Center for Disease Control travel website . Oakland Travel Clinic. ... Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado ...

  22. Southern Alameda County Travel Clinic

    Travel appointments should be made 4-6 weeks prior to departure. This will give you time for any blood tests or vaccines to be completed if needed. Learn more about Kaiser Permanente International Travel Services. Telephone. Fremont Call Center: 510-248-3050. Hayward & Union City Call Center: 510-675-4010. Fremont Pediatrics: 510-248-3050.

  23. Does Kaiser offer international travel insurance? : r ...

    International Travel: Kaiser Permanente generally doesn't pay providers outside the United States directly. If you get emergency or urgent care, you'll need to pay the bill yourself. In many countries, providers require payment before giving care. Costs can be high, so be ready to cover any unexpected costs.