OB/GYNs and Women's Health Practices That Take Kaiser Permanente in DeKalb County, Georgia

Call the office with the exact name of your Kaiser Permanente plan and your member ID, and ask whether the specific clinician you want to see participates. Then check the insurer's online provider directory or call the member services number on your card. One insurer can sell employer, marketplace, Medicaid and Medicare Advantage plans in Georgia, each with its own network, and health system lists often exclude some narrow-network products, so the company name alone is not enough.

Kaiser Permanente members in Georgia generally get care from Kaiser Permanente doctors, including The Southeast Permanente Medical Group, and Kaiser-affiliated hospitals. Some health systems also list Kaiser Permanente for certain services. Check your Kaiser Permanente member materials or call member services before seeing a provider outside Kaiser Permanente.

Usually not for routine women's health care. Under federal rules, most health plans that ask you to choose a primary care provider cannot require a referral or prior approval to see an in-network OB/GYN. Other specialists, tests or procedures may still need a referral or prior authorization, and some coverage, such as TRICARE Prime, has its own referral rules. Check your plan documents.

In general, an HMO or EPO covers care only from in-network providers, except in emergencies, and an HMO may ask you to choose a primary care provider. A PPO or POS plan usually lets you see out-of-network providers too, but you pay more and may have to file claims yourself. Your ID card or plan documents say which type you have.

Ask your plan whether you have out-of-network benefits and what you would pay. If your plan has no in-network provider with the right training for your needs, ask your plan whether it will approve an out-of-network referral at in-network cost. You can also ask the practice for its self-pay prices, or use this directory to find a nearby practice in your network.

Often, yes. Georgia's Surprise Billing Consumer Protection Act, in effect since January 1, 2021, and the federal No Surprises Act protect patients from many surprise out-of-network bills, such as most emergency care and care from an out-of-network provider at an in-network hospital or surgery center. In those cases you usually owe only your in-network cost-sharing. Which law applies depends on your plan, so ask your insurer about any unexpected bill.

This directory lists a practice under Kaiser Permanente only when a published source shows it participates. Many practices accept plans we could not verify. If you are a practice, claim your free listing to add your plans.