Have personality changes, anxiety, and depression. Your doctor may suggest CPAP if you have: If using CPAP is not comfortable, or if you have certain side effects, work with your doctor to fix them. The doctor may also ask you or your bed partner about your snoring and sleep behavior and how tired you feel during the day. The risks and cost of the surgery and the possibility that I might still have to be on CPAP are not worth it.". I'm willing to try surgery to get better. Like CPAP, an Inspire doctor can print out a usage record of Inspire to show the medical examiner that you are using your prescribed sleep apnea treatment, By proving compliance, there should be no issues renewing your commercial drivers license, A significant decrease in snoring has been found as a secondary effect of Inspire, 90% of bed partners report no or soft snoring by their partner, The battery in Inspire is designed to last for approximately 11 years, Once it is running low, it is replaced during a simple outpatient procedure, Generally, the Inspire system should be checked 1 to 2 times a year. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Los planes Medicare Advantage no estn disponibles actualmente en la regin montaosa de Colorado. Since I travel a lot, CPAP isn't very convenient for me. Navigation Menu - Opens a Simulated Dialog, E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. How sure do you feel right now about your decision? Sign In 2006-2023 Healthwise, Incorporated. Le pedimos disculpas por cualquier inconveniente y agradecemos su paciencia. It's important to treat sleep apnea, because it makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. Tonsillectomy and Adenoidectomy for Obstructive Sleep Apnea and Snoring, Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea, Oral Breathing Devices for Sleep Apnea and Snoring, Request for confidential communications forms. Do not use the medicine longer than the label says. Sleep studies are a series of tests that look at what happens to the body during sleep. 3. Sleep apnea occurs when you often stop breathing for 10 seconds or longer during sleep. Central sleep apnea is less common. Details. It senses the breathing pattern and mildly stimulates the airway muscles to keep the airway open. You can get many of these devices without a prescription. Consultas sobre citas y consejos de salud, Abierto las 24 horas del da, los 7 das de la semana, Consultas sobre recetas mdicas, resurtidos de recetas o recetas nuevas, Llame al nmero de telfono que se muestra en el frasco de su medicamento recetado, O BIEN, al 1-800-464-4000 (TTY 711), Espaol: 1-800-788-0616Chino: 1-800-757-7585, Abierto las 24 horas del da, los 7 das de la semana (cerrado los das festivos). Follow us on these external social media sites that will open in a new browser window. Some people have both types. These include nasal strips and nasal disks. Inspire is an alternative to CPAP that works inside your body while you sleep. Kaiser Permanente is not responsible for the content or policies of external websites. For more information, please see our Inspire is a popular alternative to the CPAP machine. I have apnea and the restmed that I have been using has been difficult at best to keep on my face, I just move around way too much at night. Request for confidential communications forms. Appointments are strongly recommended. Try using devices that you attach to the outside of your nose to help with breathing while you sleep. For most people, lifestyle changes and/or CPAP work to control sleep apnea symptoms. 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 Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Navigation Menu - Opens a Simulated Dialog. It also reduces the chance that tissue will collapse and narrow the airway when you breathe in. Our team of advisors are here to help. Kaiser Permanente is not responsible for the content or policies of external websites. 3. The more often it happens, the more serious the apnea is. It increases air pressure in your throat to keep your airway open. Persons who often go through obstructive sleeping experiences can try out this treatment. The exact out-of-pocket cost will depend on your insurance plan. This is done by having a sleep study. Children may need to see a specialist if they have sleep apnea. Even though Inspire is approved by the FDA and by more and more insurance companies, there are multiple steps the patient and their physicians must go through before getting Inspire therapy for sleep apnea covered. Enlarged tissues in the nose, mouth, or throat can block your airway while you sleep, making sleep apnea more likely. Follow the directions for cleaning the machine. A Continuous Positive Airway Pressure (CPAP) machine is also known as a respiratory assist device. Inspire is the most effective alternative to CPAP., Having an effective alternative sleep apnea treatment is important in our field of sleep medicine., Inspire offers a way to stimulate the bodys own physiology to provide a more natural way to keep the airway open during sleep., Ryan Nord, MD - VCU Health, Department of Otolaryngology, Suzanne Stevens, MD - The University of Kansas Health System, Department of Neurology, Bruce Corser, MD - Sleep Management Institute, Asim Roy, MD - Ohio Sleep Medicine Institute, Gerard J. Meskill, MD - Comprehensive Sleep Medicine Associates, Inspire Medical Systems, Inc. 2023. Smoking can increase your risk for sleep apnea, because the nicotine in tobacco relaxes the muscles that keep the airways open. If youve got questions around insurance coverage for Inspire, speak with an Inspire Advisor. Apnea episodes may be more frequent when you have not had enough sleep. I talked with my doctor, and we agreed that surgery might be a good option to treat my sleep apnea. CPAP Machine. To learn more about Healthwise, visit Healthwise.org. Yes, you're right. Medicare is covering Inspire for those who qualify. Your doctor may suggest a sleep study. Be safe with medicines. Or it might take place at a sleep center, where you will spend the night. My doctor said that even if I have the surgery, I still might have to use CPAP. Helps you have more normal sleep, so you feel less sleepy and more alert during the daytime. and our Some patients will also have one on the side of the rib cage. They push the jaw or hold the tongue forward. You have moderate to severe obstructive sleep apnea. Navigation Menu - Opens a Simulated Dialog, E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. You may have other tests to find out what's causing sleep apnea. Reddit and its partners use cookies and similar technologies to provide you with a better experience. A tracheostomy nearly always cures sleep apnea. You or your bed partner snores loudly and heavily and feels sleepy during the day. Several oral devices have been tested to help treat people with sleep apnea or snoring. These studies can help find sleep problems, such as: Sleep apnea. The Inspire isn't constantly sending impulses to your nerves. Once that information is recorded in your medical record, Medicare will generally cover an additional ten months of sleep apnea machine rental, for a total of 13 months, at which time, you will own the equipment outright. You can help prevent obstructive sleep apnea if you try the following ideas. Read and follow all instructions on the label. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives. Lifestyle changes may reduce your snoring. De lunes a viernes, de 8:00 a. m. a 6:00 p. m. Horario Abierto los 7 das de la semana, de 8 a. m. a 8 p. m. Washington (fuera del rea de Vancouver/Longview), Direccin 601 Union St., Ste. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to keep a list of the medicines you take. Don't wear makeup, fingernail polish, or fake nails. They also find out how much oxygen you have in your blood during sleep. There are three main types of sleep apnea: Inspire is only for treating obstructive sleep apnea; it will not treat central sleep apnea. Problems with nighttime behaviors. How sure do you feel right now about your decision? Some CPAP devices automatically adjust air pressure or use different air pressures when you breathe in or out. There are two or three incisions made to place the device. The oxygen levels in your blood may go down, and carbon dioxide levels go up. It's mostly used for central sleep apnea. Ask your doctor when you can expect to have your test results. Ongoing problems that have not responded to treatment. These studies usually are done in a sleep lab. Learn more by reading the Frequently Asked Questions below: Your doctor will also examine your airway and review your most recent sleep study. Are you clear about which benefits and side effects matter most to you? Some lifestyle changes can help sleep apnea. For more information, please visit. You may be able to help treat sleep apnea by making some lifestyle changes. This is repeated muscle twitching of the feet, arms, or legs during sleep. The Inspire device delivers what's called "hypoglossal nerve stimulation therapy" while you sleep. Adaptive servo ventilation (ASV). A doctor trained on the Inspire procedure can discuss the qualifications with you during an office visit. You can go back to your usual activities. They may also be used for people with severe sleep apnea who find that continuous positive airway pressure (CPAP) doesn't work for them. or You may not need to use CPAP after surgery. This is repeated muscle twitching of the . 1. Things like a stuffy nose caused by a cold or allergies can make apnea worse. So if you have sleep apnea, you may: When you stop breathing because of obstructive sleep apnea, the oxygen levels in your blood go down and carbon dioxide levels go up. First, the patient must be diagnosed with at least moderate obstructive sleep apnea. How often should my doctor check the Inspire system? 2. "We are thrilled to receive this positive coverage . It may cost you from $40,000 to $60,000 to implant the inspire device and make a clear breathing airway. If CPAP does not work, or if large tissues are blocking your airway, you may need surgery. To get the implant, you must have moderate to severe OSA and not benefit from a CPAP machine. 2023 CNET, a Red Ventures company. Take a small overnight bag with personal items, such as a toothbrush, a comb, favorite pillows or blankets, and a book. Inspire therapy is approved to treat a subset of people with moderate to severe OSA who are unable to use CPAP therapy. The benefits of the Inspire implant are significant -- better sleep quality, no more daytime fatigue and a lowered risk for a stroke or heart attack. The impulses sent to the hypoglossal nerve keep your muscles and tongue from collapsing into the airway, which dramatically reduces breathing interruptions. That's called complex sleep apnea. Sign In Small pads or patches called electrodes will be placed on your head and body with a small amount of glue and tape. You can expect to see a total bill of around $30,000 to $40,000 for both the surgery and device cost, but that'sbeforeyour insurance kicks in. It may help to go back and read "Get the Facts." CPAP stands for "continuous positive airway pressure.". Surgery is 2.5-3.5 hours-outpatient most have a quick recovery got to wait a month to turn the device on. Traditional Health Insurance Medicare Veterans Sign In New comments cannot be posted and votes cannot be cast. Some insurance won't approve it. Your airway can become narrowed when your throat muscles and tongue relax during sleep. The side effects of CPAP aren't bad enough to keep me from using it. CPAP side effects may include nosebleeds, a sore throat, and headaches. The CPAP machine will have one of the following: CPAP is usually the best treatment for obstructive sleep apnea. Nasal disks have a valve that makes it harder for you to breathe out. Feeling unrefreshed or tired after a night's sleep. Does Medicare Cover Inspire For Sleep Apnea? If you need help with Kaiser Permanente services or have questions, please see the phone numbers by state/area below. Each patient will have one incision under the chin and one below the collarbone. Think about what matters most to you in this decision, and show how you feel about the following statements. Privacy Policy. No, that's wrong. If you have moderate to severe sleep apnea, you may need to use a breathing device (continuous positive airway pressure CPAP) that prevents your airway from closing during sleep. Register, CPAP is a small machine that you use at home every night while you sleep. It should not be painful or uncomfortable. A device is implanted in the upper chest. If other members of your family have sleep apnea, you are more likely to have it than someone who doesn't have a family history of it. Decision Points focus on key medical care decisions that are important to many health problems. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. It really isn't that much of a bother for me to use. Respiratory insufficiency. The Health Encyclopedia contains general health information. Obstructive sleep apnea is the most common type. Remember, it's an outpatient procedure, so there are some medical bills that will have to be taken into account. It may help to go back and read "Get the Facts." Your doctor will probably have you try lifestyle changes and CPAP first. If you're interested in Inspire, it's best to speak to your provider to discuss your options. Were working to get kp.org back online as soon as possible. I am tired of being attached to a machine at night while I sleep. Even though that might sound intimidating, it's an outpatient procedure. A tracheostomy nearly always cures sleep apnea. A dry mouth or sore throat in the morning. The Health Encyclopedia contains general health information. Drinking alcohol or taking certain medicines, especially sleeping pills, opioids, or sedatives, before sleep may make symptoms worse. Nose strips widen the nostrils and improve airflow. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. More serious risks associated with Inspire, which are also much more rare, include allergic reaction, nerve trauma or damage, or damage to blood vessels around the site of the implant. Problems staying awake, such as narcolepsy. Per the FDA, the "probable benefits outweigh the probable risks" for approved obstructive sleep apnea patients who aren't benefitting from traditional CPAP therapy. This may be the only symptom in some children. But apnea episodes and snoring may return over time. If your tonsils or other tissues are blocking your airway, your doctor may suggest surgery to open the airway. Abierto los 7 das de la semana, de 8 a. m. a 8 p. m. Puede llamarnos las 24 horas del da, los 7 das de la semana, al: Despus de las 7 p. m., llame al 1-888-576-6225, de lunes a viernesLlame en cualquier momento los sbados y domingos. Lead to other problems, such as high blood pressure and heart disease. Your child snores, has trouble breathing while sleeping, sleeps restlessly, wakes up often, or is very sleepy during the day. Drinking alcohol or taking certain medicines before going to sleep can increase the risk for sleep apnea. Do you understand the options available to you? Register. Learn more at. The more often it happens, the more severe your sleep apnea is. Taylor Leamey writes about all things wellness, specializing in mental health, sleep and nutrition coverage. Inspire should not limit your normal activities, The current version of Inspire can undergo MRI scans provided specific conditions are followed, Having a pacemaker should not disqualify you from becoming a candidate for Inspire, The current version of Inspire (Model 3028) is eligible for MRI scansprovided specific conditions are followed. Lifestyle changes can help treat obstructive sleep apnea. To diagnose sleep apnea, the doctor will gather information about your child's symptoms and general health. This information does not replace the advice of a doctor. If your sleep apnea doesn't improve with treatment, you may have more tests to find out what's causing it. Dangers During Surgery No, that's wrong. Since I travel a lot, CPAP isn't very convenient for me. You are not significantly obese. Sleep apnea is often treated using continuous positive airway pressure, or CPAP, machines. You choose not to useor cannot useCPAP to treat your sleep apnea. Spice up your small talk with the latest tech news, products and reviews. It may lead to other problems, such as high blood pressure and heart disease. 3100 Seattle, WA 98101. As with any surgery, there's also the risk of pain, swelling or infection after the device is initially implanted. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Oral or nasal breathing devices may also help. Please call the phone number on your prescription label or 808-643-7979. A dentist will shape the device to fit your mouth. Obstructive sleep apnea is the most common type. Do Not Sell or Share My Personal Information. Follow us on these external social media sites that will open in a new browser window. You can try nonsurgical treatments, including lifestyle changes and. Watchful waiting may be right for you if you snore but are not excessively sleepy during the day. If you get better on your own, you won't need treatment. If you don't use it, your symptoms will return right away. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Patients use these machines with breathing masks during sleep. They are easier and more comfortable for some people to use. Based on FDA indications and insurance requirements, an Inspire trained doctor will determine if you meet the four criteria. Continuous positive airway pressure (CPAP) is nearly always the first medical treatment for sleep apnea. Not to mention that battery replacements are needed every 11 years. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. or You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Request for confidential communications forms. Will Inspire Work For You? or Sleep apnea means that breathing stops for short periods during sleep. Navigation Menu - Opens a Simulated Dialog. Sleep studies may be done if your sleep is not restful or if you are tired all day. The Health Encyclopedia contains general health information. TRICARE may cover CPAP machines for: Obstructive sleep apnea syndrome. Oral devices (also called oral appliances) are sometimes used to treat obstructive sleep apnea. Or try using a humidifier. CPAP: If you have a bed partner, they may also sleep better when you use a CPAP. It is the first treatment choice and the most widely used. Not growing as quickly as they should for their age. While you sleep, Inspire delivers mild stimulation to key airway muscles, allowing the airway to remain open. Follow us on these external social media sites that will open in a new browser window. Monday through Friday, 8 a.m. to 5 p.m.; Saturday, 8 a.m. to noon, Member Services D.C. metro area1-800-777-7902 (TTY 711), Member Services outside D.C. metro area1-800-777-7902 (TTY 711), Portland: 503-813-2000 (TTY 711)All other areas: 1-800-813-2000, Member Services Portland1-800-813-2000 (TTY 711), Member Services outside Portland 1-800-813-2000 (TTY 711), Member Services outside D.C. metro area, Washington (Vancouver/Longview area) Address, Kaiser Foundation Health Plan of the Northwest 500 NE Multnomah St., Suite 100 Portland, OR 97232, Washington (outside Vancouver/Longview area), Address 601 Union St., Suite. For some people, Inspire may be the only real option for relief from OSA. Nerve stimulation. Other forms of surgery are not right for you. 100 Portland, OR 97232. If you don't smoke, those muscles are less likely to collapse at night and narrow the airways. Details. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. I don't like the idea of living with a hole in my throat. Your doctor will probably have you try lifestyle changes and. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. What else do you need to make your decision. That's because you aren't snoring or restless. Your throat muscles and tongue relax during sleep and partially or completely block the airways in your nose, mouth, or throat. Problems staying awake, such as narcolepsy. Prescription questions, refills, or new prescriptions. If your nose or mouth is dry, set the machine to deliver warmer or wetter air. Apnea episodes and snoring may return over time. Don't use alcohol or certain medicines before bed. Learn how we develop our content. "I have been using continuous positive airway pressure (CPAP) to treat my sleep apnea for over a year. The battery of Inspire is placed beneath your collar bone. It may help to go back and read "Compare Your Options." This causes a little back-pressure in the airways that may help keep them open. A CPAP machine is durable medical equipment. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Sleep apnea and coronary artery disease (CAD). According to Inspire's website, it's covered by most insurance providers. Answer a few short questions to see if you may qualify for Inspire, then connect with a doctor to take the first step toward better sleep. 2. Check what you need to do before you make this decision. Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. Do you need treatment even if your sleep apnea doesn't bother you too much? Previously it was connected to two places in your body -- the hypoglossal nerve and your ribs. Oral breathing devices or other types of devices that you wear while you sleep have not worked for you. That's right. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. I am willing to have surgery to treat my sleep apnea if it can help. The risks of maxillo-mandibular advancement are: Changes in appearance and in how the teeth meet. This device pushes your tongue and jaw forward to improve airflow. Medicines include some types of sleeping pills, opioids, and sedatives. around and for a woman whose neck measures more than 16 in. Don't use sprays, oils, or gels on your hair. Apnea episodes and snoring may return over time. Problems with nighttime behaviors. Here are some changes to think about. And the surgery can cause many complications. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. A sleep study may take place in your home. Instead, use lifestyle changes to try to improve sleep. A recent study found that Inspire resulted in a 79% decrease in sleep apnea events. When you have sleep apnea, this can help you sleep better, feel better, and avoid future health problems. CPAP is a machine that prevents your airways from closing during sleep. If you're interested in Inspire for treating your obstructive sleep apnea, I recommend that you speak to your doctor to assess your needs and if it's a good fit for you. Neighbor islands : 8 a.m. to 5 p.m. Monday through Friday, 5 p.m. to 8 a.m. next day; Weekends and holidays, 24 hoursOahu: 808-432-7700Neighbor islands: 1-800-467-3011. It's important to treat obstructive sleep apnea, because sleep apnea makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. All Inspire patients are eligible to have CT scans and X-Rays anywhere in the body. Phone 844-756-9744 844-756-9744; Chat; Email You notice that your bed partner stops breathing, gasps, or chokes during sleep. We talked about my having surgery to treat my sleep apnea so I wouldn't have to use CPAP anymore. Successful procedures make breathing easier and decrease OSA-related symptoms. The visibility of the scars will depend on your skin tone and individual healing process. You have moderate to severe obstructive sleep apnea. Five more Blue Cross Blue Shield health plans have extended coverage to Inspire Medical Systems' (NYSE: INSP) sleep apnea therapy, the company said today. It's also often accompanied by loud snoring. All Rights Reserved. Instead, you can remote control it. Sorry, that's wrong. Follow us on these external social media sites that will open in a new browser window. Other problems may include pain, infection, speech problems, and a narrowing of the airway in the nose and throat. It's important to treat sleep apnea, because it makes you more likely to have other serious problems. The surgery may stop your snoring, but you may still have apnea. Sorry, you're wrong. I also read that surgery may only help about half of the time. Do you have enough support and advice from others to make a choice? Your condition is easy to fix, such as very large tonsils. A tracheostomy nearly always cures sleep apnea. Health plan provider Humana Inc will provide coverage for Inspire Medical Systems Inc's Inspire upper airway stimulation therapy for obstructive sleep apnea, effective August 27. Inspire is available for veterans at select VA and military hospitals across the US, Visit the Find a Doctor page or chat with an Inspire Advisor to see if there is an VA or military hospital near you that offers Inspire, If there is not a center near you, you can possibly utilize a program called the Community Care Program. My wife can't believe the change in my attitude during the day. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Request for confidential communications forms, A nasal pillow that covers only the openings of your nose. If you are overweight and have sleep apnea, nutritional counseling, daily activity, and other treatments may help. Do you need treatment even if your sleep apnea doesn't bother you too much? Surgery can sometimes correct these deformities and improve sleep apnea. Your doctor may suggest a sleep study. You are age 18 or above. If your breathing stops, you may make grunting, gasping, or snorting sounds and restless body movements. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family MedicineHasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Medical Review:Anne C. Poinier MD - Internal Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. If you have a bed partner, they may notice that you: Children who have sleep apnea nearly always snore. Apnea episodes and snoring may return over time. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. If you will have portable sleep monitoring, your doctor will explain how to use the equipment at home. Register. This is a limited benefit. You'll avoid the risks of having surgery. If you have sleep apnea, you may wear a mask that is connected to a continuous positive airway pressure (CPAP) machine. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Conditions such as periodic limb movement disorder. Even though that might sound intimidating, it's an. If you get worse, you and your doctor will decide what to do next. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. 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 Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org.