PG&E Health Center

PG&E Health Center, General Information

What is the PG&E Health Center?
The PG&E Health Center is a modern onsite medical clinic, located at the San Francisco General Office. The clinic provides PG&E employees access to convenient, high-quality and affordable health care.

Where is it located?
The PG&E Health Center is located at 77 Beale Street, 3^rd floor, San Francisco, CA 94105.

Who can use the PG&E Health Center?
The PG&E Health Centers is open to all active HAP- eligible PG&E employees, and hiring hall employees. Employees on long-term disability are not eligible for clinic-provided health services. Dependents are not eligible at this time.

I’m an intern. Can I use the health center?
PG&E Interns are not able to use the clinic, as it is offered only for eligible employees at this time.

I’m a contractor. Can I use the health center?
No, contractors may not use the clinic, as it’s offered only for eligible employees at this time.

When is the health center open?
Hours:
Clinic: Monday – Friday, 7am – 4pm
Lab: Monday – Friday, 7am – 3:30pm

How can I make an appointment?
You may phone the center at 628-201-3555 or walk in during regular operating hours to make an appointment in person.

Note: Lab visits, allergy injections and 24/7 Nurse Care Line referral or follow-up care require a call to the center at 628-201-3555 for scheduling.

Can I contact the health center electronically?
Yes, you may use the Patient Portal online at My Premise Health via your computer or tablet, and a smart phone app is also coming soon. The Patient Portal is a secure website where you can electronically make appointments, complete clinic forms, secure message your provider, and more.

You will first need to create your portal account by following the prompts after going to the website. Creating your own account maintains and assures that your information stays private.

What do I do if encounter a technical problem with the Patient Portal?
You may contact the health center by calling 628-201-3555, and the staff will be able to assist you or get additional support if needed.

What type of appointments can I make?
Office Visit: Appointments for acute care conditions, such as cough, headache, earache, nausea or vomiting, rashes, urinary complaints, back pain and more.

Preventive Routine Physical Exam: Appointments for annual physical exams to review health concerns and preventive counseling. (Non-work related)

Physical Therapy/Chiropractic/Acupuncture: Appointments are only for personal and work-related concerns. (Physical Therapy requires referral from an MD)

Health and Wellness Coaching: Weight management, lifestyle modifications and nutritional assessments, and disease/condition management.

Vaccinations or TB Screening and Travel Medicine: Age-specific preventive vaccines, consultation and recommendations for foreign travel.

The following appointment types can only be made by calling the center:

Lab Visit: Blood draws or specimen collections available to clinic patients and non-patients (excluding Kaiser members).

24/7 Nurse Care Line Visit: First appointment or follow-up for a work-related condition.

Allergy Injections: Available with permission from your allergy specialist and for injections following the first injection done at your specialist’s office for each new serum.

Does the center offer weekend or after-hours care?
At this time, the clinic will only be operating during normal business hours. We will continue to evaluate the demand and extend clinic hours as needed.

Are there plans to open other health centers for employees?
At this time, the focus is to successfully operate the clinic at the SF General Office.

Why is PG&E opening the PG&E Health Center?
The health, wellness, and safety of our employees are top priority for PG&E. We want employees to have access to the resources they need to reach their personal health goals; this includes the best care and service that’s convenient and competitively priced. We are in partnership with employees to shape a healthy and safe work environment.

How is the PG&E Health Center different from other medical facilities?
The PG&E Health Center was specially-designed for PG&E employees. Everything from the layout, staff, services and vendor was carefully selected to bring you the highest-quality, most convenient and most affordable care, focused on primary and preventive care. Just as important, the PG&E Health Center offers employees a personalized, patient-centered medical home model, in which a primary care physician leads a team of health care professionals who help coordinate a holistic approach to care for primary, preventive and acute care services.

What is a holistic approach to health?
The holistic approach takes the whole-person into consideration. Holistic health involves paying attention to an individual’s balance of physical, emotional, and social health. The PG&E Health Center offers not just medical advice from your primary care team, but also personalized health coaching and condition management. A holistic approach to health also means taking preventive measures, not just waiting until you are ill to talk about your health.

Does the PG&E Health Center offer preventive screenings? The center offers basic preventive measures screenings and discussion to help you determine whether or not there are things you can be doing now to help you through your personal health journey. In addition, the staff at the center can help you determine and coordinate screenings most appropriate for your age and medical history.

What are the advantages to using the PG&E Health Center?
The many advantages include the following:

You choose whenever you want to use the center. The clinic offers same-day and next-day appointments for patients with urgent medical needs.
You have access to a team of health care providers conveniently located at the SF General Office that offers coordinated care.
Your medical records are kept securely online in a single system, accessible only by Premise Health, the PG&E Health Center care team. This means that your visit history is easily accessible for clinic staff, so you don’t have to keep repeating your medical history to different team members. You’ll also have direct, online access to your medical records and be able to send secure emails to the health care team, request appointments and medication refills.

Do I have to use the PG&E Health Center?
No. Use of the PG&E Health Center is completely voluntary and confidential.

If I use the PG&E Health Center, does that mean I should stop seeing my current primary care physician?
The physician you visit is completely your choice. You have options:

You can make the PG&E Health Center your “medical home” and choose the health center physician as your primary care provider, since Premise Health providers are accepted in the same manner as Anthem HAP in-network providers; or
You can continue to see your current primary care physician and consult the PG&E Health Center physician and team whenever it is convenient for you; or
You can remain with your current primary care physician.

Will my physician outside of the PG&E Health Center have access to my electronic medical records?
At this time, only the care team at the PG&E Health Center will have access to your electronic medical records. Patients can request that their medical records be shared with outside providers by completing a Release of Medical Records form that is available at the PG&E Health Center.

What does “patient-centered medical home model” mean?
Unlike a more traditional approach, where physicians may treat you without consulting with each other, the medical home model involves the PG&E Health Center’s primary care physician leading a team of health care providers who help coordinate your ongoing care.

An onsite physician, nurse practitioner, registered nurses, health coach, certified medical assistants, physical therapist, chiropractor and acupuncturist will all be on staff to help you.
Your medical team will work with you to learn your medical history and lifestyle so they can provide care and treatment options that make sense for you—making you a partner in your own care. This includes assistance with locating the right specialist(s) in your area, based on your needs and diagnosis. The care team will work with you and any specialists to manage your care.

Services

What types of services are offered at the PG&E Health Center?
The PG&E Health Center offers:

Coordinated and customized primary and preventive care services
Same day acute and urgent care services
Clinical lab services
Health education and coaching
Condition care management
Physical therapy
Chiropractic and acupuncture treatments
Occupational health (first appointment or follow-up for a work-related condition)
Secure electronic medical records

Does the PG&E Health Center offer urgent care services?
Yes, the PG&E Health Center offers same-day/next-day and urgent care services during operating hours Monday through Friday.

What happens after hours when the Health Center is not open and I need care?
If you need care after hours and call the PG&E Health Center, you will reach voicemail that directs you to options available like calling the Anthem Nurse Advice Line at 1-866-867-1651 or the Kaiser 24-Hour Health Advice Line at 1-866-454-8855. You may also secure message your health center provider who will be able to respond as soon as possible when the clinic re-opens. If your concern is an emergency, call 911 or go to the nearest emergency room.

If I have a work-related injury, can I go to the PG&E Health Center for care?
As always, you first need to call the 24/7 Nurse Care Line at 1-888-449-7787 to report the injury and be triaged for care and notify your supervisor. You may be given self-care advice or referred to the PG&E Health Center for treatment. You cannot make an appointment for a work-related injury or discomfort through the Patient Portal, but must call the clinic at 628-201-3555.

Will there be a Pharmacy?
There will not be a Pharmacy at the PG&E Health Center. Prescriptions are sent electronically or “e-prescribed” to your local or mail-order pharmacy. You may request refills of the prescriptions you had ordered from the PG&E Health Center through the Patient Portal.

Are there translation services?
Premise Health has a telephonic translation service that is available for patients that require translation assistance.

Can I get my health screening testing there?
When there are Quest-scheduled health screening events located at the SF General Office, you will be required to get your health screening through Quest. However, if you aren’t able to get to a Quest health screening event, you may have your health screening done by scheduling an appointment at the PG&E Health Center at 628-201-3555. You’ll need to bring Quest’s physician form if you have the screening tests done in the clinic as a clinic patient.

Can Kaiser members use the chiropractic or acupuncture services?
Yes, Kaiser members are able to use chiropractic and acupuncture with full cost payable at the time of service. The actual cost will vary depending on the specific procedures conducted.

Can Kaiser members use the physical therapy services?
Kaiser members are able to use physical therapy with full cost payable at the time of service. The actual cost will vary depending on the specific procedures conducted. Note, however, that a physician referral is required, but Kaiser physician referrals are not eligible for this service.

Cost of Services

Will the PG&E Health Center take my insurance?
For active employees with Anthem HAP coverage, the clinic will bill Anthem for services just like other clinics and providers do. You will receive an Explanation of Benefits (EOB) from Anthem showing what was covered by Anthem and what portion of the cost is your responsibility. The PG&E Health Center will then bill you for just the portion you owe. Your first four primary care office visits are free — covered 100% by the Anthem HAP plan — and then your regular deductible and coinsurance will apply as usual. No payment for clinic visits is due at the time of your appointment.

Costs for lab work sent out or prescription medications are not included in the fees that you pay for PG&E Health Center visits. Your regular benefits apply to these services.

For active Hiring Hall employees with Anthem Gold coverage, the clinic will bill Anthem for services just like other clinics and providers do. You will receive an Explanation of Benefits (EOB) from Anthem showing what was covered by the Anthem Gold plan and what portion of the cost you are responsible for. The PG&E Health Center will then bill you for just the portion you owe. Your first four primary care office visits are free — covered 100% by the Anthem HAP plan — and then your regular deductible and coinsurance will apply as usual. No payment for clinic visits is due at the time of your appointment.

Costs for lab work sent out or prescription medications are not included in the fees that you pay for PG&E Health Center visits. Your regular benefits apply to these services.

For active HAP-eligible employees with Kaiser HAP or other non-PG&E coverage, full payment for all services with cost will be collected at the time of service.

Visit Type	Description	Cost
PG&E Anthem HAP, or Hiring Hall Gold, administered by Anthem
Preventive/Routine Physical Exam (1 per year)	Complete annual physical exam (non work-related)	$0
Well Woman Exam	Complete annual physical exam with optional PAP (non-work-related)	$0
Primary Care Office Visit (up to 4 free visits per year; annual exam counts as 1 of the 4 free visits)	Clinical visit for infections, headache, etc., and chronic conditions like high blood pressure, diabetes, high cholesterol, etc.	$0
Primary Care Office Visit after 4 free visits per year	Clinical visit for infections, headache, etc., and chronic conditions like high blood pressure, diabetes, high cholesterol, etc.	No deductible 10% of covered charges for additional visits
Health and Wellness Coaching and Condition Management	Weight management, lifestyle modifications, nutritional assessments, and disease condition management such as diabetes, high blood pressure, etc.	$0
Physical Therapy	Physical therapy for personal injury (non work-related)	Deductible required 10% of covered charges for first 5 visits per year after deductible is met; 20% for additional visits Preauthorization required after 24 visits MD referral required
Chiropractic or Acupuncture	Chiropractic or Acupuncture for personal injury (non work-related)	Deductible required 10% of covered charges for first 5 visits per year after deductible is met; 20% for additional visits Preauthorization required after 24 visits
Labs	Lab work collected at the clinic and sent to Quest Diagnostics	Routine preventive screenings that are on the list of free services: No deductible Free All other procedures, including most lab tests: Deductible required 20% of covered charges
Medication/ Prescriptions	Any prescriptions ordered by the treating provider	Pharmacy benefit applies per the Anthem HAP or Anthem Gold plan Anthem members must use its mail-order program for free medications
Vaccines/TB screening	Any vaccines or personal TB screening provided in the clinic	Anthem HAP or Anthem Gold plan benefit applies
Travel Medicine Consult	Review of itinerary and vaccine requirements	$0 if one of the first four free visits/year but any additional procedure codes apply per Anthem HAP benefits* If after the first four free visits/year No deductible 10% of covered charges for additional visits Any additional procedure codes apply per Anthem HAP benefits
Outside Specialists	Any referrals made by clinic	Deductible required 20% of covered charges

Visit Type	Description	Cost
Fees for Kaiser Health Account Plan (HAP) and all other medical plans *None of these payments apply to PG&E HAP deductible or out-of-pocket maximum expenses.
Preventive/Routine Physical Exam (1 per year)	Complete annual physical exam (non work-related)	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes
Well Woman Exam	Complete annual physical exam with optional PAP (non-work-related)	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes
Primary Care Office Visit	Clinical visit for infections, headache, etc., and chronic conditions like high blood pressure, diabetes, high cholesterol, etc.	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes
Health and Wellness Coaching and Condition Management	Weight management, lifestyle modifications, nutritional assessments, and disease condition management such as diabetes, high blood pressure, etc.	$0
Physical Therapy	Physical therapy for personal injury (non work-related)	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes MD referral required Kaiser MD referrals not eligible for this service
Chiropractic or Acupuncture	Chiropractic or Acupuncture for personal injury (non work-related)	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes
Labs	Lab work collected at the clinic and sent to Quest Diagnostics	Non-PG&E medical plan members may have their plan’s out-of-network benefits apply Any Kaiser-administered plan members are not eligible for this service
Medication/ Prescriptions	Any prescriptions ordered by the treating provider	Non-PG&E medical plan members may have their pharmacy plan benefits apply Non-Kaiser prescriptions are not accepted by Kaiser pharmacies; any Kaiser-administered plan members pay full cost at non-Kaiser retail pharmacy
Vaccines/TB screening	Any vaccines or personal TB screening provided in the clinic	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes
Travel Medicine Consult	Review of itinerary and vaccine requirements	Full cost at time of service. Actual cost is dependent on the visit code and any additional procedure codes
Outside Specialists	Any referrals made by clinic	Coverage is dependent on your plan benefits

Is lab work covered?
Costs for lab work sent out are not included in the fees that you pay for PG&E Health Center visits. Quest Diagnostics will bill you your portion of the cost of lab tests. If you are in the Anthem HAP or Anthem Gold plan, your regular benefits apply to these services. You will need to present identification and your medical card for lab work. Lab specimens cannot be collected for Kaiser HAP members as the lab analysis would be out-of-network.

How do payments for medications work?
Costs for medications are not included in the fees that you pay for PG&E Health Center visits. Your regular benefits apply to these services. Patients will obtain medications through the appropriate local or mail-order pharmacy of their choice.

How do I pay for my portion of the clinic costs?
For active employees with Anthem HAP coverage and active Hiring Hall employees with Anthem Gold coverage, you may pay online through your account on the Patient Portal or go to the clinic in person to pay with any debit/credit card. Anthem HAP members can also pay with a WageWorks health payment card. No cash or checks will be accepted.

For active employees with Kaiser HAP or other non-PG&E coverage, full payment for all services will be collected at the time of service. You may use any debit/credit card to make payment except for a Kaiser health payment card, since Kaiser cards can only be used at Kaiser pharmacies. Kaiser HAP members can, however, use any funds they have in their Kaiser Health Account or Health Care Flexible Spending Account (FSA) by filing a manual claim for reimbursement online or via fax, U.S. mail, or smart app. If you have a Health Care FSA, but do not have PG&E medical coverage, you may use your WageWorks health payment card.

Will I be able to use my WageWorks health payment card (Health Account or Flexible Spending Account funds) for clinic payments?
Yes, the PG&E Health Center is able to accept payment with any credit/debit card or a WageWorks card. The only exception is Kaiser Visa health payment cards, as these cards can only be used at Kaiser pharmacies.

PG&E Health Center Care Team

Is there a full-time primary care physician?
Yes, there is a full-time primary care physician leading the care team which includes a board-certified nurse practitioner.

Why did PG&E choose Premise Health?
Premise Health is a respected, nationwide leader in employer-sponsored health care. They are committed to providing an outstanding patient experience within the framework of PG&E’s culture and service model, while helping to ensure confidentiality for PG&E employees’ personal health information.

Communications

Where can I find out more information about the PG&E Health Center?
You may review this page, email wellness@pge.com or call the clinic at 628-201-3555.

How can I provide feedback on the new PG&E Health Center?
The PG&E Health Center has a suggestion box at the reception desk where you can drop in written feedback anonymously or not. Premise Health also invites you to complete a confidential online survey a few times each year. PG&E wants to make sure you receive an exceptional patient-care experience.

Confidentiality

Will my information and consultation be kept confidential and private?
Confidentiality is critical in a health care setting and health care providers are held to strict patient confidentiality rules. All patient medical information is maintained in the strictest confidence and is not accessible to PG&E. The clinic is operated by a third-party company, Premise Health. To review or obtain a copy of Premise Health’s Privacy statement, click here. As a reminder, your health information is also protected by a federal law called “HIPAA” (Health Insurance Portability and Accountability Act of 1996).

Who has access to my electronic medical records?
Your electronic medical records are kept securely online, managed through the secure Premise Health website. The records are maintained on Premise Health’s completely separate secure network outside of the PG&E network. Only your physician and the Premise Health care team have access to ensure you receive an integrated program of care that is tailored to your individual needs, lifestyle and health goals. Your visit history is easily accessible for the PG&E Health Care clinic staff, so you will not have to repeat your medical history to different providers on the health care team.

Summary of Material Modifications (January 2017)
This 2017 PG&E Health Center guide is for active Management and Administrative & Technical (A&T) employees and for active employees represented by the IBEW, ESC and SEIU. It is designed, in part, to make you aware of important changes that have been made to The Pacific Gas and Electric Company Health Care Plan for Active Employees (the “Health Care Plan”). Additional information about the Plans is contained in the document entitled The Pacific Gas and Electric Company Health Care Plan for Active Employees. The Summary of Benefits Handbook and any summaries of material modifications (SMMs), including benefit communications designated as SMMs, collectively constitute the respective official plan documents.

The Employee Benefit Committee of PG&E Corporation is the Plan Administrator of the Plans and has the discretionary authority to interpret and construe the terms of the official plan documents, to resolve any conflicts or discrepancies between the documents that comprise the official plan documents, and to establish rules that are necessary for the administration of the Plans.

Unless otherwise noted, references to PG&E in this booklet mean Pacific Gas and Electric Company. Pacific Gas and Electric Company, PG&E Corporation and their affiliates, referred to collectively as “Participating Employers.”

Pacific Gas and Electric Company has the right to amend or terminate the Plans at any time and for any reason, subject to notice provisions if such notice is required under applicable collective bargaining agreements. Generally, an amendment to or termination of the Plans will apply prospectively and will not affect your rights and obligations under the Plans prospectively.

See PG&E’s Health Plan Nondiscrimination Notice here.

My PG&E Benefits