• Plan Information
  • Kaiser Permanente HMO

You must receive all of your care through an integrated system of participating physicians, hospitals and healthcare providers. Most services are covered at 100% after you pay your required copayment. Refer to Evidence of Coverage documents for more information. To participate, you must live in one of the zip code service areas served by Kaiser.

Employees Retirees with Medicare Retirees Outside of CA
January - December 2018 January - December 2018 January - December 2018
Summary of Benefits (SOB)pdf
Evidence of Coveragepdf
SBCpdf
Acupuncture / Chiropractic EOCpdf
Summary of Benefits (SOB)pdf
Evidence of Coveragepdf
Evidence of Coverage (if Medicare Secondary)pdf
Acupun./Chiro./Silver & Fit EOCpdf
SOB Hawaii (Non-Medicare)pdf
SOB Hawaii (Medicare)pdf
SBC Hawaii (Non-Medicare)pdf
- - -
SOB Northwest (Non-Medicare)pdf
SOB Northwest (Medicare)pdf
SBC Northwest (Non-Medicare)pdf
- - -
SOB Washington (Non-Medicare)pdf
SOB Washington (Medicare)pdf
SBC Washington (Non-Medicare)pdf
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