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Kaiser Permanente HMO

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. Please 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 Permanente HMO or Kaiser Permanente Senior Advantage HMO.

Plan Resources

Employees
2019 Plan Resources for actively-employed members.
2019 Summary of Benefits (SOB) Kaiser Permanente HMO - Active Employees (pdf) (500.49 KB)
2019 Evidence of Coverage (EOC) Kaiser Permanente HMO - Active Employees (pdf) (1.78 MB)
2019 Evidence of Coverage (EOC) Kaiser Permanente HMO - Active Employees (Acupuncture & Chiropractic) (pdf) (355.31 KB)
2019 Summary of Benefits and Coverage (SBC) Kaiser Permanente HMO - Active Employees (pdf) (535.12 KB)
Retirees without Medicare California
2019 Plan Resources for retired non-Medicare members living in California.
2019 Summary of Benefits (SOB) Kaiser Permanente HMO - Active Employees (pdf) (500.49 KB)
2019 Evidence of Coverage (EOC) Kaiser Permanente HMO - Active Employees (pdf) (1.78 MB)
2019 Evidence of Coverage (EOC) Kaiser Permanente HMO - Active Employees (Acupuncture & Chiropractic) (pdf) (355.31 KB)
2019 Summary of Benefits and Coverage (SBC) Kaiser Permanente HMO - Active Employees (pdf) (535.12 KB)
Retirees with Medicare California
2019 Plan Resources for retired Medicare members living in California.
2019 Summary of Benefits (SOB) Kaiser Permanente Senior Advantage HMO (Medicare-enrolled) (pdf) (492.79 KB)
2019 Evidence of Coverage (EOC) Kaiser Permanente Senior Advantage HMO (Medicare-enrolled) (pdf) (2.18 MB)
2019 Evidence of Coverage (EOC) Kaiser Permanente Senior Advantage HMO (Secondary) (pdf) (2.15 MB)
2019 Evidence of Coverage (EOC) Kaiser Permanente HMO - Active Employees (Acupuncture & Chiropractic) (pdf) (355.31 KB)
Retirees - Kaiser Hawaii
2019 Plan Resources for retired members (both non-Medicare and Medicare-enrolled members) living in Hawaii.
2019 Summary of Benefits (SOB) Kaiser Hawaii (Non-Medicare) (pdf) (100.35 KB)
2019 Summary of Benefits (SOB) Kaiser Senior Advantage HMO Hawaii (Medicare) (pdf) (642.78 KB)
2019 Summary of Benefits and Coverage (SBC) Kaiser Hawaii (Non-Medicare) (pdf) (519.71 KB)
Retirees - Kaiser Northwest
2019 Plan Resources for retired members living in Kaiser Permanente's Pacific Northwest region (includes sections of Oregon and Washington states).
2019 Summary of Benefits (SOB) Kaiser Northwest (Non-Medicare) (pdf) (51.88 KB)
2019 Summary of Benefits (SOB) Senior Advantage HMO Kaiser Northwest (Medicare)
2019 Summary of Benefits (SOB) Senior Advantage HMO Kaiser Northwest (Medicare) (pdf) (182.89 KB)
2019 Summary of Benefits and Coverage (SBC) Kaiser Northwest (Non-Medicare)
2019 Summary of Benefits and Coverage (SBC) Kaiser Northwest (Non-Medicare) (pdf) (538.93 KB)
Retirees - Kaiser Washington
2019 Plan Resources for retired members living in Washington state.
2019 Summary of Benefits (SOB) Kaiser Washington (Non-Medicare) (pdf) (24.03 KB)
2019 Evidence of Coverage (EOC) Kaiser Washington (Non-Medicare) (pdf) (1.70 MB)
2019 Summary of Benefits and Coverage (SBC) Kaiser Washington (Non-Medicare) (pdf) (159.19 KB)
2019 Summary of Benefits (SOB) Kaiser Permanente Senior Advantage HMO Washington (Medicare) (pdf) (933.24 KB)
2019 Evidence of Coverage (EOC) Kaiser Permanente Senior Advantage HMO Washington (Medicare) (pdf) (1.91 MB)

Kaiser Permanente Wellness Benefit Highlights

Contact Kaiser Permanente

Telephone: (800) 464-4000
Website: my.kp.org/ccsf
Group Number:
- 888 (Northern California);
- 231003 (Southern California)

Kaiser Permanente HMO

Plan Resources

2019 Summary of Benefits (SOB) Senior Advantage HMO Kaiser Northwest (Medicare)

2019 Summary of Benefits and Coverage (SBC) Kaiser Northwest (Non-Medicare)

Kaiser Permanente Wellness Benefit Highlights

Contact Kaiser Permanente