Kaiser Permanente HMO
Kaiser Permanente is a Health Maintenance Organization (HMO) that provides patient services, hospitalization, supplies, and prescription drugs through its own network of doctors, hospitals, and other Kaiser-affiliated health care facilities.
Plan Details
View 2026 Plan Details for Kaiser California
View 2026 Plan Details for Kaiser Hawaii
Traveling Outside the U.S.
Your Kaiser HMO CA plan provides services in California only. The Kaiser HMO HI plan provides services for those living in Hawaii. You may also visit Kaiser locations in other states we are not contracted with on a guest basis. You receive no coverage for routine services outside the service area. Kaiser provides “Emergency Care” coverage anywhere you may experience an emergency that is life-threatening in nature.
- View the Kaiser - Coverage When Traveling (MCI International Access) Brochure
- Learn more about traveling outside the U.S.
If you need to file a claim for emergency care received while overseas, download the Kaiser emergency claim form or contact Kaiser to have an emergency claim form sent to you.
Plan Documents
Summary of Benefits Coverage (SBC)
An SBC is an overview of plan benefits, deductibles, copays, and coverage levels for a variety of commonly used medical treatments and services. Summary of Benefits Coverage (SBC)
Evidence of Coverage (EOC) / Summary Plan Description (SPD)
An SPD or EOC is the official, detailed plan document for each plan outlining information about eligibility, costs and cost-sharing, included and excluded services, claims process, procedures for filing grievances, complaints, and appeals.
2026 Plan Documents:
SBCs
- 2026 Kaiser Permanente (Nor Cal) HMO Summary of Benefits and Coverage
- 2026 Kaiser Permanente (So Cal) HMO Summary of Benefits and Coverage
- 2026 Kaiser Permanente (Hawaii) HMO Summary of Benefits and Coverage
EOCs / SPDs: coming soon
Resources
- Kaiser's 2021 Transgender Care & Coverage flyer
- Kaiser's National Transgender Resource Guide
- Kaiser's Mental & Behavioral Health resources
- Stanford's Mental & Behavioral Health resources
- What Kaiser does to help our members with mental health care
- Kaiser Northern California Pharmacy Notice of Claim
- Kaiser Emergency Medical Services Claim Form
- Kaiser - Coverage When Traveling (MCI International Access) Brochure
- Kaiser - Domestic and International care when traveling
- Kaiser emergency claim form (for emergency care while overseas)
- Kaiser: Care options while you're away from home (flyer)
- Kaiser Northern CA Fertility benefits for 2023 (flyer)
- Kaiser Southern CA Fertility benefits for 2023 (flyer)
- Kaiser CA HMO Active & Fit flyer
- Kaiser Hawaii HMO Fit Rewards flyer
- Kaiser Hawaii HMO Out of Area Dependent Coverage brochure