Kaiser HMO Resources
Kaiser HMO offers active employees, and retirees under age 65, a cost-effective managed care plan with a copay within Kaiser's network and service area.
2023 Plan Documents
Kaiser (Nor Cal) Summary of Benefits Coverage (short document)
Kaiser (So Cal) Summary of Benefits Coverage (short document)
Kaiser (Hawaii) Summary of Benefits Coverage (short document)
An SBC is an overview of plan benefits, deductibles, copays and coverage levels for a variety of commonly-used medical treatments and services.
2022 Plan Documents
Kaiser (Nor Cal) Summary of Benefits Coverage (short document)
Kaiser (So Cal) Summary of Benefits Coverage (short document)
Kaiser (Hawaii) Summary of Benefits Coverage (short document)
An SBC is an overview of plan benefits, deductibles, copays and coverage levels for a variety of commonly-used medical treatments and services.
Kaiser (Nor Cal) HMO Evidence of Coverage/Summary Plan Description (long document)
Kaiser (So Cal) HMO Evidence of Coverage/Summary Plan Description (long document)
Kaiser (Hawaii) HMO Evidence of Coverage/Summary Plan Description (long document)
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.
Plan Forms & Resources
- Kaiser's 2021 Transgender Care & Coverage flyer
- Kaiser's National Transgender Resource Guide
- Kaiser's Mental & Behavioral Health resources
- Kaiser Northern California Pharmacy Notice of Claim
- Kaiser Emergency Medical Services Claim Form
- Kaiser - Coverage When Traveling (MCI International Access) Brochure
- Kaiser emergency claim form (for emergency care while overseas)