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.
2025 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.
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).
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. 2025 SPDs will be available in the first quarter.
2024 Kaiser (Nor Cal) HMO Evidence of Coverage/Summary Plan Description (long document)
2024 Kaiser (So Cal) HMO Evidence of Coverage/Summary Plan Description (long document)
2024 Kaiser (Hawaii) HMO Evidence of Coverage/Summary Plan Description (long document).
Plan Forms & Resources
- Kaiser's 2021 Transgender Care & Coverage flyer
- Kaiser's National Transgender Resource Guide
- Kaiser'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