Kaiser HMO Overview
Using a Deductible HMO Plan
As a member of the Kaiser Permanente Health Maintenance Organization (HMO), you will receive your medical care from an integrated network of physicians and specialists at a medical office, medical center, or affiliated hospital near you. Additional information regarding use of the Kaiser Permanente HMO Deductible plan includes:
- You may choose a primary care physician for you or your family members at www.kp.org/chooseyourdoctor or receive assistance in selecting a doctor or scheduling your first appointment by calling 800.278.3296
- Initial referrals for most specialty care services will be coordinated by a Kaiser Permanente physician. However, many departments such as OB/GYN, Optometry, Psychiatry and Additional Medicine are self-referred
- There is a deductible with the Kaiser Permanente HMO plan; however, there are no claim forms to submit unless you receive emergency services outside of a plan facility
- Preventive care services are covered at 100%
For a complete listing of covered services for each plan, please refer to your Evidence of Coverage (EOC) or Plan Booklet.
To obtain a copy of your 1095B, Proof of Health Insurance, please contact Kaiser Member Services at 800-464-4000 or 844-477-0450.
Kaiser Permanente – On the Go!
The KP mobile app gives you a suite of tools to use on the go! Use this application with your Kaiser Permanente user ID and password to:
- See your health history at your fingertips
- Refill prescriptions for yourself or another member
- Check the status of your prescription order
- Schedule, view, and cancel appointments
- Access your message center to email your doctor or another KP department
- Find KP locations and facilities near you
Search for Kaiser’s mobile app in the App Store or Google Play to get started!