Kaiser Permanente Medical
(CA & HI Only)
Kaiser offers an all-in-one approach to healthcare, with predictable copays and no deductibles. Under the Kaiser Permanente plans in CA or HI, you and your covered dependents must receive care from Kaiser Permanente physicians at Kaiser Permanente facilities. These plans are only available for those who reside in CA or HI. With the exception of emergencies, coverage is not available at non-Kaiser facilities. You must call Kaiser Permanente immediately (or as soon as possible) after you are admitted to a non-plan hospital for emergency services.
Kaiser makes preventive care accessible and affordable – following established guidelines for screenings and immunizations to give a better chance of detecting serious illness early.
Kaiser Permanente covers prescription drugs in accordance with their formulary when obtained at Kaiser Pharmacies, up to 30-day supply retail and a 100-day supply mail order per copayment.
If you enroll in the Kaiser CA HDHP, you can participate in a tax-free Health Savings Account (HSA). If you plan to cover out-of-state dependents under a Kaiser plan, their coverage will be limited to emergency and urgent services outside of California.
Select your PCP
In order to receive care from Kaiser, you must select a Primary Care Provider (PCP) who will manage your care and provide referrals if you need to see a specialist. You can find a doctor by visiting the Kaiser website.
Find a CA Doctor.
Find a Hawaii Doctor.
Website: www.kp.org
Phone: (800) 464-4000
Group # N CA: 604337
Group #S CA: 231897
Kaiser CA Member Services
Phone: 1-800-466-4000
Website: kp.org/memberservices
Kaiser CA Appointments & Advice
Northern CA: 1-866-454-8855
Southern CA: 1-833-574-2273
Kaiser CA Telemedicine
Northern CA: kp.org/mydoctor/videovisits
Southern CA: kp.org/getcare
Kaiser CA Care While Traveling
Phone: 1-951-268-3900
Website: kp.org/travel
Kaiser On Call - 24/7 Appointments/Advise Nurse
NCAL: (866) 454-8855
SCAL: (888) 576-6225
KP Concierge – non-member assistance/inquiries
Phone: 1-800-324-9208, 7 am - 6 pm Pacific Time
Text: 1-733-974-3113, 7 am- 6 pm Pacific Time
Website kp.org/choosekp
Website: www.kpinhawaii.org
Phone: (800) 966-5955
Group # HI: 45188
Kaiser HI 24/7 Phone Advice
Phone: 833-833-3333
Kaiser HI Away From Home Line
Phone: 951-268-3900
Kaiser HI Mental Health Crisis Support
National 24/7 suicide and crisis lifeline
Call or text 988 (TTY 711)
Lifeline chat
Kaiser HI Emergency Care
Find Emergency Care Locations
Northern CA
- HDHP Evidence of Coverage (EOC) Medical - Coming Soon
- HDHP Evidence of Coverage (EOC) Chiropractic - Coming Soon
- HDHP Plan Summary
- HDHP SBC
- HDHP Evidence of Coverage (EOC) Medical - Coming Soon
- HDHP Evidence of Coverage (EOC) Chiropractic - Coming Soon
- HDHP Plan Summary
- HDHP SBC
- Care Away From Home
- Caring for the Whole You
- ClassPass Flyer
- Enrollment Guide
- Ginger App Flyer
- Healthy Resources Guide
- How to Find a Provider
- kp.org Overview
- Kaiser Mobile App
- Kaiser Pre-enrollment
- Mental Health Flyer
- Mental Health Apps
- Prescription Mail Order
- Telehealth Flyer
- Video Appointments
- Quality Care When Needed
- Maternity Care
Deductible - The amount you must pay for medical services, before the plan pays a benefit. Preventative care is always covered at 100% with no deductible required.
Coinsurance - This is the percentage of the cost you pay for certain services after the deductible has been met. You can think of this as “cost sharing”. For example, once your deductible has been met you could pay 20% for the cost of certain services and the plan could pay 80%.
Copay - The flat fee paid by the member when a medical service is received, i.e. $20 for a doctor's visit or $20 for a prescription.
In Network Provider - An in-network provider is a hospital, doctor, medical group, and/or other healthcare provider contracted to provide services to insurance company customers for a discounted fee.
Using these providers will lessen your medical expenses when using your benefits.
Out of Network Provider - An out of network provider is a hospital, doctor, medical group, or other healthcare provider who are not contracted to provide services to insurance company customers. Because the fees are not negotiated in advance with the insurance company, the provider can charge the member as much as they wish.
Out of Pocket Maximum - The maximum amount a member would have to pay out of their pocket for medical expenses for the year, with the exception of benefit premiums (which come out of your paycheck). Your out-of-pocket maximum includes your deductible, any coinsurance paid and all co-payments (medical and prescription drug).