Once you’re signed on:
- Select “Coverage & Costs” from the dashboard.
- Under “Plan Ahead,” select “Eligibility and benefits.”.
- View your eligibility summary, which includes your coverage effective and termination dates.
Do I need to confirm a patient is a Kaiser member?
Do not assume that coverage is in effect because a person produces a Kaiser Permanente member ID card. You should always confirm that the patient is currently a Kaiser Permanente commercial or Medicare member in the region that authorizes services for the member. Please select the member's region from the following list for additional information:
Where can I get a Kaiser Permanente Member ID card?
Kaiser Permanente offers a variety of products for commercial, Medicare and Self-funded members. Online ID card information, including samples of Kaiser Permanente member ID cards, is available by region. California – Northern California – Southern Colorado Georgia Hawaii
How do I Check my insurance eligibility and benefits?
Once you’re signed on: 1 Select “Coverage & Costs” from the dashboard. 2 Under “Plan Ahead,” select “Eligibility and benefits.” 3 View your eligibility summary, which includes your coverage effective and termination dates.
How do I get prescription refills from Kaiser Permanente?
For certain drugs, you can get prescription refills mailed to you through our Kaiser Permanente mail-order pharmacy. You should receive them within 3 to 5 days. If you have questions or concerns about your prescription delivery, please call your local Kaiser Permanente mail-order pharmacy for more information.
Where can I find my summary of benefits Kaiser?
You can provide SBCs in either a paper or electronic format. To download an SBC, please visit kp.org/sbc and select your region and plan. For additional information, download the Glossary of Health Coverage and Medical Terms (PDF) and the Q&As (PDF).
What are the benefits of Kaiser?
Depending on your position, your compensation and benefits may include:Generous Vacation, Holiday & Sick Leave.Medical (including prescriptions), Vision, Mental Health & Dental Care.Disability & Life Insurance Coverage.Educational Opportunities & Tuition Reimbursement.Wellness & Employee Assistance Programs.More items...
What does the Kaiser HMO plan cover?
Your benefits include: a personal doctor for routine medical care. copays for most covered services, including office visits. no paperwork to fill out, no bills, and no deductibles.
What is the difference between Kaiser bronze and silver?
The Silver 70 plan offers prescription drug coverage after a pharmacy deductible. Bronze plans have no real drug coverage cost-sharing reduction.
Can I go to any hospital with Kaiser insurance?
As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world. It's important to remember that how you get care can vary depending on where you are.
Does Kaiser allow tattoos?
Exposed pierced facial jewelry including, but without limitation to, nose, tongue, lip or eyebrow, may not be worn. Tattoos: Cover visible tattoos with clothing.
Which is better PPO or HMO?
HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.
How do I find out my deductible?
“Your deductible is typically listed on your proof of insurance card or on the declarations page. If your card is missing or you'd rather look somewhere else, try checking your official policy documents. Deductibles are the amount of money that drivers agree to pay before insurance kicks in to cover costs.
Can Kaiser patients go to Stanford?
Kaiser members must obtain a referral from their Kaiser primary care or specialist physician and an authorization from their health plan for any services to be covered and considered in-network here at Stanford Health Care. You would not be able to select a Stanford Health Care physician as your primary care physician.
What is the highest Kaiser plan?
Platinum represents the highest level of coverage.
What is the difference between Kaiser Platinum and gold?
About gold plans Gold plans offer lower rates than platinum plans, and lower out-of-pocket costs than bronze and silver. Gold plan types include copayment HMO, deductible HMO, deductible HMO with HRA, and PPO insurance plans.
Which is better silver or bronze?
Bronze plans: lower monthly payments, but higher out-of-pocket costs. Silver plans: monthly payments lower than a gold plan, but more than bronze. Your out-of-pocket costs will be less than a bronze plan, but more than a gold plan, unless you're eligible for cost sharing reduction.
Pharmacy services
Prescription delivery — You can get most prescriptions delivered within a few days at no extra cost. 1 Same-day or next-day delivery is also an option for most prescription orders for an additional fee. 2 Plus, for most prescriptions, you can get a 3-month supply for the price of 2 months. 3
Helpful links
Find your nearest pharmacy, learn about prescriptions drugs, and more:
