The Kaiser HMO is available to associates living in California and is administered by Kaiser Permanente. This option enables participants to receive care at any of Kaiser Permanente's medical facilities or from their affiliated physicians. As a Kaiser HMO participant, you can choose your own primary care physician. If you need to see a specialist, your doctor can easily refer you or, depending on the specialist, you may not need a referral.
To find doctors and facilities, visit the location search form and choose your region from the drop-down menu in the top right corner of the page.
- No deductibles with the Kaiser HMO when you receive routine care (for example, doctors' office visits, inpatient hospitalization and after-hours care)—all you pay is your co-payment (The co-payment is higher for inpatient hospitalization and emergency care. Emergency care co-payments are waived if you are re-admitted.)
- Professional or outpatient services are generally covered with a $25 co-payment per visit/procedure.
- Some services, including home health care (up to 100 visits per calendar year) and ambulance services, are provided at no charge.
- Prescription drug coverage from a plan pharmacy or mail order service.
Evidence of Coverage and Summary of Benefits
For detailed information about the Kaiser HMO, you can consult the Evidence of Coverage (EOC). Choose the appropriate link below based on your location in California:
You can also read the summary of benefits for highlights:
If you elect to participate, you may also want to review the Getting Started brochure. It provides information on selecting your personal physician, registering for secure access to the Kaiser Permanente website and other resources. Simply choose the appropriate link below, depending on whether you are in Kaiser Permanente's northern or southern California region:
Kaiser Permanente Website
Find a doctor, take advantage of member discount programs or access My Health Manager features
2018 Flexible Benefit Premiums
Who you can cover and how much it costs
Find a Doctor or Facility
Find a Kaiser Permanente doctor or medical facility by searching by region, address or GPS location.
Online Tools Brochure
Listing of online tools available to Kaiser HMO participants
Quick Reference Guide
Important phone numbers, websites and resources related to the Kaiser HMO