Kaiser Permanente
 

Important information for your records

 

If you enrolled in a Kaiser Permanente health plan on the Covered California website — also known as the state’s Health Insurance Marketplace — you may view, download, and print a PDF copy of that plan’s 2014 Membership Agreement below. This document is also called the Evidence of Coverage (EOC).

 

The Membership Agreement/EOC explains your benefits in detail as well as how to get care, and contains contractual information such as your rights and responsibilities as a member.

 

Find your Membership Agreement/EOC

 

Your plan’s official name is in the letter welcoming you to Kaiser Permanente. If you have not received this letter yet, the name of the plan as it appears on Covered California is shown in parentheses.

 

KP CA Bronze HSA 4500/40%

(Kaiser Permanente Bronze 60 HSA)

 

KP CA Bronze 5000/60

(Kaiser Permanente Bronze 60 HMO)

 

KP CA Silver 2000/45

(Kaiser Permanente Enhanced Silver 70 HMO)

 

KP CA Silver 73% CSR

(Kaiser Permanente Enhanced Silver 73 HMO)

 

KP CA Silver 87% CSR

(Kaiser Permanente Enhanced Silver 87 HMO)

 

KP CA Silver 94% CSR

(Kaiser Permanente Enhanced Silver 94 HMO)

 

KP CA Gold 0/30

(Kaiser Permanente Gold 80 HMO)

 

KP CA Platinum 0/20

(Kaiser Permanente Platinum 90 HMO)

 

KP CA Catastrophic 6350/0

(Kaiser Permanente Minimum Coverage)

 

KP CA American Indian 0/0

(Kaiser Permanente American Indians and Alaska Natives)

 

 

As your partner in health, we want to make sure you have all the information you need to make important decisions about your health care coverage, including helping you understand more about covered services, cost sharing, and premiums.

 

If you have questions or want more information about our plans, please call us at 1-800-464-4000 (toll free) or TTY 711 (for the hearing/speech impaired).

  

 

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