Forms and publications

Find information on services and features related to your plan, including coverage information, physician directories, member guidebooks, and authorization of care forms for you or a loved one. For Notices and Updates including holiday hours, click here.

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Coverage information

Here, you'll find helpful documents related to your plan coverage, such as what to do if you need care while you're traveling, student certification forms, formulary (covered drugs), and more.

Diabetic supplies are covered under your health plan at $0 copayment/coinsurance and are not subject to your deductible.

Covered under the Medical benefit:

  • Continuous glucose monitors (Dexcom CCM and FreeStyle Libre), when clinical guidelines are met and when obtained from sources designated by your health plan

Covered under the Prescription drug benefit:
The following diabetic supplies, when obtained at health plan pharmacies or from sources designated by your health plan:

  • Acetone test tablets
  • Disposable syringes and needles for the administration of insulin
  • Glucose monitors
  • Glucose monitoring supplies (glucose test strips, calibration solution and lancets)
  • Nitrate screening test strips for pediatric patient home use

At Kaiser Permanente, we make it easy to manage your health care costs. Depending on your health plan and the care you receive, your costs may vary. We’re here to help with any questions. Simply contact Member Services.

Diversity Data Demographic Collection

Summary of benefits and coverage

Summary of benefits and coverage (SBC) documents summarize important information about health coverage options in a standard format developed by Health and Human Services. SBCs allow you to check plan benefits and coverage. You can also easily compare Kaiser Permanente plan benefits and coverage with other carriers.

Evidence of coverage

In our effort to assist you in making an informed decision, we are providing plan documents where you can review further details of our plans.

Access plans

Redacted versions of Kaiser Permanente Colorado's access plans are below, they are filed with the Colorado Division of Insurance on an annual basis.

Authorization information and forms

Options to request these records:

  • Download, complete, and email the Authorization to disclose health information (above) to KPCOReleaseofInfo@kp.org
  • Fax the completed form to 303-404-4750
  • Mail the completed form to:

Northfield Support Services
Attn: Release of Information
11000 E. 45th Avenue
Denver, CO 80239-3004

If you have any questions, please call our Release of Information office at 303-404-4700.

  • Find out how Kaiser Permanente shares important medical information

    Learn how Kaiser Permanente shares important medical information as part of Health Information Exchange.

    At Kaiser Permanente, knowing your medical history, such as your active medications and allergies, is critical to help ensure that you receive high-quality care. Advancements in technology support safe and secure electronic exchange of important clinical information from one health care provider to another, through Health Information Exchange (HIE) networks.

    Kaiser Permanente operates an HIE network among its regions and participates in several HIE networks with trusted outside health care providers who have electronic medical record systems.

    HIE participants like Kaiser Permanente are required to comply with specific federal and state laws that protect the privacy and security of your health and personal information. For example, we cannot share sensitive health information, including psychotherapy notes and records of substance abuse, through the HIE without first obtaining your written authorization.

    Under the Health Insurance Portability and Accountability Act (HIPAA), Kaiser Permanente can legally share your health information with your other care providers for the purposes of treatment and care coordination. It is important for your care providers to have timely access to this information so that they have a complete picture of your medical history, reducing the likelihood of conflicting diagnoses, prescriptions, and treatment plans as well as repeated tests or procedures.

    For more information, visit the HIE Frequently Asked Questions (FAQ) document available below or contact the Member or Customer Services number on the back of your ID card with any questions.

  • Frequently asked questions about Health Information Exchange (PDF)

Claim submissions

Visit Billing to submit a claim online.

You may also download and complete a Claim Reimbursement Form (PDF).

Financial assistance

Visit our Community Benefit website to find out about medical financial assistance.
 

Member services forms

Financial assistance

Visit our Community Benefit website to find out about medical financial assistance.
 

Prescription information and forms