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- KP CO American Indian/Alaskan Native 100%
- KP CO Bronze 6500/35%/HSA
- KP CO Bronze 6500/50
- KP CO Bronze 7500/60 RX Copay
- KP CO Bronze 8500/50
- KP CO Silver 1000/20/87% CSR
- KP CO Silver 50/5 RX Copay 94% CSR
- KP CO Silver 50/5/94% CSR
- KP CO Silver 75/10/94% CSR
- KP CO Silver 200/5%/94% CSR
- KP CO Silver 275/25/87% CSR
- KP CO Silver 850/10%/87% CSR
- KP CO Silver 2200/25
- KP CO Silver 2200/25/73% CSR
- KP CO Silver 2900/20%/73% CSR
- KP CO Silver 3650/20/73% CSR
- KP CO Silver 3700/20%/HSA
- KP CO Silver 4000/30 RX Copay 73% CSR
- KP CO Silver 4500/30 RX Copay
- KP CO Silver 500/20 RX Copay 87% CSR
- KP CO Silver 5000/25
- KP CO Gold 0/25 RX Copay
- KP CO Gold 1500/20
- KP CO Gold 2000/20
- KP CO Catastrophic
- KP Select CO American Indian/Alaskan Native 100%
- KP Select CO Bronze 6500/35%/HSA
- KP Select CO Bronze 6500/50
- KP Select CO Bronze 7500/60 RX Copay
- KP Select CO Bronze 8500/50
- KP Select CO Silver 50/5 RX Copay 94% CSR
- KP Select CO Silver 50/5/94% CSR
- KP Select CO Silver 75/10/94% CSR
- KP Select CO Silver 200/5%/94% CSR
- KP Select CO Silver 275/25/87% CSR
- KP Select CO Silver 500/20 RX Copay 87% CSR
- KP Select CO Silver 850/10%/87% CSR
- KP Select CO Silver 1000/20/87% CSR
- KP Select CO Silver 2200/25
- KP Select CO Silver 2200/25/73% CSR
- KP Select CO Silver 2900/20%/73% CSR
- KP Select CO Silver 3650/20/73% CSR
- KP Select CO Silver 3700/20%/HSA
- KP Select CO Silver 4000/30 RX Copay 73% CSR
- KP Select CO Silver 4500/30 RX Copay
- KP Select CO Silver 5000/25
- KP Select CO Gold 0/25 RX Copay
- KP Select CO Gold 1500/20
- KP Select CO Gold 2000/20
- KP Select CO Catastrophic
- KP Colorado Option Bronze
- KP Colorado Option Silver
- KP Colorado Option Silver 73% AV
- KP Colorado Option Silver 87% AV
- KP Colorado Option Silver 94% AV
- KP Colorado Option Silver Enhanced 94% AV
- KP Colorado Option Gold
- KP Colorado Option Bronze COCO
- KP Colorado Option Silver COCO
- KP Colorado Option Gold COCO
Individual & Family Plan Documents
Review plan listings of previous evidence of coverage documents.
- KP CO Bronze 6500/50
- KP CO Bronze 6500/35%/HSA
- KP CO Bronze 7500/60 RX Copay
- KP CO Bronze 8500/50
- KP CO Silver 2200/25 X
- KP CO Silver 3700/20%/HSA X
- KP CO Silver 4500/30 RX Copay X
- KP CO Silver 5000/25 X
- KP CO Silver 6000/30 X
- KP CO Gold 0/25 RX Copay
- KP CO Gold 1500/20
- KP CO Gold 2000/20
- KP CO Catastrophic
- KP Select CO Bronze 6500/50
- KP Select CO Bronze 6500/35%/HSA
- KP Select CO Bronze 7500/60 RX Copay
- KP Select CO Bronze 8500/50
- KP Select CO Silver 2200/25 X
- KP Select CO Silver 3700/20%/HSA X
- KP Select CO Silver 4500/30 RX Copay X
- KP Select CO Silver 5000/25 X
- KP Select CO Silver 6000/30 X
- KP Select CO Gold 0/25 RX Copay
- KP Select CO Gold 1500/20
- KP Select CO Gold 2000/20
- KP Select CO Catastrophic
- KP Colorado Option Bronze
- KP Colorado Option Silver X
- KP Colorado Option Gold
Questions?
Have questions about the sample plan documents? Visit buykp.org or call 1-800-488-3590 (TTY 711).
Kaiser Permanente Member
The sample documents may vary from your actual benefits. To view a copy of your specific plan documents, please log into www.kp.org or contact Member Services.