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.

Plan services and information

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.

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.

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.

Visit Billing to submit a claim online.


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

  • 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.

  • Format of disclosure and intent to pay charge (PDF)
  • Release of information fees: Pursuant to O.C.G.A. 31-33-3, below is a breakdown of the pricing structure for costs related to medical record retrieval, certification, and copying in accordance with State of Georgia guidelines.

       
Medical Records Copies Paper*
Search, retrieval, and other administrative costs Per medical record $25.88
Certification fee Per medical record $9.70
Copying costs for records Per page (up to 20) $0.97
  Per page (21 to 100) $0.83
  Per page (100+) $0.66
Medical Record Copies (Electronic)*
Search, retrieval, and other administrative costs Per medical record $25.88
Certification fee Per medical record $9.70
Copying costs for records (2006 to present) Secure file transfer $15.00
Copying costs for records (2006 to present) CD $15.00

 

*Additional rates may apply for record requests necessary to complete applications for Social Security, Worker’s Compensation, and legal requests.