- KP GA 0/0/AI
- KP GA SIGNATURE 0/0/AI
- KP GA BRONZE 6500/40%/HSA
- KP GA SIGNATURE BRONZE 6500/40%/HSA
- KP GA STANDARD BRONZE 7500/50
- KP GA SIGNATURE STANDARD BRONZE 7500/50
- KP GA BRONZE VC 5500/60
- KP GA SIGNATURE BRONZE VC 5500/60
- KP GA CATASTROPHIC 9100/0
- KP GA SIGNATURE CATASTROPHIC 9100/0
- KP GA GOLD 1500/20
- KP GA SIGNATURE GOLD 1500/20
- KP GA GOLD 1800/25
- KP GA SIGNATURE GOLD 1800/25
- KP GA STANDARD GOLD 2000/30
- KP GA SIGNATURE STANDARD GOLD 2000/30
- KP GA GOLD 500/20
- KP GA SIGNATURE GOLD 500/20
- KP GA SIGNATURE STANDARD SILVER 0/0/94% CSR
- KP GA SILVER 0/5/94% CSR
- KP GA SIGNATURE SILVER 0/5/94% CSR
- KP GA SILVER 100/5%/94% CSR
- KP GA SIGNATURE SILVER 100/5%/94% CSR
- KP GA SILVER 150/5 94% CSR
- KP GA SIGNATURE SILVER 150/5/94% CSR
- KP GA SILVER 2700/20%/73% CSR
- KP GA SIGNATURE SILVER 2700/20%/73 CSR
- KP GA SIGNATURE SILVER 3300/30/73% CSR
- KP GA SILVER 3300/30/73% CSR
- KP GA SILVER 3400/30
- KP GA SIGNATURE SILVER 3400/30
- KP GA SILVER 3500/20% HSA
- KP GA SIGNATURE SILVER 3500/20% HSA
- KP GA SILVER 3500/35 73% CSR
- KP GA SIGNATURE SILVER 3500/35/73% CSR
- KP GA SILVER 4500/35
- KP GA SIGNATURE SILVER 4500/35
- KP GA SIGNATURE STANDARD SILVER 5700/30/73% CSR
- KP GA SIGNATURE STANDARD SILVER 5800/40
- KP GA SILVER 750/20/87% CSR
- KP GA SIGNATURE SILVER 750/20/87% CSR
- KP GA SILVER 800/10%/87% CSR
- KP GA SIGNATURE STANDARD SILVER 800/20/87% CSR
- KP GA SILVER 850/15/87% CSR
- KP GA SIGNATURE SILVER 850/15/87% CSR
- KP GA SILVER VC 200/20/94% CSR
- KP GA SIGNATURE SILVER VC 200/20/94% CSR
- KP GA SILVER VC 3000/40/73% CSR
- KP GA SIGNATURE SILVER VC 3000/40/73% CSR
- KP GA SILVER VC 4800/40
- KP GA SIGNATURE SILVER VC 4800/40
- KP GA SILVER VC 500/30/87% CSR
- KP GA SIGNATURE SILVER VC 500/30/87% CSR
- KP GA SIGNATURE SILVER 800/10%/87% CSR
- KP GA STANDARD SILVER 0/0/94% CSR
- KP GA STANDARD SILVER 5700/30/73% CSR
- KP GA STANDARD SILVER 5800/40
- KP GA STANDARD SILVER 800/20/87% CSR
Individual & family plan documents
Review plan listings of previous evidence of coverage documents.
- KP GA BRONZE 6500/40%/HSA
- KP GA SIGNATURE BRONZE 6500/40%/HSA
- KP GA STANDARD BRONZE 7500/50
- KP GA SIGNATURE STANDARD BRONZE 7500/50
- KP GA BRONZE VC 5500/60
- KP GA SIGNATURE BRONZE VC 5500/60
- KP GA CATASTROPHIC 9100/0
- KP GA SIGNATURE CATASTROPHIC 9100/0
- KP GA GOLD 1500/20
- KP GA SIGNATURE GOLD 1500/20
- KP GA GOLD 1800/25
- KP GA SIGNATURE GOLD 1800/25
- KP GA STANDARD GOLD 2000/30
- KP GA SIGNATURE STANDARD GOLD 2000/30
- KP GA GOLD 500/20
- KP GA SIGNATURE GOLD 500/20
- KP GA SILVER 3400/30
- KP GA SILVER 3500/20% HSA
- KP GA SIGNATURE SILVER 3500/20% HSA
- KP GA SILVER 4500/35
- KP GA SIGNATURE SILVER 4500/35
- KP GA SIGNATURE STANDARD SILVER 5800/40
- KP GA SIGNATURE SILVER 3400/30
- KP GA SILVER VC 4800/40
- KP GA SIGNATURE SILVER VC 4800/40
- KP GA SILVER VC 5000/50
- KP GA SIGNATURE SILVER VC 5000/50
- KP GA STANDARD SILVER 5800/40
Questions?
Have questions about the sample plan documents? Visit buykp.org
or call us at 1-888-865-5813
(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.