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- KP GA 0/0/AI
- KP GA SIGNATURE 0/0/AI
- KP GA SIGNATURE SILVER 3500/35 73% CSR
- KP GA SIGNATURE SILVER 850/15/87% CSR
- KP GA STANDARD BRONZE 7500/50
- KP GA SIGNATURE STANDARD BRONZE 7500/50
- KP GA BRONZE VIRTUAL COMPLETE 5500 DED/1500 RX DED
- KP GA BRONZE SIGNATURE VIRTUAL COMPLETE 5500 DED/1500 RX DED
- KP GA BRONZE 6500/40%/HSA
- KP GA SIGNATURE BRONZE 6500/40%/HSA
- KP GA CATASTROPHIC 9450
- KP GA SIGNATURE CATASTROPHIC 9450
- KP GA SILVER 3500/35 73% CSR
- KP GA SILVER 850/15/87% CSR
- KP GA GOLD 1500 DED/500 RX DED
- KP GA SIGNATURE GOLD 1500 DED/500 RX DED
- KP GA GOLD 2000 DED/500 RX DED
- KP GA SIGNATURE GOLD 2000 DED/500 RX DED
- KP GA GOLD 500 DED/500 RX DED
- KP GA SIGNATURE GOLD 500 DED/500 RX DED
- KP GA STANDARD GOLD 1500/30
- KP GA SIGNATURE STANDARD GOLD 1500/30
- KP GA STANDARD SILVER 0/0/94% CSR
- KP GA SIGNATURE STANDARD SILVER 0/0/94% CSR
- KP GA SILVER 0/94% CSR
- KP GA SIGNATURE SILVER 0/94% CSR
- KP GA SILVER 150/5/94% CSR
- KP GA SIGNATURE SILVER 150/5/94% CSR
- KP GA SILVER 3300 DED/500 RX Ded/73% CSR
- KP GA SIGNATURE SILVER 3300 DED/500 RX DED/73% CSR
- KP GA SILVER 3400 DED/500 RX DED
- KP GA SIGNATURE SILVER 3400 DED/500 RX DED
- KP GA SILVER 4500/35
- KP GA SIGNAUTRE SILVER 4500/35
- KP GA STANDARD SILVER 5700/40/73% CSR
- KP GA SIGNATURE STANDARD SILVER 5700/40/73% CSR
- KP GA STANDARD SILVER 5900/40
- KP GA SIGNATURE STANDARD SILVER 5900/40
- KP GA STANDARD SILVER 700/20/87% CSR
- KP GA SIGNATURE STANDARD SILVER 700/20/87% CSR
- KP GA SILVER 750/87% CSR
- KP GA SIGNATURE SILVER 750/87% CSR
- KP GA SILVER VIRTUAL COMPLETE 200/94% CSR
- KP GA SIGNATURE SILVER VIRTUAL COMPLETE 200/94% CSR
- KP GA SILVER VIRTUAL COMPLETE 3000/73% CSR
- KP GA SIGNATURE SILVER VIRTUAL COMPLETE 3000/73% CSR
- KP GA SILVER VIRTUAL COMPLETE 500/87% CSR
- KP GA SILVER VIRTUAL COMPLETE 5000
- KP GA SIGNATURE SILVER VIRTUAL COMPLETE 5000
- KP GA SIGNATURE SILVER VIRTUAL COMPLETE 500/87% CSR
Individual & family plan documents
Review plan listings of previous evidence of coverage documents.
- KP GA STANDARD BRONZE 7500/50
- KP GA SIGNATURE STANDARD BRONZE 7500/50
- KP GA BRONZE 6500/40%/HSA
- KP GA SIGNATURE BRONZE 6500/40%/HSA
- KP GA BRONZE VIRTUAL COMPLETE 5500 DED/1500 RX DED
- KP GA BRONZE SIGNATURE VIRTUAL COMPLETE 5500 DED/1500 RX DED
- KP GA CATASTROPHIC 9450
- KP GA SIGNATURE CATASTROPHIC 9450
- KP GA GOLD 1500 DED/500 RX DED
- KP GA SIGNATURE GOLD 1500 DED/500 RX DED
- KP GA GOLD 2000 DED/500 RX DED
- KP GA SIGNATURE GOLD 2000 DED/500 RX DED
- KP GA GOLD 500 DED/500 RX DED
- KP GA SIGNATURE GOLD 500 DED/500 RX DED
- KP GA STANDARD GOLD 1500/30
- KP GA SIGNATURE STANDARD GOLD 1500/30
- KP GA SILVER 3400 DED/500 RX DED
- KP GA SIGNATURE SILVER 3400 DED/500 RX DED
- KP GA SIGNAUTRE SILVER 4500/35
- KP GA SIGNATURE STANDARD SILVER 5900/40
- KP GA SILVER VIRTUAL COMPLETE 5000
- KP GA SIGNATURE SILVER VIRTUAL COMPLETE 5000
- KP GA SILVER VIRTUAL COMPLETE 5500
- KP GA SIGNATURE SILVER VIRTUAL COMPLETE 5500
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.