If you paid for emergency or urgent care1 while away from home, you’ll need to file a claim for reimbursement.2 For help, call the Away from Home Travel line at 951-268-3900 (TTY 711).3
To submit a claim, visit My Coverage and Costs.
The following information is required for all claims:
- Itemized bills (should include date of service, services received, and cost of each item)
- Medical records (copies of original medical reports, admission notes, emergency room records, and/or consultation reports)
- Proof of payment (receipts or bank or credit card statements)
If you received emergency care outside of the United States, you’ll also need to provide:
- Proof of travel (copy of itinerary and/or airline tickets)
For instructions on submitting a claim, call Member Services.
Once your claim is received, it will take approximately 45 days to process. To ensure your claim is processed as quickly as possible, please make sure you’ve included all the proper documents. If additional information is needed, processing time can take longer.
You can check the status of your claim by signing on to kp.org and visiting “Coverage & Costs.”
If you feel that your claim was wrongly denied or amount received incorrect, you have the right to appeal. Please follow the appeal process described on the back of your Explanation of Benefits (EOB) form or contact Member Services.
Reviewed: May 2019
Kaiser Permanente reviewers
© 2018 Kaiser Permanente
1In-area urgent care is covered, consistent with the terms of the member’s coverage document (e.g, Evidence of Coverage), only when care is obtained from a Kaiser Permanente provider.
2The amount members are reimbursed will depend on what their copays or coinsurance are, whether they have a deductible, and other plan limitations, consistent with the terms of the member’s Evidence of Coverage or other coverage documents.
3This number can be dialed inside and outside the United States. Before the phone number, dial “001” for landlines and “+1” for mobile lines if you're outside the country. Long-distance charges may apply, and we can't accept collect calls. The phone line is closed on major holidays (New Year's Day, Easter, Memorial Day, July Fourth, Labor Day, Thanksgiving, and Christmas). It closes early the day before a holiday at 10 p.m. Pacific time (PT), and it reopens the day after a holiday at 4 a.m. PT.