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If you’re a member of an individual and family plan or employer-sponsored plan, COVID-19 services — such as the vaccine, tests, and treatment — are covered when you get them at a Kaiser Permanente facility.
If you get COVID-19 services from providers not in Kaiser Permanente’s network, you may be able to get up to half of their cost reimbursed.
If you get COVID-19 services as part of urgent or emergency care, you may be able to get the full cost reimbursed.
To submit a claim for reimbursement:
- Visit kp.org/billing.
- Go to the “Understand your costs” section.
- Click “Submit a claim.”
If you’re a Medi-Cal member, COVID-19 services are covered at no cost, whether you get them at a Kaiser Permanente facility or from an out-of-network provider.
If you’re a Medicare member, COVID-19 services are covered according to the following federal Medicare rules:
- COVID-19 vaccines are covered at no-cost.
- PCR tests and treatment is covered with applicable plan out-of-pocket costs.
- Home antigen tests are not covered.
- COVID-19 care, such as vaccines, testing, and medications, received out-of-network will only be covered for emergency and urgent care situations, when legally required, or when out-of-network coverage is included in your plan.
