Understanding my coverage

Is my Kaiser Permanente health plan coverage active?

How to learn if your coverage is active, the date that your coverage became effective, the date it will terminate, and related information.

If your KP Region is

What to do

California, Colorado, Georgia, or Mid-Atlantic States

To view your eligibility and the status of your coverage, you must be signed on to kp.org.

Once you’re signed on:

  • Select “Benefits” from the dashboard.
  • Under “Plan Ahead,” select “Eligibility and benefits.”
  • View your eligibility summary, which includes your coverage effective and termination dates.

Note: If do not have a kp.org account, please register now. If you need help signing on, contact Member Services online.

Hawaii or Oregon/Washington

For information, contact Member Services online.

 

How do I make an appointment to see a chiropractor?

If your KP Region is

What to do

California American Specialty Health provides chiropractic services and discounts for Kaiser Permanente members. If your Kaiser Permanente plan includes chiropractic benefits, all covered services must be received from an American Specialty Health participating chiropractor. If your plan does not include chiropractic benefits, American Specialty Health has chiropractors that provide discounts to Kaiser Permanente members.

Contact American Specialty Health for details on your chiropractic coverage, out-of-pocket estimates, and help finding a participating chiropractor.

American Specialty Health

800-678-9133 or TTY 711

Hours: Monday through Friday, 5 a.m. to 6 p.m. PT

Visit the American Specialty Health website.
Colorado Kaiser Permanente’s Centers for Complementary Medicine provides chiropractic services for members with chiropractic benefits and fee for service for members and nonmembers that do not have chiropractic benefits. A referral is not necessary to visit Kaiser Permanente’s Centers for Complementary Medicine. Find locations and contact information for chiropractors on the Kaiser Permanente Complementary Medicine page or find contracted providers on the Find Doctors and Locations page.
Hawaii American Specialty Health provides chiropractic services and discounts for Kaiser Permanente members. If your Kaiser Permanente plan includes chiropractic benefits, all covered services must be received from an American Specialty Health participating chiropractor. If your plan does not include chiropractic benefits, American Specialty Health has chiropractors that provide discounts to Kaiser Permanente members.

Contact American Specialty Health for details on your chiropractic coverage, out-of-pocket estimates, and help finding a participating chiropractor.

American Specialty Health

800-678-9133 or TTY 711

Hours: Monday through Friday, 5 a.m. to 6 p.m. PT

Visit the American Specialty Health website.
Mid-Atlantic States If your plan includes chiropractic benefits, contact your primary care physician for a referral. If a referral is authorized, you can make an appointment with the chiropractor you are referred to.
Oregon/Washington The CHP Group provides chiropractic services to Kaiser Permanente members with plans that include chiropractic benefits. Depending on your plan, you can either self-refer to a chiropractor or a referral from your primary care physician may be required.

For plans with self-referred chiropractic benefits:

First, select a chiropractor from the CHP Group network or call the CHP Group at 503-203-8333

Once you have selected a chiropractor, call the chiropractor directly to make an appointment. Provide the chiropractor’s office with your Kaiser Permanente Health/Medical Record number and inform them that you have benefits through the CHP Group. The chiropractor’s office will contact CHP group to verify eligibility and benefits. At your appointment, pay any copays and coinsurance for services and/or X-rays.

The chiropractor’s office will submit a claim for the cost of the covered services to CHP Group. You are responsible for payment for any services received that are not covered.

For plans with physician-referred chiropractic benefits:

If your primary care physician includes chiropractic care in your treatment plan, you must select a chiropractor from the CHP Group network. Search for a chiropractor online or call the CHP Group at 503-203-8333. You will receive an authorization for the chiropractor you selected. Once you receive the authorization, call the chiropractor directly to set up an appointment. At your appointment, pay any copays and coinsurance to the chiropractor’s office for services and/or X-rays. The chiropractor’s office will submit a claim for the cost of the covered services to Kaiser Permanente. You are responsible the cost of any services not covered.

 

How do I use my dental benefits?

If your KP Region is

What to do

California Dental benefits may be included or purchased with some Kaiser Permanente plans

If you are enrolled in the DeltaCare® USA program Delta Dental of California will assign you a contract dentist based on your home ZIP code. Covered services must be received from your assigned contract dentist except for certain authorized referrals to a specialist and emergency services. For questions about your dentist, or if you would like to change your dentist, call the Delta Dental Customer Service number:

DeltaCare® USA

Kaiser Senior Advantage Plus/SNPS: 877-644-1774 or TTY 711

Group Plans: 800-422-4234 or TTY 711

Pediatric Dental Coverage: 800-589-4618 or TTY 711

If you are enrolled in a Kaiser Permanente Insurance Company (KPIC) Dental Plan administered by Delta Dental of California you have access to Delta’s participating PPO and Premier network. If you have questions about your dentist, you can call the KPIC Dental Customer Service number:

KPIC Dental FFS/PPO administered by Delta Dental of California

KPIC Dental Plans: 800-835-2244

To see a listing of participating DeltaCare® USA or PPO dental providers visit the Delta Dental of California website.
Colorado Dental benefits may be included or purchased with some Kaiser Permanente plans. If your plan includes dental benefits, you are enrolled in a dental plan offered by Delta Dental of Colorado.

To learn about your plan and select a dentist, visit the Delta Dental of Colorado website. Or call Delta Dental at 800-610-0201.
Georgia Dental benefits may be included or purchased with some Kaiser Permanente plans.

If you are enrolled in the DeltaCare® USA program Delta Dental of California will assign you a contract dentist based on your home ZIP code. Covered services must be received from your assigned contract dentist except for certain authorized referrals to a specialist and emergency services. For questions about your dentist, or if you would like to change your dentist, call the Delta Dental Customer Service number:

DeltaCare® USA

Kaiser Senior Advantage Plus/SNPS: 1-844-519-8693 or TTY 711

For certain individual and small group medical plans that include pediatric dental coverage you have access to Delta Dental’s participating PPO network. If you have questions about your dentist, you can call the Delta Dental Customer Service number:

Delta Dental PPO

Pediatric Dental: 1-800-929-2309

For a list of dental providers visit the Delta Dental website.
Hawaii Dental benefits may be included or purchased with some Kaiser Permanente plans.

For dental plan information visit the Hawaii Dental Services website or call 1-808-529-9248.
Mid-Atlantic States

Dental benefits may be included or purchased with some Kaiser Permanente plans. If your plan includes dental benefits, you are enrolled in a dental plan offered by LIBERTY Dental.

 

Commercial/Exchange

Call LIBERTY Dental member services at 1-888-798-9868 or TTY 1-877-855-8039

 

Medicare

Call LIBERTY Dental member services at 1-888-650-1859

 

To find a participating dentist visit the LDP Directory.

Oregon/Washington Dental benefits may be included or purchased with some Kaiser Permanente plans.

For more information, visit Kaiser Permanente Dental NW.