- Closed Conversion HMO, Conversion Copayment 25 HMO, and HIPAA Copayment 25 HMO
- Grandfathered Conversion Copayment 25 HMO Plan F
- Conversion Deductible HMO 30/1500 and HIPAA Deductible HMO 30/1500
- Grandfathered Copayment 25 HMO
- Grandfathered Copayment 40 HMO
- Grandfathered Copayment 50 HMO
- Grandfathered Deductible HMO 0/1650 with HSA
- Grandfathered Deductible HMO 0/2700 with HSA
- Grandfathered Deductible HMO 20/500
- Grandfathered Deductible HMO 25/1000
- Grandfathered Deductible HMO 30/1500
- Grandfathered Deductible HMO 30/2700 with HSA
- Grandfathered Deductible HMO 40/2000
Review plan documents
An evidence of coverage (EOC) for each individual and family benefit plan offered by Kaiser Permanente is provided here for reference. This document is updated on an annual basis. Upon enrollment, a member will receive the most current version of an EOC, and that document should be used by the member to obtain a description of the terms of coverage for their plan.
California plans closed to new membership
- 2024 Combined Closed Conversion, Conversion Copayment 25 HMO, and HIPAA Copayment 25 HMO
- 2024 Combined Conversion Deductible HMO 30-1500 and HIPAA Deductible HMO 30-1500
- 2024 Conversion Copayment 25 HMO Plan F
- 2024 Copayment 25 HMO
- 2024 Copayment 40 HMO
- 2024 Copayment 50 HMO
- 2024 Deductible HMO 0-1500 with HSA
- 2024 Deductible HMO 0-2700 with HSA
- 2024 Deductible HMO 20-500
- 2024 Deductible HMO 25-1000
- 2024 Deductible HMO 30-1500
- 2024 Deductible HMO 30-2700 with HSA
- 2024 Deductible HMO 40-2000
Questions?
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.