After you travel

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 Member Services at 1-888-901-4636 (TTY 711).

To submit a claim, visit Claims and appeals.

The following information is required for all claims:

Member’s name and ID number
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 that include diagnosis (ICD10) and procedure (CPT) codes)
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 how and where to submit a claim, visit Claims and appeals or call Member Services.

Once your claim is received, it will take approximately 60 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 Documents.”

If you feel that your claim was wrongly denied or amount received incorrect, you have the right to appeal. Please follow the appeal process or contact Member Services.

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.