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Individual & Family Plan Documents
These are sample evidence of coverage (EOC) plan documents that may assist you in making an informed decision on which plan to choose. After enrollment, you will receive the most current version that should be used to determine terms of coverage for your plan.
- Visits Plus Gold
- Visits Plus Silver
- Visits Plus Silver 73 CSR
- Visits Plus Silver 87 CSR
- Visits Plus Silver 94 CSR
- Visits Plus Bronze
- Cascade Gold
- Cascade Silver
- Cascade Silver 73 CSR
- Cascade Silver 87 CSR
- Cascade Silver 94 CSR
- Cascade Bronze
- Bronze HSA
- Basics Plus Catastrophic
- Visits Plus Gold AI-AN
- Visits Plus Gold AI-AN LTD
- Visits Plus Silver AI-AN
- Visits Plus Silver AI-AN LTD
- Visits Plus Bronze AI-AN
- Visits Plus Bronze AI-AN LTD
- Cascade Gold AI-AN
- Cascade Gold AI-AN LTD
- Cascade Silver AI-AN
- Cascade Silver AI-AN LTD
- Cascade Bronze AI-AN
- Cascade Bronze AI-AN LTD
- Bronze HSA AI-AN
- Bronze HSA AI-AN LTD
Archive
Review plan listings of previous evidence of coverage documents.
Questions?
Have questions about the sample plan documents? Visit buykp.org or call 1-800-488-3590 (TTY 711).
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.