Member Resources
Customer Service
If you want more information about us, call us at 800-464-4000. You may also visit our website at https://healthy.kaiserpermanente.org/support.
Notice of Privacy
By law, you have the right to access your protected health information (PHI). For more information regarding access to PHI, visit https://healthy.kaiserpermanente.org/privacy-practices to obtain our Notice of Privacy Practices. You can also contact us to request that we mail you a copy of that Notice.
ID Cards
If you do not receive your ID card within 30 days after the effective date of your enrollment, or if you need replacement cards, call our Member Service Call Center at 800-464-4000 (TTY: 711). After registering on our website at www.kp.org, you may also request replacement cards electronically.
https://healthy.kaiserpermanente.org/secure/coverage-costs/order-id-replacement (Requires member login)
Surprise Billing
For specific information on surprise billing, the rights and protections you have, and your responsibilities go to https://healthy.kaiserpermanente.org/support/pay-bills/medical-bills/no-surprises-act or contract the health plan at 800-464-4000.
Claims Procedures – Coordination of Benefits
When you have double coverage, one plan normally pays its benefits in full as the primary payor and the other plan pays a reduced benefit as the secondary payor. We, like other insurers, determine which coverage is primary according to the National Association of Insurance Commissioners’ (NAIC) guidelines. For more information on NAIC rules regarding the coordinating of benefits, visit our website at https://healthy.kaiserpermanente.org/community-providers/claims#claimsProcedures.
When Original Medicare is the primary payor, Medicare processes your claim first. In most cases, your claim will be coordinated automatically and we will then provide secondary benefits for covered charges. To find out if you need to do something to file your claim, call us at 800-443-0815 (TTY: 800-777-1370), 8 a.m. to 8 p.m., 7 days a week, or visit our website at https://healthy.kaiserpermanente.org/community-providers/claims#claimsProcedures.
Converting to individual coverage
PSHB Facts: Your benefits and rates will differ from those under the PSHB Program; however, you will not have to answer questions about your health, a waiting period will not be imposed, and your coverage will not be limited to pre-existing conditions. When you contact us we will assist you in obtaining information about health benefits coverage inside or outside the Affordable Care Act’s Health Insurance Marketplace in your state. For assistance in finding coverage, please contact us at 800-464-4000 (TTY : 711) or visit https://healthy.kaiserpermanente.org/shop-plans
