Out-of-Area Indemnity Plan
Documents and Forms
Looking for information about your Choice Products plan? View, download, or print commonly used forms, FAQs, reference guides, and other documents here.
Links to important forms and documents:
Member Resources:
Formularies
Choice Products Added Choice Drug Formulary
Claim forms
Medical: Choice Products Medical Claim Form
Pharmacy: Drug Reimbursement Form
Other documents and forms
GA 2016 Point-of-Service (POS) Open Enrollment Flyer
GA 2018 New Member Welcome Book: Point-of-Service (POS)
GA 2018 Getting Started: Added Choice Point-of-Service Plan (POS)
In-Network Provider Tier only: Georgia Transition-of-Care/Continuity-of-Care Information
In-Network Provider Tier only: Georgia Transition-of-Care Request Form when New to Kaiser Permanente