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Point-of-Service Plan

For Members

Experience care your way. The POS plan allows you to choose how and where you get care, and how to manage your costs.

Quick Documents and Links

Provider Directories

Kaiser Permanente Providers and Locations – Northern California

Kaiser Permanente Providers and Locations – Southern California

Provider Options by Location:

In Kaiser Permanente States: The PHCS Network for KPIC provides access to care in the Kaiser Permanente states of CA, CO, GA, HI, MD, OR, VA, WA, and DC.

In Non-Kaiser Permanente States: The Cigna Healthcare PPO Network* only provides access to care in non-Kaiser Permanente states

*Disclaimer: The Cigna Healthcare PPO Network refers to providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.

POS Pharmacy Locator Tool

Drug Formulary

Kaiser Permanente Drug Formulary

POS Formulary with Specialty Drug Tier – MedImpact Pharmacy (Non-grandfathered)

POS Standard Formulary – MedImpact Pharmacy (Grandfathered)

Claim forms

Medical Claim Form

Emergency Medical Services Claim Form

MedImpact Prescription Drug Claim Form

Disclosure forms

Disclosure Form - English

Disclosure Form - Spanish

Disclosure Form - Chinese

Disclosure Form - Vietnamese

Other documents and forms

POS Member Handbook

POS Plan Overview

POS Plan Overview, en Espanol

POS Plan Overview, in Chinese

Filling Prescriptions at MedImpact Retail Pharmacies

Filling Prescriptions at MedImpact Retail Pharmacies, en Espanol

MedImpact Standard Commercial Guidelines

Permanente Advantage – Precertification and Care Management

Permanente Advantage – Precertification and Care Management, en Espanol

Permanente Advantage Precertification Request Form

HIPAA Authorization Form

Member Care Transition Form

Member Care Transition Form, en Espanol

Nominate a PHCS Provider

Preparing for your Appointment

Preparing for your Appointment, en Espanol

Confidential Communication Request Form (English)

Confidential Communication Revocation Form (English)

Your Rights and Protection Against Surprise Medical Bills

KFHP Notice of Language Assistance

KFHP Notice of Non-Discrimination

KPIC Notice of Language Assistance

KPIC Notice of Non-Discrimination

Understanding Your Plan and Benefits

Learn about the features and benefits of the POS plan under the provider and pharmacy tiers.

Finding Doctors and Facilities

With three provider networks, you can choose your provider and where to get care.

How to Access Covered Care

Learn how to get care with each of the POS tiers.

Pharmacy

Where and how to fill prescriptions.

Precertification

An overview of precertification and how to obtain it.

Member Support

Where and how to get member support.

Claims

When you need to file a claim and how to submit one to Kaiser Permanente Insurance Company.

Coverage Documents

Need a coverage document?

Documents and Forms

View, download, or print commonly used forms, FAQs, and other documents here.