Member Support

Customer Service:

• Call 1-800-788-0710 (TTY 711), Monday through Friday, 7 a.m. to 7 p.m., Pacific time.

Locate a Provider:

Participating Providers

• To find a Participating Provider or confirm if your current provider is part of the Participating Provider Tier, you can search for Providers by Location, or call Customer Service at 1-800-788-0710 (TTY 711), Monday through Friday 7a.m. to 7p.m., Pacific time.

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

Precertification:

• To request precertification for services in the participating provider tier or non-participating provider tier, please call 1-888-251-7052 (TTY 711), Monday through Friday, 6 a.m. to 6 pm., Pacific time. If using the Cigna PPO Network for care in non-Kaiser Permanente states, the Cigna PPO providers are responsible for obtaining precertification on your behalf when precertification is required. You won’t be financially responsible if a Cigna PPO provider fails to obtain precertification for covered services.
• You or your doctor should call to ask for precertification before your schedule services. If you don’t get precertification, your benefit may be reduced by up to $500.

Submitting Claims:

• Complete the Medical Claim Form.
• Mail your claims for all medical care for either emergency care from a non-Kaiser Permanente hospital or medical care from non-participating providers, including emergency and urgent care, to:

For Northern California:
KFHP Claims Department
P.O. Box 8002
Pleasanton, CA   94588

For Southern California:
KFHP Claims Department
P.O. Box 7004
Downey, CA  90242-7004

Pharmacy:

MedImpact Pharmacies

• To locate MedImpact Pharmacies, check the PPO Pharmacy Locator Tool or call MedImpact at 1-800-788-2949 (TTY 711) anytime.

• To submit a pharmacy claim for reimbursement complete the MedImpact Prescription Drug Claim Form and mail to:

MedImpact Healthcare Systems, Inc.
P.O. Box 509098
San Diego, CA 92150-9098