We want to help you get the most out of your Kaiser Permanente individual health insurance plan. To do so we put together this overview with the information you need to use your plan the best. If you have questions we are here to help, however please reach out to Kaiser first. Most of the time the issue can be resolved easily by calling in or going online to see your portal with your claims or premium information.
We strongly recommend is to set up auto pay from a personal checking account. If you do it from a credit card and it gets canceled, if you don’t set it up again your policy will get canceled. They give a 30 day grace period until coverage is canceled.
PHONE Customer Service Number to call is 800-290-8900
ONLINE PORTAL: www.kaiserpermanente.org
FIND A PROVIDER: The Kaiser Individual plans use the “Core Network“. The Access PPO Network is for group plans only. Kaiser does have 24 hour Urgent Care at their locations only. Since they do not have Emergency Rooms, you can go to hospitals near you for ER needs as long as it is a true medical emergency.
PRESCRIPTION DRUG LOOKUP: The Formulary PDF to look up drugs is here, do a “Ctrl +F” to find and search in the attached document CLICK HERE.
BILLING Phone Number for Pay by Phone is 800-290-8900.
Do NOT use the WA HealthPlanFinder for searching for doctors, as their search function is not accurate. It is always best to go directly to the carrier website and/or call your doctors office/hospital system billing department directly to confirm coverage. In the Hospital Chart above that is a general overview and there are many more hospitals covered. These are the main ones in the greater Seattle area. Check the Find a Provider link above for more details.
A few additional pieces of advise and good to know information. All carriers cover a true emergency as if it is “In-Network” for health needs that need urgent and needs immediate care. If you are going to be in another state often we recommend to pick a carrier that covers that state as well if possible.
P.S. We also do Life, Disability, Long Term Care Insurance and Medicare. Let us know if you want to look into coverage.
- Health Insurance (Every company in WA)
- Life Insurance
- Disability Insurance
Gary Franke & Tamara Chandler
Achieve Alpha Insurance LLC
Independent Broker
12505 Bel-Red Rd, Ste 106
Bellevue, WA 98005
425-802-2783 (call or text office line)
health@achieve-alpha.com
www.achieve-alpha.com