Kaiser HMO Plan
Kaiser HMO Medical Plan
Available in Southern California Region ONLY
(Eligible and covered dependents residing out of coverage area receive medical emergency coverage ONLY)
The Kaiser HMO (Health Maintenance Organization) Plan offers members access to medical care through Kaiser Permanente physicians and hospitals. The Services described herein are covered only if the services are medically necessary and are provided, prescribed, authorized or directed by a Kaiser Plan Physician. You must receive the services from Plan Providers inside our Southern California Region Service Area (your home region), except where specifically noted to the contrary in the Evidence of Coverage (EOC) for authorized referrals, hospice care, Emergency Services, Post-Stabilization Care, Out-of-Area Urgent Care and emergency ambulance Services.
This plan does not have a calendar year deductible for individual or family.
Please review the Kaiser HMO Plan Summary of Benefits for more information or click on one of the links below to view the Explanation of Benefits.
Chiropractic coverage provided by OptumHealth is available to ALL employees enrolled in Kaiser. Please review OptumHealth Chiropractic Coverage here.
VEBA Advocacy
Need a Hand? VEBA Advocacy can help!
~ Navigating Health Care Systems (Access care, billing/claims issues, and more!)
~ Maximizing your VEBA benefits (EAP/Mental Health, finding a provider, and more!)
Kaiser Health Contact Information
Kaiser Member Services/Claims: 800-464-4000 | www.kp.org
California Schools VEBA VEBA Advocacy Programs: 888-276-0250 | Best Doctors: 888-362-8677
OptumHealth Chiropractic Services: 800-428-6337 | www.myoptumhealthphysicalhealthofca.com
Kaiser Psychiatry Department Call Center (M-Th 8am - 6pm / F 5:30pm) 877-496-0450
Behavioral Health Care Member Help Line: After hours/weekends/holidays 800-900-3277
ChooseHealth Member Services/Provider Finder: 800-464-4000 | www.kp.org/2020
Kaiser Telehealth Visits:
Inland Empire and Coachella Valley Medical Centers:
Fontana/Ontario 888-750-0036
Moreno Valley/Riverside 866-984-7483
Los Angeles and Orange Counties Medical Centers:
Baldwin Park Medical Center 800-780-1277
Downey Medical Center 800-823-4040
Los Angeles Medical Centers 800-954-8000
Orange County/Anaheim/Irvine 888-988-2800
South Bay Medical Center 800-780-1230
San Diego Medical Center: 800-290-5000
OptumHealth EAP: 888-625-4809 | www.liveandworkwell.com (access code is veba)