Where do you feel your healthiest? "Healthy" isn’t just found in gyms and yoga studios. It’s wherever you feel like your best self. We can help you find your healthy place, with care designed to help you thrive.
Getting Started by Particular Plan
Step 1: Register on kp.org
To register on kp.org: click here and select 'register' in the upper right hand corner of your screen.
Step 2: Select your plan below
Select your plan below to review general plan benefits (find your plan name in documents provided by your Employer).
For 'Forms & Documents' specific to your plan (e.g., claims forms, benefit details, etc.), please scroll to the bottom of your plan section.
Note: For KP members switching to a Level Funded arrangement, review your plan benefits as some may differ from your previous KP plan (e.g., formulary, provider options, etc.).
Your Plan provides exclusive access to our top-notch Kaiser Permanente Network Providersand hospitals. We work together to create a personalized wellness plan that makes it easier for you to stay healthy — in mind and body.
To manage your prescriptions, learn more about our pharmacy services, or locate the specific pharmacies available to you, log on to kp.org and select pharmacy.
To see a list of your plan's drug list select “Colorado Self-Funded/ Level Funded/EPO formulary” by visiting: Drug Formulary (covered drugs)
To learn about pharmacy costs after your plan's effective date, please visit Pharmacy Services.
Care While Traveling:
Members who are traveling away from home, can plan ahead by visiting our Health Care Away from Home site. 24/7 care is available from Kaiser Permanente health care professionals by phone or video.
Your Plan provides exclusive access to care from Kaiser Permanente Network Providers and Non-Participating Providers (for a select number of services, see your plan details for more information). We work together to create a personalized wellness plan that makes it easier for you to stay healthy — in mind and body.
To make an appointment please select a provider according to the appropriate Tier. For questions regarding your plan or Tier type, please contact Customer Service using the phone number listed on the back of your Physical ID Card, Digital ID Card, or Plan Documents:
In-Network Services: To find a Kaiser Permanente Provider, login in to kp.org.
Out-of-Network Services: Your plan includes a select number of services/visits* with any other licensed provider. For qualified services and details, refer to your specific plan in the 'Forms and Documents' section below (your plan name can be found within your Plan Materials).
Key services/items that count as services/visits:
Routine office visits, including primary, preventive and specialty care, mental health and chemical dependency visits
Diagnostic lab tests, diagnostic X-rays, and selected articles of durable medical equipment count separately toward visit limit
Physical, occupational, and speech therapy office visits
Allergy injections received at an office
*Services/Visits - one visit may include multiple services. For Example: If a member sees an Out-of-Network Provider and the provider orders a lab test done in his/her office, this will count as two Plus visits.
Please note cost shares vary based upon your provider selection and will apply to preventative health services.
To learn more about cost estimates for medical services when selecting our Kaiser Permanente network of providers:
In-Network: Members have access to Kaiser Permanente Pharmacies. To locate a KP pharmacy, log into kp.org and select Pharmacy.
Out-of-Network:Members have access to any other licensed pharmacy. If an Rx script is not filled through a Plan Pharmacy, the Rx script will go toward the member's Plus Benefit.
Please note that not all Plus Plans have Out-of-Network Pharmacy options. Refer to your plan documents for details.
To see a list of your plan's drug list select “Colorado Self-Funded/ Level Funded/EPO formulary” by visiting: Drug Formulary (covered drugs).
Please note: Members may fill a prescription written from an out-of-network provider at a KP pharmacy for cost savings. Cost shares and fill quantity may differ per tier/option, check plan for details.
Care While Traveling:
Members who are traveling away from home, can plan ahead by visiting our Health Care Away from Home site. 24/7 care is available from Kaiser Permanente health care professionals by phone or video.
To make an appointment please select a provider according to the appropriate Tier. For questions regarding your plan or Tier type, please contact Customer Service using the phone number listed on the back of your Physical ID Card, Digital ID Card, or Plan Documents.
In-Network Provider Tier 1:You have access to Kaiser Permanente Providers. To find a provider, log into kp.org
Non-Participating Provider Tier 3: any other licensed provider.
Cost shares may vary per tier, check plan for details.
*Disclaimer: The Cigna PPO Network refers to providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO Network for Shared Administration.
To learn more about cost estimates for medical services when selecting our Kaiser Permanente network of providers:
In-Network Pharmacy Tier 1: you have access to Kaiser Permanente pharmacies.
Participating Pharmacy Tier 2: you have access to OptumRx pharmacies.
Non-Participating Pharmacy Tier 3: you have access to any other pharmacy.
Members may fill a prescription written from any provider, at any pharmacy option listed above. Cost shares and fill quantity may differ per tier/option, check plan for details.
Pharmacy locator: Kaiser Permanente and OptumRx pharmacy location can be found by logging into kp.org
When you are traveling away from home, you can plan ahead by visiting our Health Care Away from Home site. 24/7 care is available from Kaiser Permanente health care professionals by phone or video.
Non-Participating Provider Tier 2: Any other licensed provider.
Cost shares may vary per tier, check plan for details.
*Disclaimer: The Cigna PPO Network refers to providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO Network for Shared Administration.
Pharmacy Options:
Colorado Level Funded PPO members can fill a prescription written by any licensed provider at a KP Pharmacy, or any licensed pharmacy (please note cost shares differ per selection).
Pharmacy options include:
Participating Pharmacy Tier 1: OptumRx pharmacies. Register on OptumRx.com (using Kaiser Permanente Member Record Number to locate participating pharmacies).
Non-Participating Pharmacy Tier 2: Any other pharmacy. Note: you may need to pay out of pocket, then be reimbursed using the OptumRx Pharmacy Claim Form (see “Documents and Forms” below).
Members may fill a prescription written from any provider, at any pharmacy option listed. Cost shares may vary per tier, check plan for details.
To see a list of your plan’s drug list: select “Colorado Level-Funded PPO/POS formulary” by visiting: Drug Formulary (covered drugs).
