Lost Coverage - Kaiser Permanente

Questions & Answers

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I have additional questions about my eligibility for plans. Who should I call?
For questions about Kaiser Permanente Individual and Family plans, please call 1-800-245-3181. For questions about eligibility for any other plans, please call Kaiser Permanente Member Services for your area.
Where can I find a glossary of terms such as copayment and health savings account?
Use our convenient online glossary of terms.
Will I qualify for all the options that are recommended for me on this site?
Some recommended plans may have application requirements, such as medical underwriting, income limits, or may be temporarily closed to new members. Please refer to the information provided along with each plan recommendation for any restrictions. Make sure you receive confirmation of enrollment in any new plan.
How many health care options does Kaiser Permanente review for me?

We offer a full range of health care options because protecting your health is so important. Take a look. If you have questions about your options, call us today toll free: 1-800-464-4000 (TTY 1-800-777-1370).

COBRA
This option allows you to temporarily continue the coverage you had through your previous employer (typically for up to 18 months). Most companies with 20 or more employees have to offer COBRA. There are strict deadlines to enroll, usually within 60 days of the end of your employment. To find out if you qualify for this coverage, please refer to the materials sent to you by your previous employer or talk to your previous employer right away.

Cal-COBRA
This option allows you to temporarily continue the coverage you had through your previous employer. Most companies with less than 20 employees have to offer Cal-COBRA. There are strict deadlines to enroll, usually within 60 days of the end of your employment. You may also be eligible if you were enrolled in COBRA coverage for 18 months or until it expired. To find out if you qualify for this coverage, please call Kaiser Permanente Member Services at 1-800-464-4000.

Kaiser Permanente Conversion Plans
We offer these plans to people who have lost or discontinued their coverage. These plans don't require a medical review. You must enroll within 63 days from the date of departure from your previous plan—and there will be no lapse in coverage. To find out if you qualify for a Conversion Plan, please call Kaiser Permanente Member Services at 1-800-464-4000.

Kaiser Permanente for Individuals and Families
We offer a variety of copayment and deductible plans to choose from depending on your needs and budget. These coverage options include a number of different health care benefits, services, and resources. A medical review is required for applicants over the age of 18. To find out if you qualify, please call a Kaiser Permanente Health Care Specialist at 1-800-245-3181, or visit buykp.org.

MRMIP (Major Risk Medical Insurance Program)
This program is partially paid for by the state of California, and specifically designed for people who don’t qualify for individual plans because of pre-existing conditions. To enroll, you must apply through the state of California. There may be a waiting list. To find out if you qualify for MRMIP and to begin the application process, please call 1-800-289-6574, or visit www.mrmib.ca.gov.

Medi-Cal
This government plan is California’s Medicaid public health insurance program. It provides health coverage for low-income and/or disabled individuals and families. It includes inpatient and outpatient health as well as prescription drug coverage. It also covers a variety of pre-existing conditions and special needs. To find out if you qualify for Medi-Cal, please call 1-800-952-5253 or 1-888-747-1222, or visit www.medi-cal.ca.gov.

Medicare with Medi-Cal Part A/B
This state-funded plan is designed for people with a disability who are eligible for Medicare. It includes inpatient and outpatient health coverage. To find out if you qualify for Medi-Cal Part A/B, please call 1-800-952-5253 or 1-888-747-1222, or visit www.medi-cal.ca.gov.

Kaiser Permanente Child Health Plan (KPCHP)
This plan is designed for children up to age 19 from families with limited income who do not qualify for Medi-Cal or the Healthy Families Program. In addition to health care benefits, this plan also includes vision and prescription drug coverage. Enrollment is limited, so there may be a waiting list. To check availability and income requirements, and also to find out if you or your children qualify, please call Kaiser Permanente Member Services at 1-800-464-4000, or visit info.kp.org/childhealthplan.

AIM (Access for Infants & Mothers)
This government plan provides comprehensive medical care to expecting mothers—and is effective for up to 60 days after your infant has been delivered. After birth, your infant will be eligible to be enrolled in a Healthy Families Program until his or her first birthday. There are income requirements to enroll in AIM. To find out if you qualify for AIM, please call 1-800-433-2611, or visit www.aim.ca.gov.

Healthy Families Program
This program is also known as the Children’s Health Insurance Program (CHIP). It provides comprehensive coverage for children who do not have employer-sponsored insurance and who do not qualify for no-cost Medi-Cal. To find out if you qualify for a Healthy Families Program, please call 1-800-880-5305 or 1-888-747-1222, or visit www.healthyfamilies.ca.gov.

Kaiser Permanente Senior Advantage (HMO) or Medicare Plus (Cost)
Our Medicare health plan is called Senior Advantage or Medicare Plus, depending on your area. Both plans give you all of the benefits of a Kaiser Permanente membership along with Medicare Part A hospital care, Part B medical services, and Part D prescription drug coverage—all in one plan. To find out if you qualify, please call a Kaiser Permanente Medicare Specialist at 1-866-973-4584 or visit kp.org/medicare.

Alternate Group Coverage
This coverage is provided by the employer or organization of a person in your household, such as a spouse, domestic partner, or parent (for children up to the age of 26). Different employers have different rules about who can enroll. To find out if you qualify, please check with the employer for eligibility information.

PCIP (Pre-Existing Condition Insurance Plan)
This government plan is designed to help people with pre-existing conditions. It includes a variety of benefits, such as primary and specialty care, along with hospital care, and prescription drug coverage. To enroll, you must apply through the state of California. Note: Kaiser Permanente care is not available with PCIP at this time. To find out if you qualify for PCIP, please call 1-866-717-5826, or visit www.PCIP.ca.gov.

We'll help you find the right health care options for you. Let's get started now.

Rediscover a health plan that's here for you.

Rated among the top health plans by select independent agencies, Kaiser Permanente is frequently recognized for quality care and service. See a list of our most recent awards.

Here are three ways we help you take care of your health.

1. Everything you need under one roof.

At most participating Kaiser Permanente facilities and medical centers, you can get one-stop service for primary care, lab tests, X-rays, and pharmacy. Plus, many of our locations provide same-day, after-hours, and weekend services so you can get the care you need, when you need it.

2. Everybody you need on one team.

At Kaiser Permanente, you are at the center of an entire health care team. Your personal physician will be right by your side, along with nurses, lab techs, pharmacists, specialists, and others. Your team will work seamlessly together, staying connected by your electronic health record.*

3. Everywhere you go, you're connected.

Stay on top of your health 24/7. With My Health Manager, you can refill most prescriptions, schedule routine appointments, email your doctors, view most lab results, and much more—all from the convenience of your computer.*

*Online services are available through My Health Manager at kp.org, and are available only to members receiving care or filling prescriptions at Kaiser Permanente facilities.

We're here to talk.

Need help understanding your options? Call us today and speak with a Kaiser Permanente Health Plan Specialist in your area. You'll find the appropriate phone number next to your region below.

California

Call toll free 1-800-464-4000
(TTY 1-800-777-1370 for the hearing/speech impaired)

Or visit kp.org/options/ca
Colorado

Denver/Boulder:
Call 1-303-338-3800
(TTY 1-303-338-3820 for the hearing/speech impaired)

Southern Colorado:
Call toll free 1-888-681-7878
(TTY 1-800-521-4874 for the hearing/speech impaired)

Or visit kp.org/options/co
District of Columbia

Metro area:
Call 1-301-468-6000
(TTY 1-301-879-6380 for the hearing/speech impaired)

Outside the metro area:
Call toll free 1-800-777-7902
(TTY 1-301-879-6380 for the hearing/speech impaired)

Or visit kp.org/options/mas
Georgia

Call toll free 1-800-611-1811
(TTY 1-800-255-0056 for the hearing/speech impaired)

Or visit kp.org/options/ga
Hawaii

Oahu:
Call toll free 1-808-432-5955
(TTY 1-808-432-7032 for the hearing/speech impaired)

Outside Oahu:
Call toll free 1-800-966-5955
(TTY 1-808-432-7032 for the hearing/speech impaired)

Or visit kp.org/options/hi
Maryland

Metro area:
Call 1-301-468-6000
(TTY 1-301-879-6380 for the hearing/speech impaired)

Outside the metro area:
Call toll free 1-800-777-7902
(TTY 1-301-879-6380 for the hearing/speech impaired)

Or visit kp.org/options/mas
Ohio

Cleveland:
Call toll free 1-800-686-7100
(TTY 1-877-676-6677 for the hearing/speech impaired)

Medicare Plus members:
Call toll free 1-800-493-6004
(TTY 1-866-513-9966 for the hearing/speech impaired)

Or visit kp.org/options/oh
Oregon

Portland:
Call 1-503-813-2000
(TTY 1-800-735-2900 for the hearing/speech impaired)

Outside Portland:
Call toll free 1-800-813-2000
(TTY 1-800-735-2900 for the hearing/speech impaired)

Medicare-eligible members:
Call toll free 1-877-221-8221
(TTY 1-800-735-2900 for the hearing/speech impaired)

Or visit kp.org/options/nw
Virginia

Metro area:
Call 1-301-468-6000
(TTY 1-301-879-6380 for the hearing/speech impaired)

Outside the metro area:
Call toll free 1-800-777-7902
(TTY 1-301-879-6380 for the hearing/speech impaired)

Or visit kp.org/options/mas
Washington State

Call toll free 1-800-813-2000
(TTY 1-800-735-2900 for the hearing/speech impaired)

Medicare-eligible members:
Call toll free 1-877-221-8221
(TTY 1-800-735-2900 for the hearing/speech impaired)

Or visit kp.org/options/nw

We're here to help you with your coverage.
Let's talk.

We'll help you find a health care option that best fits your current situation. Call us today and speak with a Kaiser Permanente Health Plan Specialist in your area. Select your area below.

California

Call toll free 1-800-464-4000
(TTY 1-800-777-1370 for the hearing/speech impaired)

Or visit kp.org/options/ca
Colorado

Denver/Boulder:
Call 1-303-338-3800
(TTY 1-303-338-3820 for the hearing/speech impaired)

Southern Colorado:
Call toll free 1-888-681-7878
(TTY 1-800-521-4874 for the hearing/speech impaired)

Or visit kp.org/options/co
District of Columbia

Metro area:
Call 1-301-468-6000
(TTY 1-301-879-6380 for the hearing/speech impaired)

Outside the metro area:
Call toll free 1-800-777-7902
(TTY 1-301-879-6380 for the hearing/speech impaired)

Or visit kp.org/options/mas
Georgia

Call toll free 1-800-611-1811
(TTY 1-800-255-0056 for the hearing/speech impaired)

Or visit kp.org/options/ga
Hawaii

Oahu:
Call toll free 1-808-432-5955
(TTY 1-808-432-7032 for the hearing/speech impaired)

Outside Oahu:
Call toll free 1-800-966-5955
(TTY 1-808-432-7032 for the hearing/speech impaired)

Or visit kp.org/options/hi
Maryland

Metro area:
Call 1-301-468-6000
(TTY 1-301-879-6380 for the hearing/speech impaired)

Outside the metro area:
Call toll free 1-800-777-7902
(TTY 1-301-879-6380 for the hearing/speech impaired)

Or visit kp.org/options/mas
Ohio

Cleveland:
Call toll free 1-800-686-7100
(TTY 1-877-676-6677 for the hearing/speech impaired)

Medicare Plus members:
Call toll free 1-800-493-6004
(TTY 1-866-513-9966 for the hearing/speech impaired)

Or visit kp.org/options/oh
Oregon

Portland:
Call 1-503-813-2000
(TTY 1-800-735-2900 for the hearing/speech impaired)

Outside Portland:
Call toll free 1-800-813-2000
(TTY 1-800-735-2900 for the hearing/speech impaired)

Medicare-eligible members:
Call toll free 1-877-221-8221
(TTY 1-800-735-2900 for the hearing/speech impaired)

Or visit kp.org/options/nw
Virginia

Metro area:
Call 1-301-468-6000
(TTY 1-301-879-6380 for the hearing/speech impaired)

Outside the metro area:
Call toll free 1-800-777-7902
(TTY 1-301-879-6380 for the hearing/speech impaired)

Or visit kp.org/options/mas
Washington State

Call toll free 1-800-813-2000
(TTY 1-800-735-2900 for the hearing/speech impaired)

Medicare-eligible members:
Call toll free 1-877-221-8221
(TTY 1-800-735-2900 for the hearing/speech impaired)

Or visit kp.org/options/nw

Helping you regain health coverage

Here are a few questions that will help us find the best health care options for you.
So, why did your health care coverage end?