Kaiser HMO

• You choose a primary care physician (PCP) from Kaiser’s network.
• The PCP coordinates your care and refers you to specialists.
• The plan covers the cost of services only when your primary care physician authorizes it.
• Kaiser provides coverage for services outside of the network only in cases of emergency and urgently needed services.
• Behavioral health benefits are provided by Kaiser and Optum.
• See updated information about coverage for COVID tests.
• You’re covered for emergency and urgent care anywhere in the world if you get hurt or sick while traveling. Visit Care While Traveling on the Kaiser Permanente website or call the Away from Home Travel Line at 951-268-3900. 

• You and the family members you cover live in California
• You want low monthly premiums
• You want low, predictable out-of-pocket costs
• You like having one doctor manage your care
• You are happy with the selection of providers within the Kaiser system

When choosing a plan, make sure to consider all your costs — including your monthly premiums and what you can expect to pay out-of-pocket for care. For employees, ALEX will ask you a few questions to help you estimate how much you may need to spend.

Kaiser Permanente Senior Advantage is considered the “partner plan” of Kaiser HMO. That means that if you are a retiree enrolled in Kaiser HMO, you’ll be transferred into Kaiser Permanente Senior Advantage when you turn 65, once Medicare has approved your enrollment form.

If you will be Medicare-eligible in 2025 and would like to learn more about Kaiser Senior Advantage, register for a virtual information session.