Navigating healthcare can be complex, and knowing how to reach the right customer service department is essential. If you are a Kaiser Permanente member or need to contact Kaiser for any reason, knowing the correct Kaiser Customer Service Number is your first step. This guide provides you with the key contact numbers and resources to address your needs efficiently.
Finding a Provider
Need to locate a healthcare provider within the Kaiser Permanente network? Kaiser offers online tools and direct customer service to help you find the right professionals and locations.
Kaiser Permanente Plan Providers and Locations
To find a participating provider or to confirm if your current provider is in-network, Kaiser Permanente offers a convenient search tool. Alternatively, you can directly contact their customer service for assistance.
Connecting with Participating Provider Services
For questions related to participating providers or network confirmation, Kaiser Permanente has a dedicated customer service line.
- To find a Participating Provider or check if your provider participates, you can search by location or contact Kaiser customer service number at 1-800-788-0710 (TTY 711), available Monday to Friday, 7 a.m. to 7 p.m., Pacific Time.
In Kaiser Permanente states (CA, CO, GA, HI, MD, OR, VA, WA, and DC), you can access care through the PHCS Network for KPIC. This network ensures broad access to healthcare services within these states.
In non-Kaiser Permanente states, care is accessible through the Cigna Healthcare PPO Network*. This network is specifically for accessing care outside of Kaiser Permanente’s primary service areas.
*Disclaimer: The Cigna PPO Network includes providers contracted under the Cigna PPO for Shared Administration.
Precertification Assistance
Precertification, or prior authorization, is sometimes required before you receive certain medical services. Kaiser Permanente provides a specific number for precertification inquiries.
- To request precertification for services within the participating provider tier or non-participating provider tier, please call 1-888-251-7052 (TTY 711), Monday to Friday, 6 a.m. to 6 p.m., Pacific Time.
If you are using the Cigna PPO Network in non-Kaiser Permanente states, Cigna PPO providers are responsible for obtaining precertification when required. You will not be financially liable if a Cigna PPO provider fails to secure precertification for covered services. It is advisable to request precertification before scheduling services, either by yourself or through your doctor. Failing to obtain precertification may result in a benefit reduction of up to $500.
Submitting Medical Claims
For emergency care received at a non-Kaiser Permanente hospital or from non-participating providers, you may need to submit a claim for reimbursement.
Medical claims
For emergency care from a non-Kaiser Permanente hospital
- Mail your claim form for all medical care from non-participating providers, including emergency and urgent care, to the appropriate address based on your location:
For Northern California:
KFHP Claims Department
P.O. Box 12923
Oakland, CA 94604-2923
For Southern California:
KFHP Claims Department
P.O. Box 7004
Downey, CA 90242-7004
Pharmacy Claim Submissions
For pharmacy-related claims, especially for reimbursements, Kaiser Permanente provides a specific process.
Kaiser Permanente Pharmacies
- To submit a pharmacy claim for reimbursement, complete the MedImpact Prescription Drug Claim Form and mail it to:
MedImpact Healthcare Systems, Inc.
P.O. Box 509098
San Diego, CA 92150-9098
By understanding these different Kaiser customer service number and contact points, you can effectively manage your healthcare needs and access the support you require from Kaiser Permanente.
