Documents and Forms

Looking for information about you Added Choice plan? View, download, or print commonly used forms, FAQs, reference guides, and other documents here.

Links to important forms and documents.

In Hawaii: Contracted Providers provide access to care.

In Non-Kaiser Permanente States (States other than CA, CO, GA, HI, MD, OR, VA, WA, and DC): The CignaPPONetwork* only provides access to care in non-Kaiser Permanente states

*Disclaimer: The Cigna PPO Network refers to providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.

Convenient Ways to Get Care at Kaiser Permanente Hawaii facilities

State-of-The Art Medical Facilities

Added Choice Physicians and Locations Directory

Kaiser Permanente Formulary

Added Choice KPIC Formulary

MedImpact Immunization List for 2022

Drug Reimbursement Form

Member Care Transition Form

Permanente Advantage Precertification Request Form

MedImpact Standard Commercial Guidelines

Medical Claim Form

Your Rights and Protection Against Surprise Medical Bills