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Added Choice

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 Kaiser Permanente States: The Added Choice Provider Directory shows providers in CA, CO, GA, HI, MD, OR, VA, WA, and DC

In Non-Kaiser Permanente States: The Cigna HealthcareSM PPO Network only provides access to care in non-Kaiser Permanente states1.

 

Quick Links:

Convenient Ways to Get Care at Kaiser Permanente Hawaii facilities

State-of-The Art Medical Facilities

Added Choice Network Overview

Preparing for Appointment with Your Provider

Transition of Care

Nominate a PHCS Provider

Kaiser Permanente Formulary

Added Choice KPIC Formulary

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

 

1 Disclaimer: The Cigna HealthcareSM PPO Network refers to providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna HealthcareSM is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans.  Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company.  The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.