Kaiser Employer Small Group Health Plans
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Kaiser is like the Xerox of HMO’s,  they have been selected as the ACA – Obamacare “Bench Mark” plan.  It’s the name that people know. Kaiser has excellent rates and great service.  Kaiser compensates us to help you at no additional charge. Our authorized agent code is #5268.   

Its a win win for everyone.

Get instant rates and benefits, by using our Complementary, no obligation quote engine, key in your census and have the computer do it or send us an excel spreadsheet 

Value of Kaiser for your Business
Value of Kaiser for your Business

#Administration

Find doctors & locations

#Forms

#Renewal Information

small business service tips on account.kp.org and click on “Making health plan changes at renewal.” Member Tools

SBC Summary of Benefits

Renewal FAQ’s

Kaiser Small Business Employer #Portal Log In Account Services 

Video  introduction and review training resources for employers and brokers.

kaiser online portal website tour

  • Kaiser’s Customer Account Services website is a powerful tool that will simplify your healthcare administration 24 hours a day, 7 days a week.
  • Enroll/Terminate Employees & Dependents
  • Update Membership Information
  • View Real-Time Membership
  • View Monthly Bill & Six Months of Previous Bills
    • Starting August Billing will be ONLINE ONLY, unless you specifically OPT for it!
  • View Real-Time Balances & Pay Your Bill Online
  • And Much More!
  • Get a preview of online account services and use our online account services user ID request form to request access For more information or to schedule your free online training:

 

#Contact & Service

Who to Contact  besides [email protected]

Kaiser & Blue Shield

Treatment Cost #Estimator Tool
requires sign in

The tool is for all Kaiser Members that are enrolled on Deductible or  Health Savings Account Plans.  The cost estimates are for services that are marked "after deductible" to give members an idea of the cost of  those services.

How to find what Medications in the Formulary for  #psoriasis

VIDEO explanation

Kaiser Drug Formulary Use the CA Commercial Formulary

I'm checking to verify if your group has a 2 or 3 tier formulary. Also, we will check the Co-Pays and Tiers for your group...
See plan highlights for general information and your co pays

Your group has the option of The Silver 70 HMO 1650/55 and The Silver 70 HDHP 2500/20% HMO

What do the abbreviations mean?
quantity limts

Use Ctrl F to search for the Rx you want to check out

ctrl f

Tier level and quantity level - See highlights above for co pays or just wait till I get the EOC

rx

Just as an FYI - See our webpage Q & A for Medicare Part D Rx on Enbrel & Humira

3 tier formulary

Taltz list price is $6k/month per their website

Kaiser Small Group Evidence of Coverages

Please review the Formulary Exception Process on page 54
EOC #2 - Kaiser Permanente for Small Business Combined Evidence of Coverage and Disclosure Form for {SAMPLE}Kaiser Permanente Silver 70 HMO 1650/55 + Child Dental Alt INFGroup ID: {PID} EOC Number: 2

See also the EOC on grievances - our webpage on grievances and appeals.

I haven't seen where Metal Level has anything to do with the formulary, in fact it's probably prohibited, as only the co pays and deductibles are supposed to be different. Here's where we did extensive research on Flomax and shouldn't it be covered on a Platinum Plan?

Cal COBRA?

FYI - Medicare Part D has a shopping tool, that tells you at ONE time, all the plans and if they cover what prescriptions - I'm not aware of a feature like that for Small Group or Individual.

Resources & Links

Child Pages

[child-pages]

Kaiser Preventative & Wellness Programs

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