ContractBenefits Summary • October 19th, 2016
KP Platinum $15 2017 Benefits Summary This is only a summary. It does not fully describe your benefit coverage. For details on your benefit coverage, exclusions, and plan terms, please refer to your employer’s applicable Face Sheet, Group Medical and Hospital Service Agreement, benefit schedule, and riders (collectively known as “Service Agreement”). The Service Agreement is the legally binding document between Health Plan and its members. In event of ambiguity, or a conflict between this summary and the Service Agreement, the Service Agreement shall control. Senior Advantage members must refer to their Kaiser Permanente Senior Advantage Evidence of Coverage for a description of their benefits.You are covered for Medically Necessary services at Kaiser Permanente facilities within the Hawaii service area, and which are provided, prescribed or directed by a Kaiser Permanente physician and consistent with reasonable medical management techniques specified under this plan with res
Kaiser Permanente Added Choice with 80%/20% Out-of-network plan 2016 Benefits SummaryBenefits Summary • April 25th, 2016
This is only a summary. It does not fully describe your benefit coverage. For complete details on your benefit coverage, exclusions, limitations, and plan terms, please refer to your employer’s applicable Face Sheet, Group Medical and Hospital Service Agreement, benefit schedule, and riders (collectively known as “Service Agreement”), and the Kaiser Permanente Insurance Company (KPIC) Group Policy and Certificate of Insurance. The Service Agreement and KPIC Group Policy are the legal binding documents between Health Plan, KPIC, and your employer. In event of ambiguity, or a conflict between this summary and the Service Agreement and KPIC Group Policy, the Service Agreement and KPIC Group Policy shall control.
Kaiser Permanente Added Choice with 80%/20% Out-of-network plan 2007 long benefits summaryBenefits Summary • September 17th, 2020
This is only a summary. It does not fully describe your benefit coverage. For complete details on your benefit coverage, including exclusions, limitations, and plan terms, please refer to your employer’s applicable Face Sheet, Group Medical and Hospital Service Agreement, benefit schedule, and Riders (collectively known as “Service Agreement”), and the Kaiser Permanente Insurance Company (KPIC) Group Policy and Certificate of Insurance. The Service Agreement and KPIC Group Policy are the legal binding documents between Health Plan, KPIC, and your employer. In event of ambiguity, or a conflict between this summary and the Service Agreement and KPIC Group Policy, the Service Agreement and KPIC Group Policy shall control.
