Kaiser Permanente

Kaiser Permanente online application

 
 
 
To request assistant with application,please complete the form below and agent will contact you.

Enrollment Options

I am applying for:

Myself:

Spouse/Domestic Partner:

Child/Children:
   
Dental Coverage: Yes No
Coverage Plan:

 
Not sure which plan? Call us 818-654-4548
 

Subscriber Information

Please note: If you are the person registering on this site, you will be considered the “subscriber” whether or not you will be covered under the Kaiser Permanente individual and family plan. If your application or the application(s) of your family member(s) are approved, as the registering subscriber you will be responsible for the bill.
Salutation:
First Name:
Middle Initial:
Last Name:
Gender: Male Female
Date of Birth:
Marital Status:
Street Address:
City:
State:
Zip Code:
Daytime Phone Number:
Evening Phone Number:
Your Email Address:
Verify Email Address:
   

Login Credentials
Preferred User ID:    (5 - 8 alphanumeric characters) 
Preferred Password:    (8 - 20 alphanumeric characters)
Verify Preferred Password:
Password Hint:
Mother's Maiden Name:

Pin:

    (last 4 digits of your Social Security Number)
   
 


About Kaiser Permanente
Kaiser Permanente was founded more than a half-century ago by Sidney Garfield, MD, and Henry J. Kaiser to provide medical and hospital services to Kaiser shipyard and steel mill workers. It was one of the first health programs to offer such comprehensive health care services on a prepaid basis. The same innovative spirit also drives the nation's largest nonprofit health care organization today—a nonprofit health plan that is guided by physicians and focused on providing quality care to our members.

Kaiser Permanente

We're where our members need us to be

  • We provide health care in 9 states and the District of Columbia.
  • We serve 8.4 million members nationwide and 6.3 million members in California.
  • In California, more than 8,000 physicians provide care at over 125 medical offices and 27 medical centers.
You and your medical team manage your care
  • Physicians have the final say on your prescriptions for medically necessary drugs.
  • You can choose or change your personal physician for any reason.
  • Your Kaiser Permanente physician can easily refer you to a Plan specialist.
Health care professionals dedicated to excellence
  • We are selective about the physicians we hire. In California, only 1 of every 8 applicants is chosen to become a Kaiser Permanente physician.
  • A number of our physicians have national reputations, and some teach at leading universities.
  • We gather member feedback through annual surveys to encourage our physicians to continually improve their patient interaction and communication skills as well as their medical knowledge.
What began as a program of health care nearly 60 years ago has become the model for health care for the twenty-first century. The innovative health plan that's convenient, affordable, and totally dedicated to your health and well-being. That's Kaiser Permanente!
 
Note: Do not cancel any in-force health coverage until you have received written formal approval of acceptance from the company you select. Rates shown are subject to change based on the health plan's underwriting practices. All rates quoted are for new applicants only and the rates may not apply to existing customers of the insurance company. Insurance companies may change rates and benefits without notice. All plan benefits and information displayed on the HealthInsurance.com site are a general summary of the products of each insurance company. Final rate and benefit information is always determined by the health insurance company.
 

 
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Copyright © 2005 Oleg Skurskiy Authorized Independent Agent, CA License 0E50389