Cover Page

Page numbers referenced within this brochure apply only to the printed brochure

Kaiser Permanente - Northern California

www.kp.org/feds
Member Services Call Center 800-464-4000 (TTY:711)

2023



IMPORTANT:
  • Rates
  • Changes for 2023
  • Summary of Benefits
A Health Maintenance Organization
(High Option, Standard Option and Prosper)

This plan’s health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page (Applies to printed brochure only) for details. This plan is accredited. See page (Applies to printed brochure only).

Serving:  Northern California service area

Enrollment in this Plan is limited. You must live or work in our
geographic service areas to enroll. See page 13 for requirements.

Enrollment codes for this Plan:
  591 High Option - Self Only
  593 High Option - Self Plus One
  592 High Option - Self and Family

  594 Standard Option - Self Only
  596 Standard Option - Self Plus One
  595 Standard Option - Self and Family

  KC1 Prosper - Self Only
  KC3 Prosper - Self Plus One
  KC2 Prosper - Self and Family

Federal Employees Health Benefits Program seal
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