Forms & publications

Kaiser Permanente WA (SEBB) Core 2 Evidence of Coverage (EOC) 2024

This benefits book describes what is covered as a SEBB member under Kaiser Permanente WA Core 2, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

Kaiser Permanente WA (SEBB) Core 3 Evidence of Coverage (EOC) 2024

This benefits book describes what is covered as a SEBB member under Kaiser Permanente WA Core 3, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

Kaiser Permanente WA (SEBB) Options Summit PPO 1 Evidence of Coverage (EOC) 2024

This benefits book describes what is covered as a SEBB member under Kaiser Permanente WA Summit PPO 1, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

Kaiser Permanente WA (SEBB) Options Summit PPO 3 Evidence of Coverage (EOC) 2024

This benefits book describes what is covered as a SEBB member under Kaiser Permanente WA Summit PPO 3, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.