Coordination of Benefits for members with more than 1 Kaiser Permanente plan has been postponed
You may have heard that Kaiser Permanente would start coordinating benefits for members with more than 1 Kaiser Permanente plan, who get services from Kaiser Permanente providers, on January 1, 2018. Due to the complexity of making this change in California,we’ve postponed implementation until further notice.
However, coordination of benefits already in effect for other situations will continue as before. This includes cases where members:
- Get services from non–Kaiser Permanente providers — for example, contracted providers or because of a referral
- Have a Kaiser Permanente plan and a non–Kaiser Permanente plan
- Have a Kaiser Permanente HMO or deductible HMO plan and a Kaiser Permanente self-funded, point-of-service (PPO and Out-of-network tiers only), PPO, or out-of-area plan
Claims administration for ancillary services (such as Dental, Chiropractic and Acupuncture), not covered under the base medical benefit, are at the vendor’s discretion.
If you have any questions, please contact your Kaiser Permanente representative.
Please note: This postponement only applies in California. In all other regions, benefits for members with multiple Kaiser Permanente plans will continue to be coordinated as before.