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Kaiser dependent certification form

Kaiser dependent certification form 2025

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The document is a communication from the California Service Center's Disabled Dependent Team, informing a subscriber about the process to enroll their child as a disabled dependent at Kaiser Permanente. It outlines the necessary steps and documentation required for application, including medical evaluations, financial information, and authorization forms. The document emphasizes the importance of submitting the requested information within 90 days to avoid cancellation of the application.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I verify my Kaiser eligibility?

Self-Service is available in the IVR System 24 hours per day, 7 days per week at (888) 576- 6789. Alternately, you may call the IVR system of the KP Member Services Contact Center to verify benefits and eligibility 24 hours per day, 7 days per week at: (888) 576-6789.

How do I add my baby to my Kaiser plan?

If youre currently enrolled in an employers group plan and want to add your newborn to this plan, please contact your employer or group administrator and complete enrollment within 30 days. * We look forward to helping your baby stay healthy for many years to come.

How do I add a dependent to my Kaiser account?

Start by signing in to kp.org and then go to Act for a Family Member. Youll need your dependents full name, date of birth, and Medical Record number. Under People youre taking care of, select Add a child/teen to your family list and follow the instructions.

How do I add my spouse to my Kaiser plan?

Fill out an Online Account Change Form to: Change to a different Kaiser Permanente health plan. Add a spouse, domestic partner, or dependent to your current plan. Add or change optional adult dental coverage.

How to download Kaiser immunization records?

Need to download and print your immunization record? Log in to kp.org. Select Medical Record at the top of the home page. Select the Immunizations tile. Then click on Print your official immunization record. Your Official Immunization report will open in a separate window. Right click on the page. Select Print.

How to add dependents to insurance?

You can add a dependent to your health insurance plan during open enrollment. Open enrollment for government-sponsored insurance plans is typically held between November and January. Employers usually offer a similar open enrollment period, with many occurring during October and November.

What documentation system does Kaiser use?

Electronic health records Kaiser Permanente HealthConnect, our comprehensive electronic health record system, integrates all aspects of care across our care delivery system. This includes pharmacy and lab services, as well as appointments, registration, and billing.

Kaiser dependent certification form 2025

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