Documents and Forms
Looking for information about you Choice Products plan? View, download, or print commonly used forms, FAQs, reference guides, and other documents here.
Quick Documents and Links
Provider Directories
Provider Options by Location:
In Colorado: Find Network providers and locations
In Kaiser Permanente States: The 3T POS, PPO, and OOA’s First Health Network provides access to care in the Kaiser Permanente states of CA, CO, GA, HI, MD, OR, VA, WA, and DC.
Non-Kaiser Permanente States: The Cigna HealthcareSM PPO Network* only provides access to care in non-Kaiser Permanente states.
*Disclaimer: The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.
Your Rights and Protection Against Surprise Medical BillsNetwork Access Plan
2024 KPIC Colorado Network Access Plan - SG
2024 KPIC Colorado Network Access Plan - LG
Formularies
KPIC Colorado POS and PPO Formulary
KPIC Colorado POS and PPO Formulary en espanol
Prior Approval forms
Medical: Permanente Advantage Pre-Certification Form
Pharmacy Prior Authorization Request Form (KPIC MRF)
MedImpact Standard Commercial Guidelines
Oncology Step Regulation PA Guidelines
Claim forms
Choice Products Medical Claim Form
Other documents and forms
Point-of-Service (POS) New Member Guidebook
Information for Physicians POS Plan
Preparing for your Appointment with a Non-Kaiser Permanente Provider