Finding Doctors and Facilities
Having Choice Products makes it easy to find doctors and facilities for your care. You can switch between provider networks as you desire.
Here’s an overview of getting care with Choice Products. In the 3 Tier Point-of-Service (POS) plan, there are three Tiers to choose from: HMO In-Network Provider Tier, Participating Provider Tier, and Non-Participating Provider Tier.
HMO In-Network Provider Tier
Kaiser Permanente Providers and medical offices.
- Access any Kaiser Permanente provider, affiliated hospital, or pharmacy, all within the integrated delivery system.
- There are specially selected physicians in the Permanente network. To help you find a primary care physician who’s right for you, browse our online doctor profiles.
- You also have access to medical offices across the region. Check here for services, hours, and locations of each medical center—including urgent care.
To access the HMO In-Network Access Plan:
HMO Colorado Access Plan HMO KP Select Access PlanParticipating Provider Tier
You have two network options within the Participating Provider Tier.
Provider Directory Options by Location:
In Kaiser Permanente States: The 3T POS 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 Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.
To find a Participating Provider or confirm if your current provider is part of the Participating Provider Tier, you can search for Providers by location (Kaiser Permanente and non-Kaiser Permanente states) or call Customer Service at 1-855-364-3184 (TTY 711), Monday through Friday 8 a.m.-6 p.m., Mountain time.
- Through the Participating Provider Tier, you have access to First Health providers and Cigna Healthcare PPO Network providers based on service location.
- No referral is needed for office visits to Participating Provider physicians or specialists. However, you will need pre-certification for some services and procedures. Your Participating Provider must call 1-888-525-1553 (TTY 711) for pre-certification.
- It is always a good idea to call the provider’s office to confirm that they are a Participating Provider.
Access the 2024 KPIC Colorado Network Access Plan - SG.
The information in this directory is current to the best of Kaiser Permanente Insurance Company’s knowledge as of the date of printing and applies to the Participating Provider Tier of the Preferred Provider Organization (PPO) and 3-Tier Point of Service (POS) Plans, underwritten by Kaiser Permanente Insurance Company (KPIC). The availability and participating status of physicians, hospitals, facilities and other providers may change. KPIC is not responsible for use of outdated directories. To obtain the most current provider directory information, go to http://kp.org/kpic-colorado or contact Member Services at 1-855-364-3184 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m. (MT). You can also go to https://providerlocator.firsthealth.com/Kaiser or contact First Health Network at 1-800-226-5116, Monday through Friday, 8 a.m. to 8 p.m. (ET). Please contact providers directly to verify their participating status under your Kaiser Permanente PPO or 3-Tier POS Plans. For additional questions on providers, you can also call the State of Colorado Board of Medical Examiners at 303-894-7690.
To report any inaccuracies in the provider directory, please call Customer Service at 1-855-364-3184 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m. (MT). Members can also report directly to First Health by clicking the “Report Incorrect Information” button at the top of the provider search page.
Your Rights and Protection Against Surprise Medical BillsCan I nominate a physician to become a Participating Provider?
-
- Yes. If you were seeing a doctor who is not contracted with the First Health Network in Colorado or other Kaiser Permanente states, or with the Cigna Healthcare PPO Network outside of KP states, you can nominate the doctor to join the network. Please keep in mind your provider may choose not to be contracted.
- To nominate a provider, call Customer Service at 1-855-364-3184 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m., Mountain time.
- Nominations can take up to 60 – 120 days from receipt of the provider’s complete application. Whether a physician or practitioner is accepted depends on a number of considerations including the provider’s interest in joining, so a nomination doesn’t guarantee acceptance.
For Providers
To learn more about the First Health (KPIC’s provider network) Credentialing process, please select the following link: Aetna Credentialing Overview which will direct you to the Aetna Credentialing policy. First Health (KPIC’s provider network) is a subsidiary of the Aetna Network and uses the Aetna Credentialing process.
Non-Participating Provider Tier
Choose any licensed provider anywhere for care.
- Through the Non-Participating Provider Tier, you can work directly with any licensed provider or facility anywhere.
- No referral is needed for office visits to Non-Participating physicians or specialists. However, you will need pre-certification for some services and procedures. You or your provider must call 1-888-525-1553 (TTY 711) for pre-certification.
- Just remember that this Tier generally has the highest out-of-pocket costs.
For Providers
To learn more about the First Health (KPIC’s provider network) Credentialing process, please select the following link: Aetna Credentialing Overview which will direct you to the Aetna Credentialing policy. First Health (KPIC’s provider network) is a subsidiary of the Aetna Network and uses the Aetna Credentialing process.