For Members

Quick Documents and Links

Provider Directories

Provider Options by Location:

In Colorado:  Find Kaiser Permanente Providers and statewide network of contracted providers

In Other Kaiser Permanente States:  The Choice PPO’s First Health Network provides access to care in the Kaiser Permanente states of CA, GA, HI, MD, OR, VA, WA, and DC.

In Non-Kaiser Permanente States:  The Cigna Healthcare^SM PPO Network* only provides access to care in non-Kaiser Permanente states.

Network Access Plans

Colorado Choice PPO Network Access Plan

Formularies

KPIC Colorado POS and PPO Formulary

KPIC Colorado POS and PPO Formulary en espanol

MedImpact Immunization List

Prior Approval Forms

Medical:

Prior Authorization Form for Services within CO

Permanente Advantage Pre-Certification Form

Pharmacy: Pharmacy Prior Authorization Request Form (KPIC MRF)

MedImpact Standard Commercial Guidelines

Step Therapy: Step Therapy Process
Selected prescription drugs require step therapy. Step therapy is the protocol that requires you to use a particular outpatient prescription drug or sequence of prescription drugs, other than the drug that your provider recommends for your treatment before we provide coverage for the recommended prescription drug.

Oncology Step Regulation PA Guidelines

Exception Requests for Prior Authorization and Step Therapy
You or your authorized representative or the prescribing provider may request an exception or a waiver to the Outpatient Prescription Drug Prior Authorization Request and Step Therapy process described above if you are already being treated for a medical condition and currently under medication of a drug subject to prior authorization or step therapy, provided the drug is appropriately prescribed and is considered safe and effective for your condition. To request an exception or waiver to the Outpatient Prescription Drug Prior Authorization or Step Therapy process please call 1-800-788-2949 (Pharmacy Help Desk).

Claim Forms

Medical: Choice Products Medical Claim Form

Pharmacy: Drug Reimbursement Form

Other Documents and Forms

Choice PPO New Member Guidebook

Preparing for your Appointment with a Non-Kaiser Permanente Provider

*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. Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Healthcare Intellectual Property, Inc.