Finding Doctors and Facilities
Having Choice Products makes it easy to find doctors and facilities for your care.
Here’s an overview of getting care with Choice Products. In the Preferred Provider Organization (PPO) plan, you can choose from In-Network Providers and Out-of-Network Providers.
You can switch between in-network and out-of-network providers as you desire.
You have several in-network provider options.
Provider Directory 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 HealthcareSM PPO Network* only provides access to care in non-Kaiser Permanente states.
*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.
To find an In-Network Provider or confirm if your current provider is In-Network, 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.
- In-Network Providers include Kaiser Permanente providers and a statewide network of contracted providers, First Health providers, and Cigna Healthcare PPO Network providers based on service location.
- No referral is needed for office visits to In-Network physicians or specialists. However, you will need pre-certification for some services and procedures. Your In-Network Provider must call 1-855-364-3184 (TTY 711) for pre-certification.
- It is always a good idea to call the provider’s office to confirm that they’re an In-Network Provider.
To access the KPIC Colorado Choice PPO Network Access Plan.
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 In-Network Providers with the Preferred Provider Organization (PPO) and 3-Tier Point of Service (POS) Plans, underwritten by Kaiser Permanente Insurance Company (KPIC). The availability and In-Network 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 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 Choice PPO’s First Health Network 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 In-Network 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 1-855-364-3184.
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 an In-Network Provider?
- Yes. If you were seeing a doctor who is not contracted with the First Health Network in 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.
Out-of-Network Providers
Choose any licensed provider anywhere for care.
- You can work directly with any licensed provider or facility anywhere.
- No referral is needed for office visits to Out-of-Network physicians or specialists. However, you will need pre-certification for some services and procedures. You or your provider must 1-855-364-3184 (TTY 711) for pre-certification.
- Just remember that care with out-of-network provider generally incurs as 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.