Salir
PPO Plus® Plan
Good news! We now have a new site for PPO Plus members. Click here or go to kp.org/ppoplus/nw to find more information about your plan.
Your Kaiser Permanente PPO Plus® Plan is not just health coverage — it's a partnership in health.
You can choose any licensed physician to provide care nationwide, and receive preventive care at little or no cost from in-network providers.
Your benefits include:
- freedom to visit any PPO provider or any licensed nonparticipating provider in the United States
- coinsurance for most covered services after meeting your deductible, when receiving care from a nonparticipating provider
- an out-of-pocket maximum that limits how much you'll spend on most covered services each year
- no additional coinsurance needed for most covered services after the annual out-of-pocket maximum is met
The PPO Plus plan offers access to a broad provider network that includes both Kaiser Permanente providers and a nationwide network. You also have the freedom to choose any licensed provider at the out-of-network benefit level.
The PPO Plus plans let you choose among two benefit level "tiers" when you receive covered services:
Tier 1— PPO providers
Tier 2— Non-participating providers
Tier 1 plan — PPO providers
For a list of PPO facilities and providers to choose from, please view our PPO Plus Oregon (PDF), Washington (Part-1) (PDF), Washington (Part-2) (PDF), or MedImpact (PDF) directories.
To search online for a list of PPO facilities and providers near you, please use the search tools below:
- First Choice Health Network (Members in OR, WA, ID, MT, WY, ND, SD and AK)
Please note: The PPO search function in the web site linked above is not compatible with mobile devices and may return inaccurate results if the search is performed from a mobile device. - First Health Network (Members in states other than OR, WA, ID, MT, WY, ND, SD and AK)
- Kaiser Permanente provider network
If you have any questions or need help with any of the PPO providers, you can also call them at the following numbers:
First Choice Health Network
800-467-5281
First Health Network
1-888-685-7774
- PPO Plus pre-authorization request form (PDF)
- Information for First Choice and community providers (PDF)
- PPO Plus quick reference guide (PDF)
If you have any questions or need help, call Membership Services. We're available from 8 a.m. to 6 p.m., Monday through Friday.
Membership Services
1-866-616-0047
Toll-free TTY for the hearing/speech impaired
1-800-735-2900
For language interpretation services
1-800-324-8010
Tier 2 plan — Non-participating providers
If the provider you want to see is not a PPO provider (Tier 1), he or she falls into what we call the non-participating provider (Tier 2) category. If you are unsure whether or not your provider falls under the non-participating provider (Tier 2) category, please contact Membership Services, Monday through Friday, 8 a.m. to 6 p.m.
Membership Services
1-866-616-0047
Toll-free TTY for the hearing/speech impaired
1-800-735-2900
For language interpretation services
1-800-324-8010
Reminder: If you are an existing PPO Plus® member, you can find all necessary provider contact information on the back of your ID card.
Your Certificate of Insurance contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Certificate of Insurance.
Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Portland, OR 97232