Additional member rights
The right to information
In addition to the Board-endorsed rights and responsibilities, members have specific rights related to information and care.
Anyone who receives care at Kaiser Permanente has the right to receive detailed information about:
- Availability of a point-of-service health plan
- Information referenced in your medical coverage agreement
- Access to primary and consulting-specialist care
- Descriptions of and justification for provider compensation programs
- Kaiser Permanente's pharmacy, durable medical equipment (DME), and prosthetic appliance formularies
- Patient Bill of Rights
- Complaints and appeals procedures
To request information on these subjects, contact Member Services. Medicare members may be subject to different rules because the federal government regulates their plans.
Retroactive denial of previously authorized care
We do not deny payment for care we have approved unless a member or employer group has previously canceled medical coverage.
We will give you full information about research projects that could directly involve you. We may ask if you are willing to take part in research projects, but you are free to refuse for any reason. Refusal will not affect your health care. If treatments are being tested, we may give them only to those in the research studies.
Access to new treatments
Generally, we try to avoid widespread use of experimental, unproven preventive methods of treatment. We require that a new test or treatment has a body of scientific evidence establishing its effectiveness before encouraging our patients and doctors to use it. Our medical, legal, administrative, and coverage departments and by a team of Kaiser Permanente members review such treatments.
Additionally, we strongly encourage care providers to discuss all care options with their patients. This way you can be assured that you will always receive the appropriate care and service.
Civil Rights Coordinator
As a recipient of federal funds, Kaiser Permanente does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity in admission to, participation in, or receipt of services and benefits under any of its programs.
Kaiser Permanente maintains a Civil Rights Coordinator, policies on non-discrimination, and procedures for reporting violations. Individuals with concerns or questions about civil rights protections may contact the Kaiser Permanente Civil Rights Coordinator as follows:
Kaiser Foundation Health Plan of Washington
Civil Rights Coordinator, Quality GNE-1
P.O. Box 9812
Renton, WA 98057-9812
Federal law also prohibits retaliation for raising a complaint or for advocating for a right these acts protect.
See our notice of non-discrimination for more information.