Cover Page

Page numbers referenced within this brochure apply only to the printed brochure

Kaiser Permanente - Southern California
Member Services Call Center 800-464-4000 (TTY: 711)


  • Rates
  • Changes for 2023
  • Summary of Benefits
A Health Maintenance Organization
(High Option, Standard Option, and Prosper)

This plan’s health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page (Applies to printed brochure only). This plan is accredited. See page (Applies to printed brochure only).

Serving:  Southern California service area

Enrollment in this Plan is limited. You must live or work in our
geographic service areas to enroll. See page 13 for requirements.


Enrollment codes for this Plan:

621 High Option - Self Only
623 High Option - Self Plus One
622 High Option - Self and Family
624 Standard Option - Self Only
626 Standard Option - Self Plus One
625 Standard Option - Self and Family

FL1 Prosper - Self Only
FL3 Prosper - Self Plus One
FL2 Prosper - Self and Family

Federal Employees Health Benefits Program seal
OPM Logo