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  • Documentation Of Triggering Event Form - Info Kaiserpermanente

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Kaiser Permanente for Individuals and Families Documentation of triggering event form Who should use this form? If you have experienced a triggering event, you need to complete this form, choose your.

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I want to switch my Medi-Cal coverage to another health plan. What do I need to do? To switch to another health plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077) Monday through Friday, 8 a.m. to 6 p.m. The call is free. Or visit https://.healthcareoptions.dhcs.ca.gov/ .

All of our doctors accept Kaiser Permanente Medi-Cal members. Get care from a doctor or specialist – including appointments, exams, and treatment. Your child can get regular check-ups – including shots and vaccines.

A: Contact your prior physician(s) to understand their process for sharing medical records. Ask them to send your records to Kaiser Permanente Medical Records, 10220 SE Sunnyside Road, Clackamas, OR 97015 or fax to 877-849-4116 or via email to nw-med-rec@kp.org .

Covered California Kaiser plans are offered in all of California's 19 pricing regions. Kaiser is an “in-house” network which means medical services are provided by a Kaiser medical group, a Kaiser laboratory, a Kaiser pharmacy and a Kaiser hospital.

Apply at your Local County Services Office where you can get help to complete your application. Get a Medi-Cal application through CoveredCA.com/medi-cal . Applications are available in English and other languages. Send your completed and signed application to the address specified.

It may take up to 45 days to process your Medi-Cal application. If you apply for Medi-Cal based on disability, it may take up to 90 days. Your local county office or Covered California will send you an eligibility decision letter.

A work status report is required for a series of consecutive days of leave (block leave). To obtain this, you'll need to discuss your disability needs with your doctor, including information about your condition, the time you'll be off work, and job functions you're unable to perform.

All other medical records, results, reports, and notes should be faxed directly to Kaiser Permanente Medical Records Department at 1-877-515-0480.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232