Documents and Forms
Looking for information about your Dual Choice PPO insurance plan? View, download, or print commonly used forms, FAQs, reference guides, and other documents here.
Links to important forms and documents.
Member Resources:
Search for Providers
Provider Directory Options by Location:
In Georgia: Find Network Providers and Locations
In another Kaiser Permanente State: The PHCS Network provides access to care in the Kaiser Permanente states of CA, CO, HI, MD, OR, VA, WA, and DC.
Non-Kaiser Permanente States: The Cigna HealthcareSM PPO Network only provides access to care in non-Kaiser Permanente states.
*Disclaimer: The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.
Find Kaiser Permanente Pharmacies in Georgia
Hospital Surprise Billing Rating
Formulary
Dual Choice PPO Prescription Drug Formulary 2024
Formulary - MedImpact Immunization List for 2022
Claim Forms
Medical: Medical Claim Reimbursement Form
Pharmacy: Drug Reimbursement Form
Other Documents and Forms
Dual Choice PPO New Member Welcome Book
MedImpact Standard Commercial Guidelines
Permanente Advantage Precertification Request Form