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
In Oregon and Washington, visit the Dual Choice PPO Provider Directory.
(This is a combined provider and facility directory that contains Kaiser Permanente, direct contracted, First Choice, and network pharmacies.)
In other Kaiser Permanente States (CA, CO, GA, HI, MD, VA, and DC) to find network providers and facilities, visit the First Health Network.
In all other states to find network providers, and facilities, visit the Cigna HealthcareSM PPO Network1.
Formulary
Kaiser Permanente Northwest Commercial Formulary
MedImpact Formulary for drugs requiring prior authorization at MedImpact
Claim Forms
Medical: Member Reimbursement Form
Pharmacy: Drug Reimbursement Form
1. The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.
Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Healthcare Intellectual Property, Inc.