Kaiser Permanente Health Insurance Applications
Find publicly available private health insurance and medical insurance application forms for Kaiser Permanente. Below are individual, family, small group, and related carrier application resources. For help applying, call 1-800-MEDIGAP.
Kaiser Permanente application forms
The individual health insurance application form used to apply for private medical insurance coverage from Kaiser Permanente. Covers applicant details, coverage selection, and enrollment.
View Application →The family health insurance application for enrolling a household in a private medical insurance plan through Kaiser Permanente.
View Application →The Medicare Advantage enrollment application for Kaiser Permanente Part C plans.
View Application →The provider enrollment/credentialing application to join the Kaiser Permanente network.
View Application →The member change form for updating information on an existing Kaiser Permanente health plan.
View Application →Frequently asked questions
Where can I find Kaiser Permanente health insurance application forms?
This page links to publicly available Kaiser Permanente applications and enrollment forms. Select an application below to view details and the official source.
Does Kaiser Permanente offer a Medicare supplement application?
Yes — see the Medicare supplement application below.
How do I apply for Kaiser Permanente private health insurance?
Choose the correct application (individual, family, small group), review the details page, then follow the carrier's instructions. Need help? Call 1-800-MEDIGAP.
Is this the official Kaiser Permanente website?
No. We are an independent repository linking to publicly available resources. Kaiser Permanente's official site is healthy.kaiserpermanente.org.
Related health insurance companies
This independent repository links to publicly available health insurance application resources. We are not the insurance carrier. For official plan details, contact the carrier directly.