Eligibility & network status verified during intake. If not in-network, you only pay $50 — never a surprise bill.
Kaiser Permanente operates a closed network — most care must be received within Kaiser facilities. If you're a Kaiser member, your $50 Ondoc visit and superbill may be eligible for out-of-network reimbursement only in specific cases (urgent travel, away from home).
Kaiser fills prescriptions through Kaiser pharmacies. Ondoc can fax your refill to a Kaiser pharmacy if your local plan permits external prescribers.
Kaiser's closed model means most PAs are handled internally. Out-of-network requests typically require pre-authorization from Kaiser Member Services.
Kaiser Member Services: 1-800-464-4000 · kp.org
Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
You're not alone — narrow networks, ghost listings, and months-long waitlists are routine. Common Kaiser member problems:
Also see our guide to ghost networks.
Top-5 metros per state. Eligibility verified during intake — billed to Kaiser or $50 self-pay if not in-network.
Formulary tiers, prior-authorization rules, and state mandates for common conditions.
GLP-1 receptor agonists, SGLT2 inhibitors, metformin
GLP-1 agonists for obesity
ACE inhibitors, ARBs, thiazides, CCBs
Statins, PCSK9 inhibitors, ezetimibe
Levothyroxine
ICS, LABA, biologics
LAMA/LABA combinations
SSRIs, SNRIs, atypical antidepressants
SSRIs, SNRIs, buspirone
Stimulants and non-stimulants
PDE5 inhibitors
Combined oral contraceptives, progestin-only, rings, patches
See the full list of insurance plans, pharmacies, and platforms behind every visit on our partners page.