C.A.R. Kaiser Permanente
Medical Plans
NOTICE: If you are already enrolled in a CAR medical, dental, vision or life plan, log in to RealCareOnline to apply or make changes or check the status of your bill.
These forms require Adobe Reader, which is free and commonly used. If you don't have it, download it here.
Please review our General Plan Guidelines for complete information on eligibility and enrollment.
Medical Plan Options
View a simple plan comparison (PDF) or for a more detailed summary, select plan below.
Traditional Copay Plans
Deductible HMO Plans
High Deductible HSA Compatible HMO Plans
Find out about HSAs (PDF)
To help you determine your out of pocket costs, Kaiser Premanente publishes a list of fees charged for common procedures. Please review the document below for your area:
Kaiser Sample Fees - Southern California (PDF)
Kaiser Sample Fees - Northern California (PDF)
Rates
Find your region, then click on your region number below to find your rates.
Find Your Kaiser Premanente Rating Region (PDF)
Rates and benefits are valid from 6/1/11 through 5/31/12.
Applications & Enrollment
STEP 1: View the Enrollment & Payment Instructions (PDF)
STEP 2: Download the Application (PDF) (first time enrollees only)
If you are enrolling a domestic partner, you will need to complete a Domestic Partner Affidavit (PDF).STEP 3: Return forms and initial premium payment to RealCare Insurance Marketing.
Forms & Documents You May Need
- Automatic Payment Authorization (EFT) Form (PDF)
- C.A.R. Plan Administration Guidelines & Fees (PDF)
- Credit Card Payment Authorization (PDF)
- RealCare Change of Address Form (PDF)

