Frequently Asked Questions
Click on the numbered question to view the answer.
If you do not already have a Kaiser Permanente doctor (or “Primary Care Physician”) you will be able to choose from our outstanding doctors at the Kaiser Permanente Hawaii clinic of your choice on the island on which you live.
Learn more about choosing your Kaiser Permanente doctor or see our Kaiser Permanente Hawaii Physician Directory and our Long Term Services and Supports (LTSS) Provider Directory on the benefits page.
A. As a Kaiser Permanente member, you’ll work with your primary care doctor to set up a referral with needed specialists within our network.
There are also certain specialists and services that do not need a referral from your doctor. Those include:
- Behavioral Health Services
- Alcohol and drug treatment
- Mental health service
- Family Practice
- Health Education
- Internal Medicine
- Medication Counseling
- Nutrition Counseling
- Social Work
To find out more about your QUEST Integration coverage, please read our Kaiser Permanente QUEST Integration Member Handbook on the benefits page.
Non-formulary drugs are generally not covered by your plan. They are used only if you do not respond to formulary drugs or if you have special circumstances that need non-formulary drugs.
To check if a medication is included in the formulary, please contact our Customer Service Center (Monday to Friday from 8 a.m. to 5 p.m. and Saturday from 8 a.m. to noon) at:
- Oahu: 808-432-5955
- Neighbor Islands: 1-800-966-5955 (toll free)
- 1-877-447-5990 (toll free TTY for the hearing/speech impaired)
or view the Kaiser Permanente Hawaii formulary.
A. For more information, please call Kaiser Permanente QUEST Integration customer service at :