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  • Coverage Documents

Coverage documents
Coverage documents explain what your plan contract includes and/or does not include, how to access care, what services require preauthorization, and more.

Go to Health plan coverage and cost information, and click on Coverage documents.

  • Kaiser Permanente of Colorado is committed to providing programs that facilitate access to care for vulnerable populations.
  • Look up clear definitions of common terms you will encounter while looking for a Family and Individual Health Plan.
  • Briefly discusses symptoms of sore throat caused by virus and bacteria infections and irritants. Covers common cold, mononucleosis (mono), strep throat, and flu. Covers symptoms such as swollen glands and pain. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Many people worry about going to the dentist. You may be very nervous and may actually feel sick to your stomach. Some people become so nervous that they just don't go to the dentist. But this can lead to serious problems, including infected gums and teeth, difficulty chewing, and lack of self-confidence because of bad...
  • Discusses aortic valve regurgitation. Discusses symptoms and how it is diagnosed. Covers treatment with medicines and aortic valve replacement surgery. Covers lifestyle changes to help the heart work better.
  • Discusses infection of the heart's valves or inner lining (endocardium). Covers cause by bacteria (bacterial endocarditis) or fungi (fungal endocarditis). Looks at symptoms like fever. Covers treatment with medicines or possibly surgery.
  • Provides links to topics that cover common parenting questions about infant and toddler health. Includes info on how to stop thumb-sucking, how to manage an episode of croup, and whether to give your child antibiotics for an ear infection.
  • Find out how members can access healthcare services when in-network providers are unavailable with Kaiser Permanente's network access disclosures.
  • Discusses normal growth and development of children ages 2 to 5. Covers physical growth, language skills, toilet training, and eating and sleeping habits. Also discusses how kids think and manage their feelings. Includes info on routine medical visits.
  • Covers type 1 diabetes, also called juvenile diabetes or insulin-dependent diabetes. Describes how pancreas regulates blood sugar (glucose) levels. Includes info on hypoglycemia and hyperglycemia. Discusses treatments, including insulin.
  • Discusses causes and symptoms of COPD. Looks at chronic bronchitis and emphysema, two diseases that are usually a part of COPD. Covers quitting smoking. Includes treatment with bronchodilators and inhaled corticosteroids. Offers home treatment tips.
  • Briefly discusses the symptoms that can occur from insect or spider bites. Covers skin reactions, allergic reactions, and toxic reactions. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Covers safer sex practices like abstinence, using condoms, watching for symptoms of STIs, and limiting number of sex partners you have. Includes list of questions to ask someone before having sex.
  • Briefly discusses what to do for animal or human bites. Covers bites by adults and kids, dogs and cats, and wild animals. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • If the fishhook is not deeply embedded, the string-pull method for removing a fishhook may be used. If removal of the fishhook is too painful, seek medical care. If the fishhook has more than one barb, cut all the barbs off or tape the other barbs so you do not get hurt again. Step A Tie a piece of string, dental floss...
  • Focuses on obstructive sleep apnea. Discusses causes, including narrowed airways and obesity. Covers symptoms like snoring, gasping during sleep, and daytime sleepiness. Info on treatment with CPAP and oral or nasal breathing devices.
  • Discusses test (also called MRI scan) that uses a magnetic field and pulses of radio wave energy to make pictures of the head. Covers why it is used, including helping to diagnose a stroke or blood vessel problems in the head and looking for tumors or infections.
  • Covers causes and symptoms of rheumatoid arthritis. Looks at treatment with medicine, exercise, and lifestyle changes. Discusses things you can do at home to relieve your symptoms and help control the disease. Includes importance of regular checkups.
  • Briefly discusses causes of nose injuries from sports, hobbies, and work-related activities. Covers seriousness of a broken nose and possible complications. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Discusses causes and symptoms of thyroid cancer. Covers factors that increase risk, including exposure to radiation. Discusses diagnosis and treatment with surgery, radioactive iodine, and thyroid hormone therapy.
  • A mouth guard is used to prevent mouth and dental injuries while participating in sports, such as horseback riding, handball, rugby, karate, judo, gymnastics, football, baseball, ice or field hockey, soccer, wrestling, boxing, water polo, lacrosse, and basketball. A mouth guard is a device used to protect the mouth and...
  • Medicare is health insurance that the United States government provides for people ages 65 and older. It also covers some people younger than 65 who have disabilities and people who have long-term (chronic) kidney failure who need dialysis or a transplant. Medicare helps pay for most hospital services and doctor visits...
  • What is dry mouth? Dry mouth, or xerostomia (say "zee-ruh-STO-mee-uh"), occurs when your mouth doesn't make enough saliva. Saliva helps you chew, swallow, and digest your food. It also neutralizes the acids that form in your mouth. Over time, dry mouth can lead to dental problems. What causes it? Dry mouth is most often...
  • Describes root canal surgery in detail. Covers what to expect after surgery, why surgery is done, and how well it works. Lists risks involved.
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