Apply with Kaiser Permanente Georgia
Use the links below to apply for a
Kaiser Georgia Personal Advantage
Plan.
Apply Online
Note: The system requires you to create/re-create your quotes before giving you access to the online application.
Print Application
- You will need Adobe Reader to download the paper application.
- One application may be used for a family of up to five. Larger families may use an additional application(s).
- All plans are available on this application.
Enroll for Individual and Family health insurance coverage with
Kaiser Permanente. You may apply online or print a paper application to enroll
by fax or mail. For live support with enrollment, click the Live Chat link above
or call 1-877-752-4737 and press 0 to go straight to an applications specialist.
Available Plans
New enrollees tend to choose from our HMO plans. The top three plans include the Premier Plan, Plan 2000, and Plan 5000. Custom Care Health Investor (HSA) Plans, Balance Plans, and Balance HMO Plans are also available.
New enrollees tend to choose from our HMO plans. The top three plans include the Premier Plan, Plan 2000, and Plan 5000. Custom Care Health Investor (HSA) Plans, Balance Plans, and Balance HMO Plans are also available.
Note Before Completing Your Application
You will need the Social Security Number for the primary applicant, and it is recommended that you have Social Security Numbers for each person enrolling. The application includes height and weight information. Former Kaiser Permanente Georgia members may include Health Record Numbers. Kaiser enrollment forms for medical insurance coverage include 14 health related questions, a legal agreement and payment options. We recommend paying by credit card as the other payment options may delay processing of your application.
You will need the Social Security Number for the primary applicant, and it is recommended that you have Social Security Numbers for each person enrolling. The application includes height and weight information. Former Kaiser Permanente Georgia members may include Health Record Numbers. Kaiser enrollment forms for medical insurance coverage include 14 health related questions, a legal agreement and payment options. We recommend paying by credit card as the other payment options may delay processing of your application.
1-877-752-4737
1. Get Quotes
2. Choose a Plan
3. Apply Now