The Affordable Care Act gives you the right to appeal certain decisions by health insurance plans.
See what types of decisions can be appealed here.
Start an appeal with Kaiser Permanente’s “internal review” process by obtaining and reviewing the claims and appeals process applicable to your Kaiser health plan.
For your convenience, you can view the claims and appeals process in chapter 8 of Kaiser’s Hawaii 2025 procedures for the AFL Hotel and Restaurant Workers Health and Welfare Trust Fund (Actives) here, which says in part,
“You may file your appeal by mailing or delivering your request to:
Kaiser Foundation Health Plan, Inc.
Attn: Regional Appeals Office
711 Kapiolani Blvd.
Honolulu, HI 96813
Include in your appeal your name, the patient’s name and Kaiser Permanente medical record number, the date, the nature of our decision that you’re appealing, and all comments, documents, and other information you want us to consider regarding your appeal. Fax your appeal to 808-432-5260 or file it by electronic mail at [email protected]. If you have questions about the appeals process, you may call Member Services. Our phone numbers are listed at the back of this guide.
Standard appeals must be filed on weekdays during office hours, from 7 a.m. to 7 p.m. The receipt date for appeals filed after office hours or on weekends will be the next business day.”
