Kaiser Out
Who Is Eligible?
You may be eligible to file a claim if you:
- You are or were a Kaiser Permanente member in California
- You received mental health or substance use disorder (SUD) treatment from an out-of-network provider
- You paid out of pocket for that care (meaning Kaiser did not fully reimburse you)
- The care was received on or after January 1, 2021
- You live or lived in California during the time you received the care
How Much Can You Get?
Specific payout amounts for this settlement have not yet been publicly confirmed. Generally in cases like this, eligible members may be reimbursed for some or all of the out-of-pocket costs they incurred for out-of-network mental health or substance use disorder care. The more you paid out of pocket, the more you may potentially recover. Once final settlement terms are approved and published, we'll update this page with exact figures. In the meantime, it's a good idea to gather any records of payments you made for mental health or SUD services while enrolled in Kaiser — things like receipts, Explanation of Benefits (EOB) documents, or billing statements from your provider.How to File Your Claim
Filing your claim is quick and easy:
- Confirm you're a current or former California Kaiser Permanente member who paid out of pocket for out-of-network mental health or substance use disorder care after January 1, 2021
- Gather documentation of your out-of-pocket payments — receipts, provider invoices, or Explanation of Benefits (EOB) statements from Kaiser
- Keep an eye on the official settlement website for claim form availability and deadline announcements (details are still being finalized)
- When the claim form becomes available, fill it out accurately and include any required proof of payment
- Download Class Action Buddy to get notified when the claim form goes live, get step-by-step filing help, and make sure you don't miss the deadline
💡 Easier way: File with Class Action Buddy
Skip the paperwork. Our app auto-fills your claim form with your saved profile and submits it electronically in under 2 minutes.
Download for iPhone Download for AndroidFrequently Asked Questions
How do I file a claim for the Kaiser Out?
You have two options: (1) Use the free Class Action Buddy mobile app — set up your profile once and the app auto-fills the PDF claim form, captures your signature, and submits the claim by mail on your behalf. (2) File directly with the settlement administrator using the official claim form linked on this page.
What is the Kaiser Permanente out-of-network mental health settlement about?
This class action settlement involves allegations that Kaiser Permanente failed to provide adequate in-network mental health and substance use disorder services to its California members. Because of this, some members were forced to seek care outside the Kaiser network and had to pay for it themselves. The settlement aims to reimburse those members for their out-of-pocket costs.
Do I qualify if I went to therapy outside of Kaiser and paid myself?
You may qualify if you are a California Kaiser member, you saw an out-of-network therapist, psychiatrist, or substance use disorder treatment provider, and you paid out of pocket for that care on or after January 1, 2021. It's worth checking even if you only paid a portion of the cost yourself.
How much money can I get from the Kaiser mental health settlement?
Final payout amounts haven't been announced yet. Reimbursement will likely be based on how much you personally paid out of pocket for out-of-network mental health or substance use disorder care. Hold onto any receipts, bills, or insurance statements that show what you paid — you'll likely need them to file a claim.
Ready to File Your Claim?
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