KAISER PERMANENTE
Available to California-based team members only
We offer a Kaiser HMO plan for team members in California. An HMO is a system of managed healthcare providing medical services within a specific geographic area. Kaiser Permanente has its own doctors, physician assistants, nurse practitioners, and operates its own hospitals and outpatient facilities. If you elect Kaiser, you do not have the option to seek treatment outside of Kaiser-Permanente-contracted facilities, except for emergencies.
There are copays for services such as office visits, specialist visits, and hospitalization, but no deductible. Generally, services are covered in full after the specified copays.
HMO Plan Highlights
- You are required to select a Primary Care Physician (PCP) or Primary Medical Group (PMG).
- Services must be authorized or provided by your PCP or PMG.
- You do not have the option to seek treatment outside of Kaiser Permanente-contracted facilities, except in emergencies.
| Kaiser Permanente | |
|---|---|
| Calendar Year Deductible | |
| Individual | $1,000 |
| Family | $2,000 |
| Out-of-Pocket Maximum (includes deductible) | |
| Individual | $3,800 |
| Family | $7,600 |
| Coinsurance | 20% |
| Physician Office Visits | |
| Preventive Care | Covered at 100% |
| Primary Care Visit | $20 copay per visit |
| Specialist Visit | $30 copay per visit |
| Hospital Services | |
| Inpatient Hospitalization | 20% after deductible |
| Emergency Room | 20% after deductible |
| Urgent Care | $30 copay per visit |
| Outpatient Services | |
| X-Ray and Lab Tests | $10 copay |
| Surgery | 20% after deductible |
| Prescription Drugs | |
| Generic | $10 copay |
|
$30 copay $60 copay 20% up to $250 |