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.

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).
  • Services must be authorized or provided by your PCP or Primary Medical Group (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 $750
Family $1,500
Out-of-Pocket Maximum (includes deductible)
Individual $3,000
Family $6,000
Coinsurance 80%
Physician Office Visits
Preventive Care Covered at 100%
Primary Care Visit $20 copay per visit
Specialist Visit $30 copay per visit
Chiropractic Services (max 20 visits) $20 copay per visit
Hospital Services
Inpatient Hospitalization 20% after deductible
Emergency Room $200 copay per visit
Urgent Care $30 copay per visit
Outpatient Services
X-Ray and Lab Tests $10 copay
Surgery 20% after deductible
Prescription Drugs
Generic $10 copay
  • Non-Formulary
  • Specialty
$60 copay
20% up to $250