Kaiser Permanente
Group Health Plans
About Kaiser Permanente
Making better choices is a big part of meeting today’s most pressing small business challenges. And choosing the right health care for your employees ranks among the most important decisions you will make. Kaiser Permanente can help you manage your costs, invest in your employees and their health, and build a healthier future.
Kaiser Permanente believes health care is not an industry – it’s a cause. The organizaion was founded on the fundamental idea that everyone deserves the chance to live a healthy life. That’s why they offer a program that combines high-quality care and coverage for a lifetime. Whether you operate from a single location or across California, Kaiser Permanente offers options that flex to meet your changing needs.
Quick Plan Highlights
Here are some of our most popular Kaiser Permanente health plans along with a high level snapshot of plan coverage and out-of-pocket costs. To view a complete list of Kaiser Permanente coverage options, click Download All Plans below to see the most current plan information.
These plans are effective as of: 1/1/19
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Bronze HMO C†
Network Full Calendar Year Deductible $4,800 / $9,600 Out-of-Pocket Max Ind/Fam: $6,550 / $13,100 Dr. Office Visit (PCP): 60% Urgent Care: 60% Emergency Room 60% -
Silver HMO B
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Gold HMO B
Network Full Calendar Year Deductible None Out-of-Pocket Max Ind/Fam: $6,000 / $12,000 Dr. Office Visit (PCP): $25 Copay Urgent Care: $25 Copay Emergency Room $325 Copay -
Platinum HMO A
Network Full Calendar Year Deductible None Out-of-Pocket Max Ind/Fam: $3,000 / $6,000 Dr. Office Visit (PCP): $10 Copay Urgent Care: $10 Copay Emergency Room $200 Copay
Bronze HMO C†
| Network | Full |
|---|---|
| Calendar Year Deductible | $4,800 / $9,600 |
| Out-of-Pocket Max Ind/Fam: | $6,550 / $13,100 |
| Dr. Office Visit (PCP): | 60% |
| Urgent Care: | 60% |
| Emergency Room | 60% |
Gold HMO B
| Network | Full | |
|---|---|---|
| Calendar Year Deductible | None | |
| Out-of-Pocket Max Ind/Fam: | $6,000 / $12,000 | |
| Dr. Office Visit (PCP): | $25 Copay | |
| Urgent Care: | $25 Copay | |
| Emergency Room | $325 Copay |
Platinum HMO A
| Network | Full |
|---|---|
| Calendar Year Deductible | None |
| Out-of-Pocket Max Ind/Fam: | $3,000 / $6,000 |
| Dr. Office Visit (PCP): | $10 Copay |
| Urgent Care: | $10 Copay |
| Emergency Room | $200 Copay |
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Footnotes
† HSA Qualified High Deductible Plan
6) Under a family contract, when an insured satisfies the individual deductible amount, no further deductible is required for that insured for the remainder of that calendar year; however, an insured may not contribute an amount greater than the individual deductible toward the family deductible.
7) Under a family contract, an insured can satisfy their individual out-of-pocket maximum; however, an insured may not contribute an amount greater than the individual maximum copayment limit toward the family maximum.
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