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Kaiser Medical Plan

Kaiser offers a comprehensive, convenient approach to medical benefits. Most covered services are covered after your copay. When you enroll with Kaiser, services are only covered when you use Kaiser providers and facilities.

Kaiser HMO Plan

The Kaiser HMO Plan offers a comprehensive, convenient approach, but generally require that you seek care within the network.

    Primary Care Required
    Offers Out-of-Network Benefits
    Deductible
    (individual/family)
    Out of Pocket Maximum
    (individual/family)
    Primary Care / Specialist
    Preventive Services
    Urgent Care
    Emergency Room
    Inpatient Hospitalization
    Chiropractic
    Retail Rx
    30-day supply
    Mail Order Rx
    100-day supply
    Kaiser HMO
    (CA Residents Only)
    In-Network*
    Yes
    No
    $0
    $1,500/$3,000
    $20/$35
    100% covered
    $20 per visit
    $100 per visit
    $250 per admission
    $20 per visit
    (up to 20 visits per year)
    Tier 1: $10
    Tier 2: $35
    Tier 3: $35
    Tier 4: 20% up to $150
    Tier 1: $20
    Tier 2: $70
    Tier 3: $70
    Tier 4: 20% up to $150
    (30 day supply)

    *Out-of-Network benefits are not available with the Kaiser CA HMO offering

    Contact Kaiser

    Kaiser HMO
    Group Number: 607913
    800-464-4000
    kp.org

    Kaiser Plan Documents

    Kaiser HMO (CA Only)

    Kaiser Resources