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Compare Plans Kaiser Permanente Plans for Individuals and Families

Plan $50 $25 $500 $1,000 $1,500 $0/$1,500 $0/$2,700 $30/$2,700

Copayment Copayment Deductible Deductible Deductible Deductible with HSA Deductible with HSA Deductible with HSA

Short Description Moderate monthly Higher monthly Higher monthly Moderate monthly Lower monthly Lowest calendar-year No charge for most Lowest monthly premium
rate, Predictable rate, Predictable rate, Moderate rate, Moderate rate, Higher deductible of any of our services after satisfying of any of our
out-of-pocket costs out-of-pocket costs out-of-pocket costs out-of-pocket costs out-of-pocket costs HSA-qualified plans the deductible HSA-qualified plans

Annual Out-of-Pocket Maximum

individual/family $3,500/$7,000 $2,500/$5,000 $2,500/$5,000 $3,000/$6,000 $3,500/$7,000 $1,500/$3,000 $2,700/$5,450 $5,250/$10, 500

Medical Calendar-Year Deductible

individual/family No medical No medical $500/$1,000 $1,000/$2,000 $1,500/$3,000 $1,500/$3,000 $2,700/$5,450 $2,700/$5,450
deductible deductible
Preventive Care Office Visit $50 per visit $25 per visit $20 per visit $25 per visit $30 per visit no charge per visit no charge per visit $30 per visit
Nonpreventive Office Visit $50 per visit $25 per visit $20 per visit $25 per visit $30 per visit no charge per visit no charge per visit $30 per visit
after deductible after deductible after deductible
Most Lab and X-rays
(per encounter) $10 $10 $10 after $10 after $10 after no charge no charge $10 after
deductible deductible deductible after deductible after deductible after deductible
Hospital Care
(per day) $500 per day $200 per day $100 per day $250 per day $500 per day no charge no charge 30% coinsurance
after deductible after deductible after deductible after deductible after deductible after deductible
Emergency Services
(per visit) $150 per visit $100 per visit $100 per visit $100 per visit $150 per visit no charge no charge 30% coinsurance
after deductible after deductible after deductible after deductible after deductible after deductible
Prescription Drugs
Generic Not Covered $10 generic $10 generic $10 generic $10 generic no charge no charge Not Covered
Brand $35 brand $35 brand $35 brand $35 brand after deductible after deductible

Long Description
= Most Popular Plans
I want to be able to visit my doctor
regularly, so a plan with no deductible and
fixed copayments for office visits is best for
me. I’m willing to pay a higher monthly
rate for a plan that of fers broad coverage
and predictable out-of-pocket costs.
I want lower monthly rates and a fixed copayment for preventive
care ser vices. I’m willing to have a deductible and pay for most
services when I actually need them.
I want a plan with a lower monthly rate that lets me control my costs through
a tax-advantaged health savings account. I prefer to have a deductible and
pay for ser vices as I need them. I want access to routine preventive ser vices
that only require a copay to help me stay healthy and identify potential
health issues early.