Kaiser is an HMO (Health Maintenance Organization) with a closed network of providers.
How the plan works
- You choose a primary care physician (PCP) from Kaiser’s network.
- The PCP coordinates your care and refers you to specialists.
- The plan covers the cost of services only when your primary care physician authorizes it.
- Kaiser provides coverage for services outside of the network only in cases of emergency.
Doctors/Other Medical Care Providers: You can only use doctors, hospitals, and pharmacies that participate in the HMO network. Doctors who participate in the HMO network are called in-network providers. There is no coverage if you go to out-of-network providers, except for emergency services.
Annual Deductible: You don’t need to pay an annual deductible
before the plan begins to pay for a portion of covered medical
Copays: When you receive medical care, you pay a set dollar
amount called a copay.
Annual Out-of-Pocket Maximum: The HMO plans include an annual
out-of-pocket maximum. This is the maximum amount you must pay out of
your own pocket for copays during the plan year. Once you reach
the out-of-pocket maximum, the plan pays 100% of covered charges for
the remainder of the plan year.
Per Pay Period Cost
Employee Employee Employee
Only Plus 1 Plus 2 more
|Kaiser Permanente Trad HMO||$245.04||$490.08|| |
Contact the Provider
Phone Number: 800-464-4000
Group Number: 104301-02