Kaiser Permanente Traditional HMO

Kaiser Permanente HMO

Kaiser Permanente is a Health Maintenance Organization (HMO) with a closed network of providers.

The Traditional HMO allows you to receive comprehensive coverage at set prices, called copays.

The Everyday Care HMO has copays for office visits and a deductible that only applies to inpatient hospital and outpatient services.

How the plan works

You choose a primary care physician (PCP) from Kaiser Permanente’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.

Doctors/Other Medical Care Providers: You can only use doctors, hospitals, and pharmacies that participate in the Kaiser Permanente HMO network. There is no coverage if you go to out-of-network providers, except for emergency services.

Annual Deductible: You pay an annual deductible before the plan begins to pay for a portion of covered medical services.

Traditional HMO: There is no annual deductible.
Everyday Care HMO: There is a $2,000 deductible

Copays: You pay a set dollar amount when you receive medical care.

Annual Out-of-Pocket Maximum: The HMO plans include an annual out-of-pocket maximum. 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 or more

Kaiser Traditional HMO	$424.72	$849.44	$1,201.96
Kaiser Everyday Care HMO	$389.72	$779.44	$1,102.91