Kaiser Permanente HMO

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

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: There is no annual 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 Permanente HMO   $305.95 $611.90

  $865.83

 

 

Contact the Provider

Kaiser Permanente 800-464-4000

  • Group Number: 104301-02

Resources

Kaiser Permanente Traditional HMO Benefits Disclosure

Traditional Medical Plans Comparison Chart

 

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