Kaiser Permanente Traditional HMO

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 services.

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   $254.16 $508.32





Traditional Medical Plans Comparison Chart

Kaiser Permanente Traditional HMO Benefits Disclosure

Kaiser Permanente Traditional Plan Evidence of Coverage

SD Facility Directory Listing

Kaiser Permanente Online Health Manager

KP Now - Talk to a doctor within an hour

KP Video Appointments


Contact the Provider

Kaiser Permanente Website

Phone Number: 800-464-4000

Group Number: 104301-02



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