Kaiser Permanente Copayment Plans

Kaiser Permanente Copayment HMO plans are a perfect combination.

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Kaiser Permanente Copayment Plans – HMO

There are 3 plans to choose from. As early as the first day of your policy effective date, you will not be subject to a plans annual deductible before receiving benefits because there is no deductible. With these plans, you pay a certain dollar amount for services up to the out of pocket maximum. This information is available to you before you go for services, so you know what you will be charged. These plans are very straight forward that offer no surprises and include a $0 deductible.

Kaiser Permanente

  • Unlimited office visits per calendar year for $25, $40, or $50 copayment     depending upon plan

  • Generic drug benefits for a $10 or $20 copayment depending upon plan. No     drug benefits are provided on the Copayment 50 plan.

  • Brand drug benefits for a $35 copayment. No drug benefits are provided on the Copayment 50 plan.

  • Outpatient Surgery (not an overnight stay) are subject to a $100, $200, or $250 copayment     depending upon plan.

  • Most outpatient X-Rays and lab tests for a $10 copayment. MRI, CT and PET for a $50 copayment.

  • Inpatient Surgery (an overnight stay) will be subject to $200, $350, or $500 copayment per day     depending upon plan. This includes room and board, surgery, anesthesia, X-rays, lab tests, and     medications.

  • Maternity routine prenatal care visit is no charge. Delivery and inpatient well child care will be subject     to a $200, $350, or $500 copayment depending upon plan.

  • Emergency Department visit is a $100 or $150 copayment depending upon plan but waived if     admitted.

  • Urgent Care visit is a $25, $40, or $50 copayment depending upon plan.

  • Ambulance Service is a $100, $200, or $300 copayment depending upon plan.

  • Annual Out of Pocket Maximum is $2,500, $3,000, or $3,500 depending upon plan. The out of pocket     maximum includes the annual deductible.

When receiving medical attention, you must only use a Kaiser Permanente medical facility unless it is a medical emergency. Click here for Kaiser Permanente physician and location information.

If you need assistance with individual and family plan options and enrollment, call us today at


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If applying for a child under the age of 19, you must submit a paper application. No online applications are available for those under the age of 19. Click here to download a paper application that includes submission instructions.

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