Kaiser Gold Plan California

Kaiser Permanente Gold CA plan is ACA compliant.

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Kaiser Permanente's Gold Plan - Available 01/01/18

Kaiser PermanenteThe Kaiser Permanente Gold plan in California has no deductibles. All covered services contribute to the out-of-pocket maximum. Preventive care services, such as routine physical exams and mammogram screenings, are at no charge. This is one of the most comprehensive Kaiser plans in California and will satisfy your mandated individual health insurance requirement also known as "minimum essential health coverage ".


Plan Name KP CA Gold 80 HMO
Combined Medical & Drug DeductibleIndividual: None Family: None
Annual Out-of-PocketKP CA Gold 80 HMO
Out of Pocket Max for Med and Drug EHB Benefits (Total) Individual: $6,000 Family: $12,000
Emergency HealthKP CA Gold 80 HMO
Urgent Care Centers or Facilities $30
Emergency Room Services $325
Hospitalization ServicesKP CA Gold 80 HMO
Inpatient Hospital Services (e.g., Hospital Stay) $600 per day up to 5 days. After five days, there is no charge for covered services related to the admission.
Maternity CareKP CA Gold 80 HMO
Delivery and All Inpatient Services for Maternity Care $600 per day up to 5 days. After five days, there is no charge for covered services related to the admission.
Other ServicesKP CA Gold 80 HMO
Mental/Behavioral Health Outpatient Services $25 Copay per visit; $25 Copay for other outpatient services
Outpatient ServicesKP CA Gold 80 HMO
Outpatient Surgery Physician/Surgical Services$600
Prescription Drug CoverageKP CA Gold 80 HMO
Generic Drugs $15
Preferred Brand Drugs $55
Preventative CareKP CA Gold 80 HMO
Preventive Care/Screening/ImmunizationNo Charge
Professional ServicesKP CA Gold 80 HMO
Imaging (CT/PET Scans, MRIs) $275
Specialist Visit $55
Diagnostic Test (X-Ray and Lab Work) $35
Laboratory Outpatient and Professional Services$35
Primary Care Visit to Treat an Injury or Illness $30


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.

Information contained in this website is limited in scope, subject to change without notice, and does not contain all the terms, conditions, limitations, or exclusions of the referenced benefit plans. Only the insurance company Plan Documents and Policy's contain the exact terms and conditions of coverage.

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