Kaiser Gold 80 HMO

Kaiser Permanente Gold 80 HMO plan is ACA compliant.

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Kaiser Permanente's CA Gold 80 HMO - Available 01/01/20

Kaiser PermanenteThe Kaiser Permanente Gold 80 HMO 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 Gold 80 HMO
Combined Medical & Drug DeductibleIndividual: None Family: None
Annual Out-of-PocketKP Gold 80 HMO
Out of Pocket Max for Med and Drug EHB Benefits (Total) Individual: $7,200 Family: $14,400
Emergency HealthKP Gold 80 HMO
Urgent Care Centers or Facilities $30 / visit
Emergency Room Services $325 / visit
Hospitalization ServicesKP Gold 80 HMO
Inpatient Hospital Services (e.g., Hospital Stay) $600 / day
Maternity CareKP Gold 80 HMO
Delivery and All Inpatient Services for Maternity Care $600 / day
Other ServicesKP Gold 80 HMO
Mental/Behavioral Health Outpatient Services $30 / individual visit; $30 / day for other outpatient services
Outpatient ServicesKP Gold 80 HMO
Outpatient Surgery Physician/Surgical Services Not Applicable
Prescription Drug CoverageKP Gold 80 HMO
Generic Drugs $15
Preferred Brand Drugs $55
Preventative CareKP Gold 80 HMO
Preventive Care/Screening/ImmunizationNo Charge
Professional ServicesKP Gold 80 HMO
Imaging (CT/PET Scans, MRIs) $275
Specialist Visit $55
Diagnostic Test (X-Ray and Lab Work) X-ray $55 / Lab $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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