Kaiser HSA Qualified Deductible Plans

These plans offer some of the lowest priced monthly premiums because most services are not covered until after you meet the plans annual deductible.

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Kaiser HSA Qualified Deductible Plans

There are 5 plans to choose from. These plans offer some of the lowest priced monthly premiums because most services are not covered until after you meet the plans annual deductible. You will still however receive no chargeKaiser Permanente
preventive benefits like your annual physical exam (pap smear, mammogram and psa test to name a few). These are high deductible health plans (HDHP) that you can use (at your option) in conjunction with a health savings account (HSA). This will allow you to control your healthcare spending and possibly even obtain tax advantages. Check with your financial planner or tax advisor to see if an HSA is right for you. You would use the high deductible health plan to pay for the catastrophic events such as hospitalization, but you would use your health savings account to pay for all of the other services, like doctor visits, labs and xrays and even prescriptions. After you reach your plans annual deductible, here are the benefit highlights:

  • Unlimited office visits per calendar year for either no charge or a $30 or $40 copayment depending     upon plan.

  • Generic drug benefits for either no charge or a $10 copayment depending upon plan. No generic     drug benefits are provided on the Deductible 30/2700 plan.

  • Brand drug benefits for either no charge or a $35 copayment. No drug benefits are provided on the     Deductible 30/2700 NM plan.

  • Outpatient Surgery (not an overnight stay) are subject to a $0, $150, $200, copayment or a 30%     coinsurance percentage depending upon plan.

  • Most outpatient X-Rays and lab tests will be $0 or for a $10 copayment depending upon plan. MRI,     CT and PET for a $0 or $50 copayment depending upon plan.

  • Inpatient Surgery (an overnight stay) will be subject to a $0, $300, $400 copayment or a 30%     coinsurance percentage depending upon the plan. This includes room and board, surgery,     anesthesia, X-rays, lab tests, and medications.

  • Maternity routine prenatal care visit is no charge. Maternity coverage is not provided on the 40/4000     NM plan. Delivery and inpatient well child care will be subject to a $0, $300, $400 copayment or a     30% coinsurance depending upon the plan. No maternity coverage is provided on the 40/4000 NM     plan.

  • Emergency Department visit is a $0, $100 or $150 copayment depending upon plan or a 30%     coinsurance, but will be waived if admitted.

  • Urgent Care visit is a $0, $30 or $40 copayment depending upon plan.

  • Ambulance Service is a $100 0r $150 copayment depending upon plan.

  • Annual Out of Pocket Maximum is $3,000, $5,000, $5,250, $5,600, depending upon plan. The Out of     Pocket Maximums include the plans 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
(800)560-2443.

 

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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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