Kaiser Silver 70 HMO

Kaiser Permanente Silver 70 HMO is ACA compliant.

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Kaiser Permanente's Silver 70 HMO - Available 01/01/16

The Kaiser Permanente Silver 70 HMO plan in California has a $2250 individual and a $4500 family medical deductible and pharmacy Kaiser Permanentebrand deductible of $250. 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 the most popular Kaiser plan in California and will satisfy your mandated individual health insurance requirement also known as "minimum essential health coverage ".


Plan Name Silver 70 HMO
Medical Deductible Individual:$2,250 Family:$4,500
Drug Benefits Deductible $250 brand
Dental EHB Deductible 20%
Annual Out-of-Pocket Silver 70 HMO
Out of Pocket Max for Med and Drug EHB Benefits (Total) Individual:$6,250 Family:$12,500
Emergency Health Silver 70 HMO
Urgent Care Centers or Facilities $45 deductible waived
Emergency Room Services $250 after deductible
Emergency Transportation/Ambulance $250 after deductible
Home Health Care Silver 70 HMO
Home Health Care Services No Charge deductible waived
Hospitalization Services Silver 70 HMO
Inpatient Physician and Surgical Services 20% after deductible
Habilitation Services $45 deductible waived
Inpatient Hospital Services (e.g., Hospital Stay) 20% after deductible
Skilled Nursing Facility 20% after deductible
Substance Abuse Disorder Outpatient Services $45 deductible waived
Substance Abuse Disorder Inpatient Services 20% after deductible
Maternity Care Silver 70 HMO
Delivery and All Inpatient Services for Maternity Care 20% after deductible
Prenatal and Postnatal Care No Charge deductible waived
Other Services Silver 70 HMO
Mental/Behavioral Health Inpatient Services 20% after deductible
Durable Medical Equipment 20% deductible waived
Hospice Services No Charge deductible waived
Mental/Behavioral Health Outpatient Services $45 deductible waived
Rehabilitative Occupational and Rehabilitative Physical Therapy $45 deductible waived
Outpatient Services Silver 70 HMO
Outpatient Surgery Physician/Surgical Services 20% deductible waived
Outpatient Facility Fee (e.g., Ambulatory Surgery Center) 20% deductible waived
Outpatient Rehabilitaion Svcs $45
Prescription Drug Coverage Silver 70 HMO
Generic Drugs $15 deductible waived
Non-Preferred Brand Drugs $50 after deductible
Preferred Brand Drugs $50 after deductible
Specialty Drugs 20% after deductible
Preventative Care Silver 70 HMO
Well Baby Visits and Care No Charge deductible waived
Preventive Care/Screening/Immunization No Charge deductible waived
Professional Services Silver 70 HMO
X-rays and Diagnostic Imaging $65 deductible waived
Specialist Visit $65 deductible waived
Diagnostic Test (X-Ray and Lab Work) $250 deductible waived
Laboratory Outpatient and Professional Services $45 deductible waived
Primary Care Visit to Treat an Injury or Illness $45 deductible waived

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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