Kaiser Permanente HMO


Kaiser Permanente is a Health Maintenance Organization (HMO) with a closed network of providers.

How the plan works

  • You choose a primary care physician (PCP) from Kaiser Permanente’s network.
  • The PCP coordinates your care and refers you to specialists.
  • The plan covers the cost of services only when your primary care physician authorizes it.

Doctors/Other Medical Care Providers: You can only use doctors, hospitals, and pharmacies that participate in the Kaiser Permanente HMO network. There is no coverage if you go to out-of-network providers, except for emergency services.

Annual Deductible: There is no annual deductible.

Copays: You pay a set dollar amount when you receive medical care.

Annual Out-of-Pocket Maximum:  The HMO plans include an annual out-of-pocket maximum. Once you reach the out-of-pocket maximum, the plan pays 100% of covered charges for the remainder of the plan year.

 

Per Pay Period Cost

 

 

 

 

Employee                    Employee                       Employee          

    Only                            Plus 1                        Plus 2 or more

 
Kaiser Permanente HMO   $372.56 $745.12

  $1,054.35

 

 

Contact the Provider

Kaiser Permanente Website

  • Phone: 800-464-4000
  • Group Number: 104301-02

Resources

 

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