Coverage Offered

Your employer offers two health plans through Kaiser Permanente. The table below provides a brief comparison of the two plans. The low plan referenced here is the new low plan made effective July 1, 2020.

Kaiser Permanente	High Plan	Low Plan
Out-of-Pocket Maximum	$3,000	$6,500
Plan Deductible	None	$4,500
Primary Care Visits	$20	$50 after deductible
Most X-rays and laboratory tests	$10	40% after deductible
Hospitalization Services	$500/day	40% after deductible
Prescriptions: generic/ brand-name	$10/$30	$15/$35

 

For more information on the plan coverage details please view the benefit plan summary

HIGH PLAN		LOW PLAN
English	Spanish	English	Spanish

Ready to Sign Up: Click here to download the Kaiser Permanente Health Insurance Enrollment Form.

The Low Plan

There will be a new low plan available effective July 1, 2020 to replace the prior low plan. The new low plan comes with some notable improvements. The plan deductible has decreased by $1,000 and this new plan will allow you to obtain prescription drugs prior to the plan deductible.

How to Compare Plans

• Deductible: This is how much you have to spend for covered health services before the insurance company pays for services
• Copayments and Coinsurance: after you have satisfied the plan deductible this is the amount you will pay each time you receive medical services
• Out-of-Pocket Maximum: This is generally the maximum amount you will pay in a calendar year for copays, coinsurance, prescriptions, and other qualified health care expenses (excluding your premium)