Kaiser (California)

New Plan Option for 2022

Beginning January 1, 2022, employees in California will be offered an additional, less expensive, Kaiser HMO option – the Kaiser $2,850 Deductible Plan. See below for a short summary.

$2,850 Deductible with
HSA In-Network
Deductible (Single / Family) $2,850 / $5,700
Out-of-pocket Max
Single / Family
$5,500 / $11,000
Coinsurance 70%
Preventive Care Plan pays 100%
PCP Office Visit Plan pays 70% after deductible
Specialist Office Visit Plan pays 70% after deductible
Prenatal Office Visits Plan pays 100%
Urgent Care Visit Plan pays 70% after deductible
Lab/Radiology
Annual Preventive Plan pays 100%
Other
Plan pays 70% after deductible
(including maternity)
Emergency Room Plan pays 70% after deductible
Non-emergency care is not covered.
Hospitalization
(including maternity)
Plan pays 70% after deductible
Fertility benefits (includes artificial insemination, GIFT, ZIFT and in-vitro) Plan pays 70% after deductible
No lifetime maximum