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 |