| Zip: 92804 |
Apply
|
Apply
|
| Monthly Total |
2134.14 |
2352.36 |
| Plan Name |
Silver 70 HDHP HMO 3600/25% PCP
|
Silver 70 HMO 2850/50 PCP
|
| Deductible |
$3600 ($7200 family)
|
$2850 ($5700 family)
|
| Coinsurance |
75% coverage for most services
|
Fixed copayments for most services
|
| Out of Pocket Max |
$7000 ($14,000 family)
|
$8900 (17,800 family)
|
| Ambulance |
75% coverage (ded applies)
|
$250 copayment after deductible
|
| Chiropractic |
Not covered
|
Not covered
|
| Durable Medical Equipt |
75% coverage (ded applies)
|
65% coverage (ded waived)
|
| Emergency Room |
75% coverage (ded applies)
|
$350 copay (ded applies)
|
| Hospital Stay |
75% coverage (ded applies)
|
65% coverage (ded applies)
|
| Lab & X-ray |
75% coverage (ded applies)
|
Lab $30 after ded/x-ray $70 after ded
|
| Office Visit |
75% coverage (ded applies)
|
$50 copayment
|
| Specialist |
75% coverage (ded applies)
|
$80 copayment
|
| Physical Therapy |
75% coverage (ded applies)
|
$50 copayment
|
| Outpatient Surgery |
75% coverage (ded applies)
|
$400 copay
|
| Psych (Inpatient) |
75% coverage (ded applies)
|
65% coverage (ded applies)
|
| Psych (Outpatient) |
75% coverage (ded applies)
|
$50 copayment
|
| Rx Tier 1 |
75% cov to $250 per Rx (med ded applies)
|
$20 copayment
|
| Rx Tier 2 |
75% cov to $250 per Rx (med ded applies)
|
$75 copay (after $450 Rx ded)
|
| Rx Tier 3 |
75% cov to $250 per Rx (med ded applies)
|
$75 copay (after $450 Rx ded)
|
| Rx Tier 4 |
75% cov to $250 per Rx (med ded applies)
|
65% cov up to $250 per Rx (after $450 Rx ded)
|
| Links |
Brochure
Providers
Formulary
|
Brochure
Providers
Formulary
|
| Subscriber (55) |
762.68
|
840.67
|
| Spouse (53) |
697.70
|
769.04
|
| Child (22) |
342.01
|
376.98
|
| Child (20) |
331.75
|
365.67
|
| Annual Premium Tota |
$ 25,610 |
$ 28,228 |
| Annual Max Exposure |
$ 32,610Family: $ 39,610 |
$ 37,128Family: $ 46,028 |
| Rate | Metal | Network | Plan | Deductible | Coinsurance | OOP Max | Office Visit | Specialist | Rx Tier 1 | Rx Tier 2 | Rx Tier 3 | Rx Tier 4 |
| 3,150.51 |
Platinum |
Kaiser Permanente |
Platinum 90 HMO 0/10 (shop) |
None |
Fixed copays for most services |
$3000/$6000 family |
$10 copayment |
$20 copayment |
$5 copayment |
$15 copayment |
$30 copayment |
90% cov up to $250 per Rx
|
| 3,086.68 |
Platinum |
Kaiser Permanente |
Platinum 90 HMO 0/20 (shop) |
None |
Fixed copays for most services |
$4500/$9000 family |
$20 copayment |
$30 copayment |
$5 copayment |
$20 copayment |
$20 copayment |
90% cov up to $250 per Rx
|
| 3,085.43 |
Platinum |
Kaiser Permanente |
Platinum 90 HMO 250/30 (shop) |
$250 ($500 family) |
Fixed copays for most services |
$3250/$6500 family |
$30 copay |
$50 copay (after ded) |
$10 copayment |
$20 copayment |
$20 copayment |
90% cov up to $250 per Rx
|
| 3,368.60 |
Platinum |
Kaiser Permanente |
Platinum 90 0/10 KP HMO Plus |
None |
Fixed copays for most services |
$3000/$6000 family |
$10 copayment |
$20 copayment |
$5 copayment |
$15 copayment |
$15 copayment |
90% cov up to $250 per Rx
|
| 2,954.27 |
Gold |
Kaiser Permanente |
Gold 80 HMO 0/40 (shop) |
None |
Fixed copays for most services |
$8500/17,000 family |
$40 copayment |
$60 copayment |
$15 copayment |
$50 copayment |
$50 copayment |
80% coverage to $250 max
|
| 2,906.97 |
Gold |
Kaiser Permanente |
Gold 80 HMO 250/35 (shop) |
$250 ($500 family) |
Fixed copays for most services |
$7800/15,600 family |
$35 copayment |
$55 copayment |
$15 copayment |
$40 copayment |
$40 copayment |
80% coverage to $250
|
| 2,862.91 |
Gold |
Kaiser Permanente |
Gold 80 HMO 500/35 (shop) |
$500 ($1000 family) |
Fixed copays for most services |
$8000/16,000 family |
$35 copayment |
$60 copayment |
$15 copayment |
$50 copayment |
$50 copayment |
80% coverage to $250
|
| 2,770.56 |
Gold |
Kaiser Permanente |
Gold 80 HMO 1000/40 (shop) |
$1000 ($2000 family) |
Fixed copays for most services |
$8200/16,400 family |
$40 copayment |
$60 copayment |
$15 copayment |
$50 copay (after $250 Rx ded) |
$50 copay (after $250 Rx ded) |
80% coverage to $250 (after $250 Rx ded)
|
| 2,526.89 |
Gold |
Kaiser Permanente |
Gold 80 HSA HMO 1950/15 (shop) |
$1900/34000/$3800 family |
55% coverage for most services |
$4500/$9000 family |
85% coverage (after ded) |
85% coverage (after ded) |
$15 copay after ded |
$15 copay after ded |
$15 copay after ded |
$15 copay after ded
|
| 2,535.00 |
Gold |
Kaiser Permanente |
Gold 80 HRA HMO 2250 |
$2250/$4500 family |
75% coverage for most services |
$8500/17,000 family |
$35 copayment |
$50 copayment |
$15 copayment |
$30 copayment (aftr $100 Rx ded) |
$30 copayment (aftr $100 Rx ded) |
80% cov up to $250 per Rx after $100 Rx ded
|
| 3,124.37 |
Gold |
Kaiser Permanente |
Gold 80 250/35 KP HMO Plus |
$250 ($500 family) |
Fixed copays for most services |
$7800/15,600 family |
$35 copayment |
$55 copayment |
$15 copayment |
$40 copayment |
$40 copayment |
80% coverage to $250
|
| 2,340.12 |
Silver |
Kaiser Permanente |
Silver 70 HMO 2000/65 (shop) |
$2000/$4000 family |
55% coverage for most services |
$8900/178000 family |
$65 copayment |
$100 copayment |
$20 copay |
$100 copayment |
$100 copayment |
80% cov $250 max ben (after medical ded)
|
| 2,375.88 |
Silver |
Kaiser Permanente |
Silver 70 HMO 2300/65 (shop) |
$2300/$4600 family |
55% coverage for most services |
$9100/18,200 family |
$65 copayment |
$100 copayment |
$20 copay |
$100 copay (after $500 Rx ded) |
$100 copay (after $500 Rx ded) |
80% cov $250 max (after $500 Rx ded)
|
| 2,391.79 |
Silver |
Kaiser Permanente |
Silver 70 HMO 2500/55 (shop) |
$2500/$5000 family |
Fixed copays for most services |
$8750/17,500 family |
$55 copayment |
$90 copayment |
$19 copay |
$85 copay (after $300 Rx ded) |
$85 copay (after $300 Rx ded) |
65% cov $250 max (after $300 Rx ded)
|
| 2,295.13 |
Silver |
Kaiser Permanente |
Silver 70 HMO 3100/75 (shop) |
$3100/$6200 family |
Fixed copays for most services |
$9800/19,600 family |
$55 copayment |
$10 copayment |
20 copay |
$100 copayment |
$100 copayment |
65% cov $250 max (after $300 Rx ded)
|
| 2,217.20 |
Silver |
Kaiser Permanente |
Silver 70 HSA HMO 2850/25 (shop) |
$3200 or $3400 ($6400 family) |
75% coverage for most services |
$7500/15,000 family |
75% coverage (ded applies) |
75% coverage (ded applies) |
75% coverage to $250 (med ded applies) |
75% coverage to $250 (med ded applies) |
75% coverage to $250 (med ded applies) |
75% coverage to $250 (med ded applies)
|
| 2,158.29 |
Bronze |
Kaiser Permanente |
Bronze 60 HMO 5800/60 (shop) |
$5800/$11,600 family |
60% coverage for most services |
$9800/19,600 family |
$60 copay (ded waived) |
$95 copayment (ded applies) |
$25 copay |
60% coverage to $500 ($450 Rx ded applies) |
60% coverage to $500 ($450 Rx ded applies) |
60% coverage to $500 ($450 Rx ded applies)
|
| 2,092.02 |
Bronze |
Kaiser Permanente |
Bronze 60 HMO HSA (shop) |
$6650/$13,300 family |
100% coverage for most services |
$6650/$13,300 family |
100% coverage (after deductible) |
100% coverage (after deductible) |
100% coverage (after deductible) |
100% coverage (after deductible) |
100% coverage (after deductible) |
100% coverage (after deductible)
|
| 6,280.37 |
Platinum |
Kaiser PPO |
Platinum 90 PPO 0/15 |
None |
90% coverage for most services |
$4500/$9000 family |
$15 copayment |
$30 copayment |
$10 copayment |
$25 copayment |
$25 copayment |
90% cov up to $250 per Rx
|
| 5,758.96 |
Gold |
Kaiser PPO |
Gold 80 PPO 350/25 |
$350 ($700 family) |
80% coverage for most services |
$7800/15,600 family |
$25 copayment |
$50 copayment |
$15 copayment |
$50 copayment |
$50 copayment |
80% coverage to $250 (ded waived)
|
| 4,887.85 |
Silver |
Kaiser PPO |
Silver 70 PPO 2500/55 |
$2500/$5000 family |
65% coverage for most services |
$8750/17,500 family |
$55 copayment |
$90 copayment |
$19 copay |
$85 copay (after $300 Rx ded) |
$85 copay (after $300 Rx ded) |
70% cov $250 max (after $300 Rx ded)
|
| 4,450.18 |
Bronze |
Kaiser PPO |
Bronze 60 PPO 5800/60 |
$5800/$11,600 family |
60% coverage for most services |
$9800/19,600 family |
$60 copayment |
$95 copay first 3 visits then deductible applies |
$20 copay |
60% cov $500 max after $450 Rx ded |
60% cov $500 max after $450 Rx ded |
60% cov $500 max after $450 Rx ded |