Medical Plans From Kaiser California

$0/$2,700 Deductible Plan with HSA

Features:	Member pays out of pocket:
Medical calendar year deductible	$2700 individual/$5450 family
Annual out of pocket expense maximum	$2700 individual/$5450 family
Lifetime benefit maximum	none

Plan provider office visits

Primary and specialty care visits

no charge per visit after deductible is met (Includes routine and urgent care appointments)

Well child visits-0-23 months

no charge per office visit after deductible is met

Family planning visits

no charge per visit after deductible is met

Scheduled prenatal care

no charge for member

First postpartum visit

no charge after deductible is met

Eye examinations

no charge after deductible is met

Hearing test

no charge after deductible is met

Chiropractic

not covered

Physical, speech, occupational

no charge after deductible is met

Outpatient Services

Outpatient surgery	no charge after deductible is met
Injection for allergies	no charge after deductible is met
Immunizations	none
X-rays and labs	no charge after deductible is met

Health education

Individual visits	no charge after deductible is met
Group visits	no charge after deductible is met

Hospitalization

Room and board, surgery, anesthesia, X-rays, lab tests, and medications

no charge after deductible is met

Emergency Services

Emergency Room visits	no charge after deductible is met
Emergency Ambulance	no charge per ambulance request after deductible is met

Prescription Drug Coverage

Generic	no charge up to 100 day supply per prescription after deductible
Brand name drugs	no charge up to 100 day supply after deductible is met

Durable medical equipment

DME in home	not covered
Prosthetic and orthotic devices	none

Mental health services

Inpatient psychiatry	no charge after deductible is met
Outpatient visits individual	no charge after deductible is met up to 20 per calendar year
Group therapy	no charge up to 20 per calendar year after deductible is met
Inpatient chemical dependency detoxification	no charge after deductible
Outpatient individual therapy	no charge after deductible is met
Outpatient group therapy visits	no charge after deductible is met
Transitional residential recovery service	no charge after deductible is met (Up to 60 days per calendar year, not to exceed 120 days in any five-year period)

Home health services

Home health	no charge for member after deductible is met (100 two hr visits per calendar year)
Nursing facility	no charge after deductible (up to 100 days per benefit period)
Hospice care	no charge after deductible

Other Kaiser Permanente California Articles

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