Kaiser Medical and Pharmacy

Kaiser Permanente (CA residents only)

Our Kaiser Permanente medical plans are only available to residents of California. These plans offer exclusive access to quality healthcare from Kaiser physicians at Kaiser facilities. These plans offer NO out-of-network coverage, except for emergency care. That means you will generally be responsible for 100% of the cost if you choose to see an out-of-network provider.

Plan Features Kaiser HDHP/HSA Kaiser HMO
In-Network
Deductible

Individual/Family
$1,700 / $3,400 $0 / $0
In-Network
Out-of-Pocket Maximum
Individual/Family
$3,400 / $6,800 $1,500 / $3,000
In-Network Preventive Services 100% covered 100% covered
Cost Structure
  • Lower per paycheck contributions, but you will pay more at the doctor.
  • Plan will not cover any non-preventive services before deductible is met.
  • After deductible is met, you will pay copays for most services.
  • Higher per paycheck contributions, but you will pay the least at the doctor. 
  • This plan has copays for most services, which make your out-of-pocket costs easy to plan for.

Referral Needed for Specialists?

Yes Yes
Out-of-Network Coverage* No No
Pre Tax Spending Account Compatibility? HSA
Limited Purpose FSA
Healthcare FSA
Hearing Aid Coverage Not available $3,000 per ear ($6,000 total) in a
36-mo period
NorCal Hearing Aid Coverage
SoCal Hearing Aid Coverage
More Plan Details?

*Kaiser will only cover out-of-network services in an emergency situation.

Additional Resources through Kaiser

As a Kaiser member, you have access to these additional resources. 

  • Kaiser Mobile App – Use the app on the go to email your doctor, refill prescriptions, and more.
  • Healthy Resources – Discounted rates for fitness classes, lifestyle programs, and other online wellness tools.
  • Partner with a Wellness Coach – Manage weight, reduce stress, increase activity, quit tobacco, eat healthier, etc.
  • Diabetes Care Management – Allows you to partner with a clinician on a more regular basis to help you learn the self-care skills you need to stay healthy and active, including Healthy Tips to Prevent Diabetes.
  • One Pass Select – Allows you to choose a fitness plan and get unlimited access to all gym locations within that plan, plus digital resources.
  • Need to access care while traveling outside of California? Learn more about options for traveling employees here.
  • Kaiser Self Care Apps – take advantage of mindfulness and meditation resources, like the Calm app.