{"id":17057,"date":"2024-09-28T18:49:31","date_gmt":"2024-09-28T23:49:31","guid":{"rendered":"https:\/\/confluentbenefits.com\/united-states\/?page_id=17057"},"modified":"2025-12-23T15:52:50","modified_gmt":"2025-12-23T21:52:50","slug":"kaiser-medical","status":"publish","type":"page","link":"https:\/\/confluentbenefits.com\/united-states\/kaiser-medical\/","title":{"rendered":"Kaiser Medical (CA Only)"},"content":{"rendered":"\t\t
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Kaiser Medical and Pharmacy<\/h1>\n

Kaiser Permanente (CA residents only)<\/h2>\n

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<\/a>. 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.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Plan Features<\/strong><\/th>\nKaiser HDHP\/HSA<\/strong><\/th>\nKaiser HMO<\/th>\n<\/tr>\n<\/thead>\n
In-Network
Deductible<\/strong>
Individual\/Family<\/td>\n		$1,700 \/ $3,400<\/td>\n$0 \/ $0<\/td>\n<\/tr>\n
In-Network
Out-of-Pocket Maximum
<\/strong>Individual\/Family<\/td>\n		$3,400 \/ $6,800<\/td>\n$1,500 \/ $3,000<\/td>\n<\/tr>\n
In-Network Preventive Services<\/strong><\/td>\n100% covered<\/td>\n100% covered<\/td>\n<\/tr>\n
Cost Structure<\/strong><\/td>\n\n
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  • Lower per paycheck contributions, but you will pay more at the doctor.<\/li>\n
  • Plan will not cover any non-preventive services before deductible is met.<\/li>\n
  • After deductible is met, you will pay copays for most services.<\/li>\n<\/ul>\n<\/td>\n
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  • Higher per paycheck contributions, but you will pay the least at the doctor.\u00a0<\/li>\n
  • This plan has copays for most services, which make your out-of-pocket costs easy to plan for.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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Referral Needed for Specialists?<\/strong><\/p>\n<\/td>\n

Yes<\/td>\nYes<\/td>\n<\/tr>\n
Out-of-Network Coverage*<\/strong><\/td>\nNo<\/td>\nNo<\/td>\n<\/tr>\n
Pre Tax Spending Account Compatibility?<\/strong><\/td>\nHSA<\/a>
Limited Purpose FSA<\/a><\/td>\n		Healthcare FSA<\/a><\/td>\n<\/tr>\n
Hearing Aid Coverage<\/strong><\/td>\nNot available<\/td>\n$3,000 per ear ($6,000 total) in a
36-mo period
NorCal Hearing Aid Coverage<\/a>
SoCal Hearing Aid Coverage<\/a><\/td>\n<\/tr>\n
More Plan Details?<\/strong><\/td>\n\n
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