Everyone has different needs when determining the health plan that’s right for them. Kaiser Permanente plans feature a range of options so you can secure the coverage that’s right for you – each plan also includes dental and vision benefits. These plans feature an HMO network and include more comprehensive benefits than before with a range of deductible and network options to suit everyone’s budgets. Preventative care is fully covered under each plan when you visit an in-network doctor.
There are three options to choose from under the silver plans. Below is a general overview of the benefits under each plan:
Kaiser Permanente: KP VA Silver 1500/30/Dental
Click here to download the plan brochure
| Network Type – HMO (Health Maintenance Organization) | |||||
| Deductible | Out-of-Pocket Limit | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Individual | Family | ||
| $1,500 | $3,000 | $6,350 | $12,700 | Fully Covered |
Primary Care Physician – $30 Copay Specialist* – $50 Copay |
| Prescription Drug Coverage** – $250 deductible for brand drugs | |||
| Generic Drugs | Preferred Brand | Non-Preferred Brand | Specialty |
|
Retail: $15 Copay Mail Order: $30 Copay |
Retail: $45 Copay after deductible Mail Order: $90 Copay after deductible |
30% Coinsurance after deductible |
Rtail: $45 Copay after deductible Mail Order: $90 Copay after deductible |
Kaiser Permanente: KP VA Silver 1750/25%/HSA/Dental
Click here to download the plan brochure
| Network Type – HMO (Health Maintenance Organization) | |||||
| Deductible | Out-of-Pocket Limit | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Individual | Family | ||
| $1,750 | $3,500 | $5,000 | $10,000 | Fully Covered |
Primary Care Physician – 25% Coinsurance after deductible Specialist* – 25% Coinsurance after deductible |
| Prescription Drug Coverage** | |||
| Generic Drugs | Preferred Brand | Non-Preferred Brand | Specialty |
|
Retail: $15 Copay after deductible Mail Order: $30 Copay after deductible |
Retail: $45 Copay after deductible Mail Order: $90 Copay after deductible |
25% Coinsurance after deductible |
Retail: $45 Copay after deductible Mail Order: $90 Copay after deductible |
Kaiser Permanente: KP VA Silver 2500/30/Dental
Click here to download the plan brochure
| Network Type – HMO (Health Maintenance Organization) | |||||
| Deductible | Out-of-Pocket Limit | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Individual | Family | ||
| $2,500 | $5,000 | $6,350 | $12,700 | Fully Covered |
Primary Care Physician – $30 Copay Specialist* – $50 Copay |
| Prescription Drug Coverage** – $250 deductible for brand drugs | |||
| Generic Drugs | Preferred Brand | Non-Preferred Brand | Specialty |
|
Retail: $15 Copay Mail Order: $30 Copay |
Retail: $45 Copay after deductible Mail Order: $90 Copay after deductible |
30% Coinsurance after deductible |
Retail: $45 Copay after deductible Mail Order: $90 Copay after deductible |
*You will need a referral to see a specialist under these plans
**Prescriptions filled at retail pharmacies are limited to a 30-day supply per filling. Mail ordered prescriptions provide up to a 90-day supply per filling.
If you would like a free quote comparison or have any questions about health insurance plans, give us a call at 1-800-571-2980 or e-mail us at Info@terminsurancebrokers.com.