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KAISER PERMANENTE HEALTH

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Kaiser Permanente

 

Kaiser Permanente is made up of three distinct but interdependent groups of entities: the Kaiser Foundation Health Plan, Inc. (KFHP) and its regional operating subsidiaries; Kaiser Foundation Hospitals; and the regional Permanente Medical Groups.

Industry: Healthcare

Area served: California

Kaiser Permanente hospitals · ‎Henry J. Kaiser · ‎Integrated delivery system

INDIVIDUAL & FAMILY

For Individual & Family Agency  Lic/ Info in App. Download the application fill out and send it by mail to KAISER PERMANENTE or Apply Online!

3D Scans

KP AGENCY ID:389082

KAISER PERMANENTE PLANS FOR YOU BELOW!

  1. What is your Zip Code and County?

  2. SELF OR OTHER?

  3. DATE OF BIRTH (MM/DD/YYYY)

  4. Gender

  5. Get Your Quote & Compare

How to determine your need's..Home pic
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  • APPLY ONLINE HERE
  • PLANS TO FIT YOUR NEEDS INSIDE BUDGET
  • PERSONALIZED QUOTE
  • ENSURE COVERAGE PLANS TODAY

Your Z P Code And
Your Health Plan

HOW TO DETERMINE YOUR NEEDS
ONLINE

Improving the future of health care. Research, clinical trials, and innovative solutions are driving the evolution of specialty care at Kaiser Permanente. 

 

Your personal care team >

Our doctors, hospitals, and health plans are all connected — collaborating seamlessly across specialties so you can stay at your best.

Personalized health care that centers around. Our product portfolio offers individuals and families a wide choice of health plans ranging from copayment, coinsurance, deductible and deductible plans with health savings account (HSA) options. 

Kaiser Permanente offers affordable and high quality care using convenient virtual options including video visits, e-visits, phone, and email, so members can get care when it works best for them. Plus, your clients are cared for by the same doctors and clinicians who care for them in our facilities, so they get coordinated care from a team who knows their health history.

View the CA Virtual Care Flyer to learn more.

 

Each legal agreement below describes the health plan's contract coverage, services and benefits. 

Combined Membership Agreement, Evidence of Coverage and Disclosure Forms: from January 1, 2023 to December 31, 2023

Broker Portal

Bronze plans

Kaiser Permanente-Bronze 60 HDHP HMO (PDF)

English (PDF)

Kaiser Permanente-Bronze 60 HMO (PDF)

English (PDF)

Kaiser Permanente-Bronze 60 HMO 8200/0%

English (PDF)

Open PDF to see full information.

California 2022 Individual and Family Plans and Products.
Kaiser Permanente offers affordable, high quality care using convenient virtual options including video visits, e-visits, phone, and email, so members can get care when it works best for them. Plus, your clients are cared for by the same doctors and clinicians who care for them in our facilities, so they get coordinated care from a team who knows their health history. With Kaiser Permanente, your clients get more than health coverage. 
Bronze Plans
Girl in Pharmacy

order- Up to a 100-day supply of qualified prescriptions for the cost of a 60-day supply.

promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage. Additional fees you pay won't count toward your deductible or out-of-pocket maximum.

Silver plans

Kaiser Permanente-Silver 70 HMO Off Exchange

English (PDF)

Kaiser Permanente-Silver 70 HMO 2850/50

English (PDF)

Kaiser Permanente-Silver 70 HDHP HMO 3250/20%

English (PDF)

Open PDF to see full information.

Kaiser Permanente members get more than just a plan that fits their budget — they get the high-quality care and coverage they need to thrive. Our plans make it easy for individuals and families to get the care they need — at the prices they can afford — when and where they want it. Life keeps you busy. So we make it easy to compare health plan options, get a quote, and apply online. You’ll be done in no time.
You may qualify for our Charitable Health Coverage.

Silver Plans
Hospital Employees

Gold plans

Kaiser Permanente-Gold 80 HMO Coinsurance

English (PDF)

 
Kaiser Permanente-Gold 80 HMO

English (PDF)

Open PDF to see full information.

Kaiser Permanente-Gold 80 HMO
 
  • Cost share Summary
 
  • Accumulation Period
 
  • Deductibles & Out of Pocket Maximums
 
  • Administered Drugs & Products
 
  • Ambulance Services
 
  • Dialysis Care & More Covered Services
Gold Plans
Glasses Fitting
Optical promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage. Additional fees you pay won't count toward your deductible or out of pocket maximum.

Platinum plans

Kaiser Permanente-Platinum 90 HMO

English (PDF)

For California - Change or loss of income

  • For new applicants enrolling with Covered California, your coverage will start on the first day of the month following receipt of your requested documents.

 

Kaiser Permanente-Platinum 90 HMO
 
  • Cost share Summary
 
  • Accumulation Period
 
  • Deductibles & Out of Pocket Maximums
 
  • Administered Drugs & Products
 
  • Ambulance Services
 
  • Dialysis Care & More Covered Services
Platinum Plans
Loving Son

Mail order: Up to a 100-day supply of qualified prescriptions for the cost of a 60-day supply.

 

Optical promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage.

 

Additional fees you pay won't count toward your deductible or out-of-pocket maximum.

Minimum coverage

Kaiser Permanente-Minimum Coverage HMO

English (PDF)

Open PDF to see full information.

Charitable Health Coverage

 

  1. You may qualify for our Charitable Health Coverage if you don’t qualify for public or private coverage like Medicaid/Medi-Cal.

  2. Read about program requirements in your state.

Minimum coverace

Está a solo unas preguntas de obtener una cotización personalizada

Sus respuestas nos ayudarán a cotizar las mejores opciones de planes para individuo y familia en su área. Si es un miembro actual de un plan para individuo y familia, no podrá cambiar de plan en este sitio web. 

Elija un plan de salud que se adapte a su vida

La vida lo mantiene ocupado. Así que le hacemos más fácil encontrar el plan de salud adecuado. Cuando elige Kaiser Permanente, obtiene atención médica sencilla, personalizada y sin complicaciones desde el inicio. Solo toma unos cuantos minutos comparar opciones, obtener una cotización e inscribirse en línea, y volver a hacer lo que le encanta.

Planes para Individuo y Familia

Planes de Bronze

 
Kaiser Permanente-Bronze 60 HDHP HMO
English (PDF)
 
Kaiser Permanente- Bronze 60 HMO
English (PDF)
 
Kaiser Permanente-Bronze 60 HMO 8200/0%
English (PDF)
  • Resumen de costos compartidos
 
  • Período de Acumulación
 
  • Deducibles y gastos máximos de bolsillo
 
  • Medicamentos y productos administrados
 
  • Servicios de ambulancia
 
  • Atención de diálisis 
 
  • más servicios cubiertos

Open PDF to see full information.

URGENT CARE

Nurse Talking to Patient

 

The Kaiser Permanente Bronze 60 HMO plan includes three office visits for the benefit copay before you reach your deductible.

Office visits include primary, specialty, urgent, or outpatient mental health and substance use care.

 

Mail order: Up to a 100-day supply of qualified prescriptions for the cost of a 60-day supply.

Optical promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage.

 

Additional fees you pay won't count toward your deductible or out of pocket maximum.

Urgent Care
Planes De Bronce
Tablet Cover and Glasses
KAISER FOUNDATION HEALTH PLAN, INC.
Northern & Southern California Regions.

Kaiser Permanente

Planes de Plata Kaiser

Permanente- Plata 70 HMO sin intercambio. (Off exchange)
English (PDF)

Kaiser Permanente-  70 HMO 2850/50
English (PDF)

Kaiser Permanente-Silver 70 HDHP HMO 3600/20%
English (PDF)
  • Resumen de costos compartidos
 
  • Período de Acumulación
 
  • Deducibles y gastos máximos de bolsillo
 
  • Medicamentos y productos administrados
 
  • Servicios de ambulancia
 
  • Atención de diálisis 
 
  • más servicios cubiertos
Planes de Plata.
Stethoscope on the Cardiogram

Mail order: Up to a 100-day supply of qualified prescriptions for the cost of a 60-day supply.

Optical promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage. Additional fees you pay won't count toward your deductible or out of pocket maximum.

Charitable Health Coverage!

 

CHC programs provide health care coverage to low-income individuals and families who don’t have access to other public or private health coverage.

  • Enrollment in a Kaiser Permanente Individuals and Families health plan

  • A Kaiser Permanente subsidy to help pay your monthly premiums and most out-of-pocket medical costs for most care at Kaiser Permanente facilities

Do you qualify for CHC?

 

To qualify for Kaiser Permanente’s CHC you must meet certain requirements. For instance, you must live in our service area, and have a certain income based on the Federal Poverty Level Guidelines.

Charitable Health Coverage.
Keyboard and Mouse
Taking Care of the Kids

¿Califica usted para el Child Health Program?

charley-infographic-01.png
Certified_Agent_Horiz_Logo_color.png
¿Califica usted para el Child Health Program?

Sus hijos son elegibles para participar en el Child Health Program de Kaiser Permanente si no tienen seguro médico.

VEA NUESTRO FOLLETO DE ELIGIBILIDAD AQUí...

  • Viven en un área de servicio de Kaiser Permanente que tiene inscripciones abiertas,

  • Tienen 18 años o menos?

  • Viven en un hogar cuyo ingreso no sea mayor a 3 veces el nivel federal de pobreza (por ejemplo, hasta $38,640 por una sola persona o $79,500 para una familia de 4, en 2021).

  • No ser elegible para otra cobertura médica como Medi-Cal, Medicare, un plan de salud patrocinado por el empleador o cobertura a través de Covered California.

No es necesario que sus hijos sean ciudadanos de EE. UU. para calificar para el Child Health Program.

¿Necesita más información? Consulte nuestro folleto.

Planes de Oro

Planes de Oro Co-Seguro de Kaiser Permanente

 

Oro 80 HMO co-seguro

English (PDF)

 

Oro 80 HMO 

English (PDF)

  • While the medical deductible applies mostly to inpatient services, the majority of services have copays and are not subject to the deductible 

  • All covered services contribute to the out of pocket maximum 

  • Preventive care services, such as routine physical exams & mammogram screenings, are at no charge

Planes de Oro.
Signing a Contract

Mail order: Up to a 100-day supply of qualified prescriptions for the cost of a 60-day supply.

Optical promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage. Additional fees you pay won't count toward your deductible or out-of-pocket maximum.

Planes Platino

Kaiser Permanente

 

Platinum 90 HMO

English (PDF)

 

Cobertura mínima Kaiser Permanente.

Many services have a $35 copay, there is no deductible and all covered services contribute to the out-of-pocket maximum 

 

  • Preventive care services, such as routine physical exams & mammogram screenings, are at no charge

Planes de Platino.
Pharmacist

After 5 days, there is no charge for covered services related to the admission.

Mail order: Up to a 100-day supply of qualified prescriptions for the cost of a 60-day supply.

Optical promotions and other services shown may be provided by groups other than Kaiser Permanente, and aren't offered or guaranteed under your coverage. Additional fees you pay won't count toward your deductible or out-of-pocket maximum.

Performing Surgery

When you sign up for coverage during a special enrollment period, the date your coverage starts will be different depending on:

  • What your qualifying event is

  • The date we get your requested documents (application, Account Change Form, or subsidy eligibility form)

  • Where you live? Your Zip code is important

Policy Of Use.
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