With your Plan, you receive a wide range of care and support to help you stay healthy and get the most out of life. You also have the option of setting up a tax-free health savings account (HSA) which you can use to pay for qualified medical expenses. All in all, it’s a financial and physical win-win.
To be eligible for an HSA, you must be enrolled in an HSA-qualified deductible health plan and meet other HSA eligibility rules. For more information, see IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, at irs.gov/publications. The tax references relate to federal income tax only. Consult with your financial or tax adviser for information about state income tax laws.
To view the list of qualified medical expenses defined under Internal Revenue Code Section 213(d), see IRS Publication 502, Medical and Dental Expenses, at irs.gov/publications.
Your Summary Plan Description (SPD) contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Summary Plan Description.
Your health benefits are self-insured by your employer, union, or Plan sponsor. Kaiser Permanente Insurance Company provides certain administrative services for the Plan and is not an insurer of the Plan or financially liable for health care benefits under the Plan.
If you are currently a Kaiser Permanente plan participant, and do not make a plan election during annual enrollment, you will automatically be enrolled in this plan. With your plan, you get a wide range of care and support to help you stay healthy and get the most out of life. When you receive care at an in-network provider, there are no deductibles to keep track of and no paperwork to worry about for the services you receive.
Your Summary Plan Description (SPD) contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Summary Plan Description.
Your health benefits are self-insured by your employer, union, or Plan sponsor. Kaiser Permanente Insurance Company provides certain administrative services for the Plan and is not an insurer of the Plan or financially liable for health care benefits under the Plan.
Out-of-Network Claims
If seeking out-of-network services, you must submit a medical claim form (see Supporting Documents section below) each time you use. You are responsible to pay the full amount due for medical services at the time of service. Except as otherwise provided by the plan, you must submit a request for payment of benefits within one year of the date the service is provided. Claims filed after one year from the date of service will be denied in full. If an out-of-network provider submits a claim on your behalf, you will be responsible for the timeliness of the submission.
For Extra Bucks balance, please call 844-533-2885.
