Showing Plans for Active employees

California – Northern

Deductible HMO Plan with HRA

With your Kaiser Permanente health plan, you receive a wide range of care and support to help you stay healthy and get the most out of life. Your employer also provides you with a tax-free health reimbursement arrangement (HRA), which you can use to pay for qualified medical expenses.  All in all, it’s a financial and physical win-win.

After you reach your deductible, most covered services available at a copay or coinsurance
Most preventive care services covered at little or no cost to you
No referrals required for certain specialties, like optometry and obstetrics-gynecology
Personalized online cost estimates that give you an idea of what you’ll pay for scheduled services
A tax-free HRA featuring funds contributed by your employer, which you can use to help pay for qualified medical expenses
An out-of-pocket maximum that puts a cap on how much you’ll spend on most covered services each calendar year

The tax references above relate to federal income tax only. Consult with your financial or tax adviser for information about state income tax laws.

Depending on the type of HRA your employer offers, the qualified medical expenses that you can pay for with your HRA may vary. Check with your employer’s plan administrator for details. 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

Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.

Deductible HMO Plan with HRA Downloads
Effective 09/01/13 - 05/31/14