Showing Plans for Actives

Oregon/Washington

Traditional Plan

With your Traditional Plan, you get a wide range of care and support to help you stay healthy and get the most out of life. There are no deductibles to keep track of and no paperwork to worry about for the services you receive. And when you come in for care, you’ll pay just a copay for most services covered by your plan.

Simple copays for most covered services, including prescriptions
No paperwork to fill out or bills for the services you receive
No deductibles to keep track of
No referrals for certain specialties, like optometry and obstetrics-gynecology

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.

View Traditional – Plan 1 – downloads

Deductible Plan

With your Kaiser Permanente Deductible plan, you receive a wide range of care and support to help you stay healthy and get the most out of life. Even before you reach your deductible, most preventive care services—like routine physical exams, routine mammograms, and cholesterol screenings—are covered at little or no additional cost to you. For most other covered services, you’ll pay just a copay or coinsurance after you reach your deductible. All in all, it’s a financial and physical win-win.

Most preventive care services covered at little or no cost to you
Most other covered services are available at a copay with no deductible or coinsurance after you reach your deductible
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
An out-of-pocket maximum that puts a cap on how much you’ll spend on most covered services each calendar year
MANAGE YOUR PLAN WITH THE RIGHT TOOLS NOW

 

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.

View Deductible – Plan 2 and Plan 3 and Bronze Plan – downloads

Dental Plan

Today, dentists and doctors recognize that dental health is an important part of your overall health. Poor dental health can lead to serious health problems in other parts of your body if left unchecked. We offer this health plan because we want you to live your life to the fullest, with a healthy smile—so you can thrive.

You can add Kaiser Permanente dental to your medical plan for an integrated care experience. Your dentist can easily work with your doctor because they’re part of one system.

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.

View Dental – Plan 8 and Vision Riders – downloads

Traditional Plan Downloads

Plan 1

Effective 10/01/20 - 09/30/21
Evidence of coverage (EOC)
Summary of Benefits – Plan 1
Effective 10/01/19 – 09/30/20
Evidence of coverage (EOC)
Summary of Benefits - Plan 1
Deductible Plan Downloads

Plan 2, Plan 3 and Bronze Plan

Plan 2 - Effective 10/01/20 - 09/30/21
Evidence of coverage (EOC)
Summary of Benefits – Plan 2
Effective 10/01/19 – 09/30/20
Evidence of coverage (EOC)
Summary of Benefits - Plan 2
Plan 3 - Effective 10/01/20 - 09/30/21
Evidence of coverage (EOC)
Summary of Benefits – Plan 3
Effective 10/01/19 – 09/30/20
Evidence of coverage (EOC)
Summary of Benefits - Plan 3
Bronze Plan (high deductible) - Effective 10/01/20 – 09/30/21
Evidence of coverage (EOC)
Summary of Benefits – Bronze Plan
Effective 10/01/19 – 09/30/20
Evidence of coverage (EOC)
Summary of Benefits – Bronze Plan
Dental Plan Downloads

Dental Plan and Vision Riders

Effective 10/01/20 – 09/30/21
Evidence of coverage (EOC)
Adult & Pediatric Vision Riders
Effective 10/01/19 - 09/30/20
Dental Evidence of Coverage (EOC)
Adult Vision Rider
Pediatric Vision Rider