Showing Plans for Active Employees

California – Northern (view another region)

HSA-Qualified Deductible HMO Plan

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. 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.

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
The option to set up a tax-free HSA, which you can use anytime to pay for qualified medical expenses
An out-of-pocket maximum that puts a cap on how much you’ll spend on covered services each calendar year
MANAGE YOUR PLAN WITH THE RIGHT TOOLS NOW

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 in this document 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 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.

Traditional HMO Plan

With your Kaiser Permanente health 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 virtually 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 required for certain specialties, such as 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.

HSA-Qualified Deductible HMO Plan Downloads

Effective 7/1/17 – 6/30/18

HDHP Plan
Supporting benefits
Traditional HMO Plan Downloads

Effective 7/1/17 – 6/30/18

HMO 10
HMO 20
Supporting benefits