Showing Plans for Active Employees

Deductible HMO Plan

With 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. Even before you reach your deductible, most preventative care services —like routine physical exams, mammograms, and cholesterol screenings–are covered at little to no cost to you.

For most covered services, you’ll pay just the copy or coinsurance after you reach your deductible.

To learn more, watch our short, 2-minute DHMO video.

Or just take a look at our DHMO plan overview.

Simple copays for most covered services, including prescriptions
Most preventive care services covered at little or no cost to you. After you reach your deductible, most other covered services available at a copay or coinsurance
No referrals for many specialties such as obstetrics-gynecology
An out-of-pocket maximum that puts a cap on how much you’ll spend on most covered services each calendar year

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.

HDHP (HSA-Qualified HMO)

With your Kaiser Permanente HDHP, you receive a wide range of care and support to help you get healthy and stay healthy.

Most preventive services are covered at little or no cost and there are no referrals required for many specialties.

With the HDHP, coinsurance helps limit your costs for many types of care, while your out-of-pocket maximum puts a cap on how much you’ll pay for covered services each calendar or plan year.

To learn more, watch our short, 2-minute HDHP video.

Or just take a look at our HDHP Plan overview.

Most preventive care services covered at little or no cost to you
No referrals required for many specialties such as 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

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 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 Downloads
Effective 07/01/17 - 06/30/18
HDHP (HSA-Qualified HMO) Downloads
Effective 07/01/17 - 06/30/18
Supporting documents