Showing Plans for Active Employees

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, 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.

Point-of-Service Plan

One of the advantages of the POS Plan is flexibility. This freedom lets you decide how best to manage your health care and your costs. You’re free to choose where you go for care every time, so you can tailor your care to fit your needs with three providers options to choose from:

  • Tier 1: Kaiser Permanente provider
  • Tier 2: PHCS network provider
  • Tier 3: Nonparticipating provider
Three provider options to choose from
No deductible to satisfy when care is in-network
Freedom to see any licensed provider in the country, including specialists
An out-of-pocket maximum that limits how much you'll spend on most covered services each year
Convenient pharmacy options: use any Kaiser Permanente pharmacy or choose from nearly 60,000 MedImpact retail pharmacies nationwide

Your Certificate of Insurance contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Certificate of Insurance.

HDHP (HSA-Qualified HMO) Downloads
Effective 01/01/23 - 12/31/23
Effective 01/01/22 - 12/31/22
Point-of-Service Plan Downloads
Effective 01/01/23 - 12/31/23
Effective 01/01/22 - 12/31/22