HMO copayment plans

Advantages

A healthier workforce is within reach with our HMO plans. Members can access high-quality primary and specialty care, plus lab, X-ray, and pharmacy servicesoften under one roof. The plan offers members:

  • Predictable copayments — there are no deductibles and members can select from a range of copayment options.
  • Out-of-pocket maximums — being able to manage health care spending gives members financial peace of mind.
  • Coordinated services — physicians, pharmacy, and labs in one location save employees time and clients money.
  • Preventive care — members get broad coverage and a choice of primary care physicians at any convenient Kaiser Permanente facility.
  • Pharmacy coverage — drug benefits at multiple copayment levels, plus online prescription refill and home deliveryat no additional charge.
  • Disease management — health screenings and online educational resources help members manage chronic conditions and encourage a healthy, active lifestyle.
  • Online tools and services — all members can access industry-leading online tools like My health manager to e-mail their doctor, view test results, or make appointments.
  • Worldwide coverage — members get urgent and emergency care anywhere in the world.
  • Additional benefits —  supplemental benefit options round out the benefits package for total health and wellness.

For more information, please contact your sales representative.

Benefit highlights

Here are a few of our most popular HMO plans.

Features HMO High 10 Deductible HMO XP HMO High 15/20/25 HMO Mid 30/40
Calendar year deductible
(individual/family)
None None None None
Office visits $10 $15 $15/$20/$25 $30/$40
Hospital services
(inpatient per admission)
No charge $500 per day $250 $500
Generic prescription drugs
(supply as noted)
$10
(30 days)
$10
(30 days)
$10
(30 days)
$15/$10
(100 days)
Brand prescription drugs
(supply as noted)
$20
(30 days)
$30
(30 days)
$25/$30/$30
(30 days)
$35
(100 days)
Out-of-pocket maximum
(individual/family)
$1,500/$3,000 $3,000/$6,000 $1,500/$3,000 $1,500/$3,000

Complete Suite quotes are available


Contact your Kaiser Permanente representative
for more information.