The Kaiser Permanente HMO Plan
An HMO is a managed health care plan consisting of a network of physicians and other medical providers.
If you enroll in the Kaiser Permanente HMO Plan, all of you health care must be coordinated and approved by your HMO's primary care physician and received in-network.
Here are some of the features of the Kaiser Permanente HMP Plan:
| You Pay... | ||
|---|---|---|
| Annual Deductible | None | |
| Physician services (office visits) | $10 co-payment | |
| Physician services (inpatient) | $10 co-payment | |
| Physical exams (routine adult) | $10 co-payment for PCP $20 co-payment for specialist |
|
| Specialist care (office visits) | $20 co-payment | |
| Ambulance | None | |
| Prescription Drug Benefits | ||
| Kaiser facility 30-day Supply | Preferred Community Pharmacy 30-day supply | |
| Generic | $10 | $20 |
| Formulary Brand | $20 | $40 |
| Non - Formulary Brand | $35 | $55 |
| Maintenance drug mail order program available. | ||
| Annual Maximum Benefit | None |
| Annual Out-of-Pocket Maximum | None |
For a complete look at the features and benefits under the Kaiser Permanente HMO Plan, be sure to visit the Health Plan Comparison Chart.
Medical Plan Contacts
