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Kaiser health plans of Oregon

<Kaiser Permanente>

Kaiser Permanente Health Plans of Oregon is solely an HMO network. An HMO gives you access to certain doctors and hospitals within its network. If you use the Legacy network or any other network of providers and subscribe to Kaiser health insurance, you will not be covered by Kaiser Permanente Health Insurance. Premiums are typically higher than PPO plans, however, your out-of-pocket expenses are much lower. Kaiser is the most convienent plan for some consumers because most basic services are treated in one facility.

Platinum

  • No deductible. Maximum out of pocket of $5000
  • $25 copay for most services
  • $250 copay for outpatient surgery
  • $500 copay per day / maternity inpatient
  • Labs and Xray are coverd by a $25 copay
  • Rx coverage $15 copay or 50% coinsurance
  • Benefit Summary
  • Apply Online or Download Application (PDF)

Gold

  • $500 or $1000 deductible avaible
  • Maximum out of pocket of $5000 including deductible
  • 80/20 coinsurance after deductible
  • $25/$35 copay for primary care/ specialist
  • Rx coverage $15 copay or 50% coinsurance
  • Labs and Xray are coverd by a $25 copay
  • Benefit Summary
  • Apply Online or Download Application (PDF)

Silver

  • $1500, $2500 and $3500 deductible options
  • Maximum out of pocket of $10000 including deductible
  • $30 copay for primary care provider
  • 30% after deductible for specialist provider
  • 70/30 coinsurance after deductible
  • $15 copay or 50% Rx coverage
  • Benefit Summary
  • Apply Online or Download Application (PDF)

Bronze

  • Deductible choices of $5000 or $7500
  • Maximum out of pocket of $15000 including deductible
  • $35 copay for primary care provider
  • 50/50 coinsurance after deductible
  • Rx not covered
  • Labs and Xray covered 50%, deductible waived
  • Benefit Summary
  • Apply Online or Download Application (PDF)

HSA


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