Health & Welfare Plan
Health and Welfare Benefit Summaries
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Covered Features
Kaiser Permanente is one of the medical plans available to eligible participants in certain areas of California. -
Contact Information
Phone: (800) 464-4000
Website: kp.org -
Choice of Providers
You must use Kaiser Permanente facilities and providers for all services with an exception for bona fide medical emergencies. -
Calendar Year Maximum
None -
Out-of-Pocket Maximums
$1,500 Individual
$3,000 for two or more family members -
Doctor Visits – Office
Your copayment is: $25 per visit -
Hospital Visits
$250 co-pay per admission -
Lab & X-Rays
$10 co-pay per service -
Routine Physicals
$25 co-pay per visit -
Ambulance Services
$50 per trip -
Emergency Room
$100 co-pay per visit; waived if admitted -
Prescription
For Prescription benefits, click here. -
Inpatient Psychiatric Care
$250 co-pay per admission -
Inpatient Alcohol and Substance Abuse Care
$250 co-pay per admission for detoxification $100 co-pay per admission for transitional residential recovery servicesMaximum of 60 days per calendar year, not to exceed 120 days in any 5 year period