Individual plans are for people who want to buy coverage for themselves outside of employer-sponsored coverage
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Popular Medical Plans for California:
Kaiser Platinum 90 HMO Kaiser Gold 80 HMO Kaiser Silver 70 HMO
Deductible: 0 (none) Deductible: 0 (none) Deductible: $2,500 per individual
Primary care visit: $15 Primary care visit: $30 Primary care visit: $35
Lab: $20 copay Lab: $35 copay Lab: $35 copay
Hospitalization: 10% coinsurance Hospitalization: 20% coins. Hospitalization: 20% coins. after deductible
Bronze plans (have lower premiums, but higher out of pocket expenses):
Kaiser Bronze 60 HMO
Primary care visit: $75 (first 3 visits)*
Lab: $40 copay
Hospitalization: 100% coinsurance
Get a detailed quote and compare with other insurance companies
Kaiser Health Plans available only through CoveredCa (subsidized based on income)
Kaiser Platinum 94 Kaiser Silver 87 Kaiser Silver 73 PPO
Deductible: $75 Deductible: $650 Deductible: $2,200 per individual
Primary care visit: $5 Primary care visit: $10 Primary care visit: $30
Lab: $8 copay Lab: $15 copay Lab: $35 copay
Hospitalization: 10% coinsurance Hospitalization: 15 % coins. Hospitalization: 20% coins.
This is not the complete list of coverage and is subject to change. For specific details of your plan, please refer to the summary of benefits or your evidence of coverage. The above deductible, primary care visit, lab and coinsurance are common when using the network providers. You will pay more if using out of network providers.
* The first 3 visits (orafterfirst visit) are available prior to meeting the calendar-year medical deductible and include a combination of primary care physician, urgent care, acupuncture, outpatient mental health, outpatient substance abuse and other practitioner visits Subsequent visits are subject to the calendar year medical deductible.
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