Kaiser Permanente Everyday Care plans

With Kaiser Permanente Everyday Care plans, members have access to a variety of essential health care services — no need to fulfill a copay or meet a deductible first.

Plan benefits

Robust benefits at an affordable cost

Competitive plan pricing at a similar monthly rate as our most popular deductible HMO health plans.

Eliminates barriers to care

A simpler plan design results in fewer questions. Your employees are more likely to keep up with screenings and preventive care, leading to a healthier and more productive team. Kaiser Permanente Everyday Care makes it easier to treat emerging issues, effectively spot and manage chronic conditions, and improve overall wellness.

Addresses business health care challenges

A plan that's easy to navigate within an integrated system like Kaiser Permanente means your employees can plan for care and develop a meaningful relationship with their care team. They have access to no-cost mental health support and won't have to delay care for newly diagnosed chronic conditions. And virtual care is covered, so they can get seen on their schedule. Offering your employees both convenience and predictable costs will help your workplace benefit from better health and less absenteeism.

How it works

Pricing structure

View a sample plan design

Your employees have access to most essential and preventive services at no cost before reaching their deductible. Straightforward and consistent plan design also makes it easy for them to anticipate and plan for any out-of-pocket care when it matters most.


 

Service/category

Cost share to member

No cost to member
(not subject to deductible)

Primary care

$0

Specialty care

$0

Urgent care

$0

Generic prescriptions

$0

Labs

$0

X-rays

$0

Copay only, no coinsurance

(not subject to deductible)1

Brand-name prescriptions

$75

Nonpreferred presecriptions

(not applicable in California)2

$125

Specialty drug prescriptions

$250

Ambulance services

$500

Emergency room visits

$500

MRIs/CT scans/PET scans

$350

Major medical events

(subject to deductible)

 

Outpatient surgery

$0 after deductible

Inpatient hospital visits

$0 after deductible

Skilled nursing facility

$0 after deductible

Aligned annual expenses3

Annual deductible

$4,000

Annual out-of-pocket maximum

$4,000

Learn more

 
For more information, contact your broker or Kaiser Permanente representative.

1Copays may vary.
2Nonpreferred prescriptions do not apply in California and follow the same copay as brand-name prescriptions.
3Annual expenses may vary.
*Kaiser Permanente Everyday Care plans are available to Large Commercial Groups only and Georgia region will only have plan offering to customers in Multi-State and National Accounts. Not offered in Hawaii.