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