Individual & family plans

Nadide Ozge,

Thank you for your interest in Kaiser Permanente health coverage. Following are plans we think may best fit your needs.

If you'd like help choosing a plan, please call 800-554-6975. One of our experienced agents can guide you through these plans and additional plan options.

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These rates cover the following member(s) for Marin county effective January 01, 2014.

  • Self, female, born 09/02/1974, non-smoker

Your estimated federal financial assistance:

Recommended Plans KP CA Bronze HSA 4500/40% KP CA Silver 2000/45 KP CA Gold 0/30
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Available through Covered California and Kaiser Permanente Direct
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Available through Covered California and Kaiser Permanente Direct
Apply now
Available through Covered California and Kaiser Permanente Direct
Plan Description The KP CA Bronze HSA 4500/40% plan has a $4500 individual combined medical and pharmacy deductible. Most services are subject to the deductible.... The KP CA Silver 2000/45 plan has a $2000 individual medical deductible and a $250 individual pharmacy brand deductible. While the medical... The KP CA Gold 0/30 plan offers broad coverage, predictable out-of-pocket costs, and prescription drug coverage. Many services have a $30 copay,...
Individual plan annual deductible (subscriber only) $4,500 $2,000 None
Family plan annual deductible (individual/family) $9,000/$9,000 $2,000/$4,000 None/None
Individual plan out-of-pocket maximum (subscriber only) $6,350 $6,350 $6,350
Family plan out-of-pocket maximum (individual/family) $12,700/$12,700 $6,350/$12,700 $6,350/$12,700
Primary care office visit 40% after deductible $45 $30
Specialty care office visit 40% after deductible $65 $50
Premium
Self $267.50 monthly $363.91 monthly $442.43 monthly
Total $267.50 monthly $363.91 monthly $442.43 monthly
Estimated assistance

Please enter the information below to find out if you may qualify for federal financial assistance.

(The number of people in your household might not be the same as the number of people on your health plan.)

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Additional Documents
*Catastrophic plans, Grandfathered plans, and plans not available for purchase at the online marketplace (also known as the state exchange) do not qualify for federal financial assistance.

Catastrophic plans are available for people age 29 and under when the plan goes into effect. If you are 30 and over, you must prove financial hardship or lack of affordable coverage with a certificate from the Health Insurance Marketplace in order to purchase a Catastrophic plan. Federal financial assistance is not available if you choose a Catastrophic plan.

1d All Kaiser Permanente health plans include benefits for those ages 18 and younger.

For adults age 19 and older on January 1, 2014, Kaiser Permanente offers an optional dental plan. Our optional adult dental coverage is underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and administered by Delta Dental of California, one of the nation's largest and most experienced dental benefits providers.

The quotes shown above are estimates only, and are subject to change. They are not a binding contract between you and Kaiser Permanente. Kaiser Foundation Health Plan, Inc., reserves the right to change the terms of a plan upon proper notification. This summary is for informational and comparison purposes only and is subject to change. Please refer to the membership documents for detailed information regarding your specific plan and benefits.

Note: For services subject to a deductible, you will have to pay health care expenses out of pocket until you meet your deductible.

This is a summary of the most frequently asked-about benefits and their copayments and coinsurance. Detailed information about your plan is included in the Membership Agreement, which will be available online to you upon acceptance or upon request.

*Unless otherwise noted, plans are offered and underwritten by Kaiser Foundation Health Plan, Inc., One Kaiser Plaza, Oakland, CA 94612. Neither Kaiser Foundation Health Plan, Inc., nor Kaiser Permanente Insurance Company provides or administers financial products, including HSAs, and does not offer financial, tax, or investment advice. Members are responsible for their own investment decisions. If a member uses his or her HSA debit card to pay for something other than a qualified medical expense, the expenditure is subject to tax and, for individuals who are not disabled or over 65, a 20 percent tax penalty. Please note that when an HSA provider pays disbursements, it does not monitor whether they are for qualified medical expenses. It is the member's responsibility to determine whether expenses qualify for tax-free reimbursement from his or her HSA. Tax references relate to federal income tax only. The tax treatment of health savings account contributions and distributions under state income tax laws differs from the federal tax treatment. Consult with your financial or tax adviser for more information.

This is a summary of the most frequently asked-about benefits and their copayments, coinsurance, and deductibles. Detailed information about your plan is in the Membership Agreement, which will be mailed to you upon enrollment or upon request. To request a copy of the Membership Agreement for a particular plan, please call us at 1-800-634-4579 TTY: 1-866-973-4584 (toll free) or 711 or contact your broker. For services subject to the deductible, you will have to pay health care expenses out of pocket until you meet your deductible. Most deductibles, copayments, and coinsurance contribute to the out-of-pocket maximum.

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