1. Medicare Emergency Room Copay

About Kaiser Permanente

Making better choices is a big part of meeting today’s most pressing small business challenges. And choosing the right health care for your employees ranks among the most important decisions you will make. Kaiser Permanente can help you manage your costs, invest in your employees and their health, and build a healthier future.

Emergency care - Kaiser Permanente. Kaiser Permanente is experiencing very high call volume related to the COVID-19 vaccine. We apologize if you are unable to reach a representative at this time. If you think you are having a medical or psychiatric emergency, hang up and dial 911 or go to the nearest hospital. Emergency or urgent care need is under control or is being managed by a doctor. If you get emergency care, call Kaiser Permanente when your condition is stable to let us know you’ve been treated for an emergency or admitted to a hospital. See page 9 for phone numbers for reporting an emergency (or post-stabilization care). Copayments for office visits, pharmacy services, emergency room care, and inpatient hospital care can be found online if you are registered through One Health Port to access Kaiser Permanente. For members on Medicare hospice plans or contracts, copayment.

Kaiser Permanente believes health care is not an industry – it’s a cause. The organization was founded on the fundamental idea that everyone deserves the chance to live a healthy life. That’s why they offer a program that combines high-quality care and coverage for a lifetime. Whether you operate from a single location or across California, Kaiser Permanente offers options that flex to meet your changing needs.

Quick Plan Highlights

Below are some of our most popular Kaiser Permanente health plans along with a snapshot of plan coverage and out-of-pocket costs. For a complete list of coverage options, click Download All Plans below to see the most current plan information.

• Network	Full
  Calendar Year Deductible	.$1,650 / $3,300 (applies to Max OOP)
  Out-of-Pocket Max Ind/Fam:	$7,800 / $15,600
  Dr. Office Visit (PCP):	$55 Copay (ded waived)
  Urgent Care:	100%
  Emergency Room	100%

• Network	Full
  Calendar Year Deductible	$250 / $500 (applies to Max OOP)
  Out-of-Pocket Max Ind/Fam:	$7,800 / $15,600
  Dr. Office Visit (PCP):	$25 Copay (ded waived)
  Urgent Care:	$25 Copay (ded waived)
  Emergency Room	$250 Copay

• Network	Full
  Calendar Year Deductible	None
  Out-of-Pocket Max Ind/Fam:	$3,000 / $6,000
  Dr. Office Visit (PCP):	$10 Copay
  Urgent Care:	$10 Copay
  Emergency Room	$200 Copay

Network

Full

Calendar Year Deductible

Network Full Calendar Year Deductible The CaliforniaChoice employee benefits program lets your employees select health plans (HMO, PPO, HSA, and more) from nine of California's top carriers while you determine how much your company will contribute. Click on any of the logos below to learn more about our carrier partners CrossCountry Mortgage offers medical coverage for Northern and Southern California employees through Kaiser. Northern California Northern California DHMO Network Providers Calendar Year Deductible: Single/Family $500 / $1,000 Maximum Out of Pocket Limit: Single/Family $3,000 / $6,000 PCP Office Visit $20 copay Specialist Office Visit $20 copay Urgent Care Visit $20 copay Emergency Room 10% coinsurance Inpatient Services 10% coinsurance Outpatient Services 10% coinsurance Prescription Drugs: Retail Prescription Drugs (30 day supply) Generic $10 copay Preferred $30 copay Non-Preferred $30 copay Specialty 20% up to $200 Mail Order (100-day supply) Generic $20 copay Preferred $60 copay Non-Preferred $60 copay Bi-Weekly Rates Employee Only $134 Employee + Spouse $284 Employee + Child(ren) $222 Family $399 Southern California Southern California DHMO Network Providers Calendar Year Deductible: Single/Family $500 / $1,000 Maximum Out of Pocket Limit: Single/Family $3,000 / $6,000 PCP Office Visit $20 copay Specialist Office Visit $20 copay Urgent Care Visit $20 copay Emergency Room 10% coinsurance Inpatient Services 10% coinsurance Outpatient Services 10% coinsurance Prescription Drugs: Retail Prescription Drugs (30 day supply) Generic $10 copay Preferred $30 copay Non-Preferred $30 copay Specialty 20% up to $200 Mail Order (100-day supply) Generic $20 copay Preferred $60 copay Non-Preferred $60 copay Medicare Emergency Room Copay Bi-Weekly Rates Employee Only $134 Employee + Spouse $284 Employee + Child(ren) $222 Family $399