Basic Plans & Benefits
With your Kaiser Permanente health plan, you get a range of care and support to help you stay healthy and thrive. There are no deductibles to keep track of and virtually no paperwork to worry about. And when you come in for care, most services covered by your plan require only a copay.
California Basic Benefits & Coverage
Annual Deductible | Out-of-Pocket Maximum | Primary Care Visit |
---|---|---|
$0 | $1,500 Individual/$3,000 Family | $15 copay |
Specialist Visit | $15 copay |
Lab Test | $0 copay |
Generic Drugs | $5 copay |
Preferred Brand Drugs | $20 copay |
Emergency Room Visits | $50 copay |
Urgent Care Visits | $15 copay |
Outpatient Surgery | $15 per procedure |
Inpatient Surgery | $0 per procedure |
Hospital Facility Fee | $0 copay |
*Assumes in-network services. Before making any decision about your care or coverage, please review the full document(s) for accuracy, definitions, exclusions, and limitations.
Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.
If you live outside of California, select your state to learn more about your benefits.
Colorado
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Georgia
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Hawaii
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Washington
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Northwest
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Mid-Atlantic
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Considering joining Kaiser Permanente as a Basic Member?
Speak with one of our representatives for answers to your questions about Kaiser Permanente before you enroll:
1-800-305-1220
7 a.m. to 6 p.m. local time Monday through Friday
Language interpretation services available
Open Enrollment Webinars
Learn more about Kaiser Permanente's convenient care options, healthy resources, and your CalPERS plan options. You do not need to be a Kaiser Permanente member to attend.