Kaiser Permanente - California 30/2700 Deductible Plan with HSA Plan Information
Plan Name: 30/2700 Deductible Plan with HSA
Annual out-of-pocket maximum: $5,200/individual or $10,500/family
Medical calendar-year deductible: $2,700/individual or $5,450/family
Preventive care office visit: $30 per visit
Nonpreventive office visit: $30 per visit after deductible
Most lab and x-rays: $10 per encounter after deductible
Hospital care: 30% coinsurance per admission after deductible
Emergency services: 30% coinsurance per admission after deductible
Prescription drugs: $10 generic after deductible/$30 brand after deductible
Other Kaiser Permanente - California health insurance plans:
