Kaiser Permanente

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Human Resources 4400 Massachusetts Avenue NW Washington, DC 20016 United States

Kaiser Signature HMO

Kaiser Permanente provides comprehensive prepaid health care services through a system of health care network facilities. All health care is arranged or provided by a primary care physician (PCP) of the Kaiser Center you select at the time you enroll.

Kaiser has over 30 centers in the DC, Maryland and Virginia (DMV) region. Some centers serve as after-hours care centers, where participants with urgent medical problems may be seen when regular medical centers are closed. With the exception of life threatening emergency treatment, participants must receive care through Kaiser centers. Hospitalization coverage is included at area hospitals associated with Kaiser.

Please note that the Kaiser option is not available to eligible employees outside of the DMV.��

Cost for medical coverage

С��Ƶ contributes 95% towards individual coverage and 80% for individual + 1��and family coverage for those making under $55,000.��The university will contribute��80% towards individual coverage and 65% for individual + 1��and family coverage for those earning $55,000 or��more.��Your portion of the cost of the medical coverage is deducted from your pay on a pre-tax basis.

You can elect coverage for yourself, one other qualified adult in your household��(spouse or domestic partner), and your dependent children.

Prescription drug coverage is included with your cost for medical coverage.

2024 Cost for Coverage

2023 Cost for medical coverage
Employee Monthly Cost	Kaiser
Individuals earning less than $55K	��
Individual coverage	$30.86
Individual + 1	$247.58��
Family	$359.28
Individuals earning $55K or more	��
Individual coverage	$123.46
Individual + 1	$433.28
Family	$628.76

Kaiser Signature HMO overview

This chart provides an overview of Kaiser's plan options. Please refer to medical plan options summary & comparison charts or the plan documents for a more comprehensive listing of medical benefits.
��	Kaiser Permanente
��	HMO
Choice of physician	Must select a primary care physician from the list of physicians at one of Kaiser Permanente's medical centers.
Annual deductible	None
Copayments	$20��primary care $40��specialty care Does not apply to outpatient mental health and prescription benefits. No copayment for preventive care office visits for adults and children over age 5. No copayment for primary care physician office visits for children under age 5 (specialist copayments apply for children under age 5). No copayment for women's preventive health services.
Coinsurance	None
Maximum out-of-pocket expense	$3,500��individual $9,400��family
Lifetime maximum	Unlimited
Claim forms	No claim forms to file.
Pre-certification	Hospital certification arranged by the member through the plan.

Treatment cost calculator

Use the to estimate your out-of-pocket costs for common exams, tests, and procedures before you come in for a visit.

Select the Maryland, Virginia, Washington��D.C. as your region then sign on to get a personalized estimate.

Video visits

��allows you to get care without visiting the office. Video appointments are available with your primary care doctor, pediatrician, mental health provider and for urgent situations, an emergency medicine doctor. You just need to be a Kaiser Permanente member who’s registered on��, and have a camera-equipped computer or mobile device.

Video visits are easy, secure, and part of your coordinated care.��

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С��Ƶ makes every effort to ensure the accuracy of the information that appears on the benefits site. However, if there are discrepancies between the information presented and the legal documents governing a plan or program (the "plan documents"), the plan documents will always govern. С��Ƶ reserves the right to amend or terminate any benefit plan at its sole discretion at any time, for any reason.