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Kaiser - KP Silver II $35 - ChiroAcuMassage - Fit
Hawaii, 2018
Plan Type
HMO
Metal Tier
Silver
Out of Pocket Maximum
$7,000
Deductible
$2,000
Call (855) 866-5590 to speak with a licensed agent about a new health plan.
Emergency Room Care: 30% Coinsurance after deductible
Cost Sharing Benefits (In Network)
Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.
| Deductible (Individual) | $2,000 |
|---|---|
| Deductible (Family) | $4,000 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $7,000 |
| Out of Pocket Maximum (Family) | $14,000 |
Doctor Visits
| Primary Care Visit | Data Not Available |
|---|---|
| Specialist Visit | Data Not Available |
| Inpatient Facility | 30% Coinsurance after deductible |
| Inpatient Physician | 30% Coinsurance after deductible |
| Emergency Room Services | 30% Coinsurance after deductible |
Tests and Imaging
| Imaging (CT/PET Scans, MRIs) | $300 Copay after deductible |
|---|---|
| Laboratory Outpatient and Professional Services | Data Not Available |
| X-Ray and Diagnostic Imaging | Data Not Available |
Health Management Programs
| Asthma | Available |
|---|---|
| Depression | Available |
| Diabetes | Available |
| Heart Disease | Available |
| High Blood Pressure / High Cholesterol | Available |
| Lower Back Pain | Available |
| Pain Management | Available |
| Pregnancy | Available |
| Weight Loss | Available |
Other
| Mental / Behavioral Health Inpatient | 30% Coinsurance after deductible |
|---|---|
| Mental / Behavioral Health Outpatient | Data Not Available |
| Rehabilitative Speech Therapy | Data Not Available |
| Rehabilitative Occupational & Physical Therapy | Data Not Available |
| Outpatient Facility | 30% Coinsurance after deductible |
| Outpatient Surgery | 30% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | Data Not Available |
|---|---|
| Preferred Brand Rx | 50% Coinsurance after deductible |
| Non Preferred Brand Rx | 50% Coinsurance after deductible |
| Specialty Drugs | 50% Coinsurance after deductible |
73% Cost Sharing Benefits
Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts
Deductibles and Cost Sharing
| Deductible (Individual) | $2,000 |
|---|---|
| Deductible (Family) | $4,000 |
| Out of Pocket Maximum (Individual) | $5,850 |
| Out of Pocket Maximum (Family) | $11,700 |
Doctor Visits
| Primary Care Physician | |
|---|---|
| Specialists | |
| Emergency Room | 30% Coinsurance after deductible |
| Inpatient Facility | 30% Coinsurance after deductible |
| Inpatient Physician | 30% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | |
|---|---|
| Preferred Brand Rx | 50% Coinsurance after deductible |
| Non Preferred Brand Rx | 50% Coinsurance after deductible |
| Specialty Drugs | 50% Coinsurance after deductible |
87% Cost Sharing Benefits
Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.
Deductibles and Cost Sharing
| Deductible (Individual) | $50 |
|---|---|
| Deductible (Family) | $100 |
| Out of Pocket Maximum (Individual) | $2,450 |
| Out of Pocket Maximum (Family) | $4,900 |
Doctor Visits
| Primary Care Physician | |
|---|---|
| Specialists | |
| Emergency Room | 20% Coinsurance after deductible |
| Inpatient Facility | 20% Coinsurance after deductible |
| Inpatient Physician | 20% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | |
|---|---|
| Preferred Brand Rx | |
| Non Preferred Brand Rx | |
| Specialty Drugs |
94% Cost Sharing Benefits
Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.
Deductibles and Cost Sharing
| Deductible (Individual) | $0 |
|---|---|
| Deductible (Family) | $0 |
| Out of Pocket Maximum (Individual) | $2,250 |
| Out of Pocket Maximum (Family) | $4,500 |
Doctor Visits
| Primary Care Physician | |
|---|---|
| Specialists | |
| Emergency Room | |
| Inpatient Facility | |
| Inpatient Physician |
Prescription Drugs
| Generic Rx | |
|---|---|
| Preferred Brand Rx | |
| Non Preferred Brand Rx | |
| Specialty Drugs |
Other Plans in Hawaii
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan KP Platinum $10 - ChiroAcuMassage - Fit | Deductible $0 | Coinsurance Not applicable | Out of Pocket $4,000 |
| Plan KP Gold III $20 - Fit | Deductible $1,000 | Coinsurance Not applicable | Out of Pocket $6,350 |
| Plan KP Bronze I $50 - ChiroAcuMassage - Fit | Deductible $6,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP Gold I $20 - ChiroAcuMassage - Fit | Deductible $0 | Coinsurance Not applicable | Out of Pocket $6,350 |
| Plan KP Platinum $10 - Fit | Deductible $0 | Coinsurance Not applicable | Out of Pocket $4,000 |
| Plan KP Bronze I $50 - Fit | Deductible $6,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP Bronze II 30% - Fit | Deductible $5,500 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan KP Silver III $40 - Fit | Deductible $3,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP Silver II $35 - Fit | Deductible $2,000 | Coinsurance Not applicable | Out of Pocket $7,000 |
| Plan KP Gold I $20 - Fit | Deductible $0 | Coinsurance Not applicable | Out of Pocket $6,350 |