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Kaiser - KP Oregon Standard Bronze HSA Plan
Oregon, 2018
Plan Type
EPO
Metal Tier
Bronze
Out of Pocket Maximum
$6,550
Deductible
$6,550
Call (855) 866-5590 to speak with a licensed agent about a new health plan.
Emergency Room Care: 0% 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) | $6,550 |
|---|---|
| Deductible (Family) | $13,100 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $6,550 |
| Out of Pocket Maximum (Family) | $13,100 |
Doctor Visits
| Primary Care Visit | 0% Coinsurance after deductible |
|---|---|
| Specialist Visit | 0% Coinsurance after deductible |
| Inpatient Facility | 0% Coinsurance after deductible |
| Inpatient Physician | 0% Coinsurance after deductible |
| Emergency Room Services | 0% Coinsurance after deductible |
Tests and Imaging
| Imaging (CT/PET Scans, MRIs) | 0% Coinsurance after deductible |
|---|---|
| Laboratory Outpatient and Professional Services | 0% Coinsurance after deductible |
| X-Ray and Diagnostic Imaging | 0% Coinsurance after deductible |
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 | Not available |
Other
| Mental / Behavioral Health Inpatient | 0% Coinsurance after deductible |
|---|---|
| Mental / Behavioral Health Outpatient | 0% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 0% Coinsurance after deductible |
| Rehabilitative Occupational & Physical Therapy | 0% Coinsurance after deductible |
| Outpatient Facility | 0% Coinsurance after deductible |
| Outpatient Surgery | 0% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | 0% Coinsurance after deductible |
|---|---|
| Preferred Brand Rx | 0% Coinsurance after deductible |
| Non Preferred Brand Rx | 0% Coinsurance after deductible |
| Specialty Drugs | 0% Coinsurance after deductible |
Other Plans in Oregon
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan Kaiser Permanete Oregon Standard Gold Plan | Deductible $1,000 | Coinsurance Not applicable | Out of Pocket $6,850 |
| Plan KP OR Bronze 6500/50 | Deductible $6,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP OR Silver 3500/30 | Deductible $3,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP OR Bronze 5000/50 | Deductible $5,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Kaiser Permanente Oregon Standard Silver Plan | Deductible $2,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP OR Gold 1000/20 | Deductible $1,000 | Coinsurance Not applicable | Out of Pocket $7,000 |
| Plan KP OR Gold 0/20 | Deductible $0 | Coinsurance Not applicable | Out of Pocket $7,000 |
| Plan KP OR Catastrophic 7350/0 | Deductible $7,350 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan KP OR Silver 2500/30 | Deductible $2,500 | Coinsurance Not applicable | Out of Pocket $7,350 |