Kaiser is an HMO (Health Maintenance Organization) with a closed network of providers.

How the plan works

  • You choose a primary care physician (PCP) from Kaiser’s network.
  • The PCP coordinates your care and refers you to specialists.
  • The plan covers the cost of services only when your primary care physician authorizes it.
  • Kaiser provides coverage for services outside of the network only in cases of emergency.
  • Behavioral health benefits are provided by Kaiser and Optum.

Best fit for you if:

  • You want low monthly premiums
  • You want low, predictable out-of-pocket costs
  • You like having one doctor manage your care
  • You are happy with the selection of providers within the Kaiser system

Monthly plan costs

Retiree plan costs chart »

Pay Band
(per annum)
Self Self +
Child(ren)
Self +
Adult
Family
$53,000 and under $17.78 $32.00 $38.94 $53.14
$53,001–$104,000 $53.83 $96.89 $121.24 $164.28
$104,001–$156,000 $90.83 $163.49 $195.00 $267.64
$156,001 and above $129.14 $232.45 $271.42 $374.71
Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.


Typical out-of-pocket costs

  • Office visits/Urgent care: $20
  • Emergency room visits: $75
  • Hospital stay: $250
  • Prescription drugs: $5, generic; $25, brand name

ID cards

Kaiser began mailing ID cards to new members on Dec. 23, 2016. You may also order a copy of your ID card on the Kaiser website or call 800-464-4000 to request your ID number.