Kaiser is an HMO (Health Maintenance Organization) with a closed network of providers. Kaiser provides coverage for services outside of the network only in cases of emergency. Behavioral health benefits are provided by Kaiser and Optum.

Compare Kaiser's costs and benefits with other UC plans.

Existing Members: For more about your plan, call Kaiser at 800-464-4000, 24 hours a day, 7 days a week (closed holidays). For TTY service, call 711. Spanish: 800-788-0616; Chinese dialects: 800-757-7585

Prospective Members: To learn more about benefits and coverage, specialty care, and how to enroll, call a pre-enrollment specialist today at 800-324-9208, Mon-Fri, 7 a.m.-6 p.m. PST.

Plan changes

Emergency room copayments are increasing from $75 to $125 if the patient is not admitted to the hospital.

Outpatient prescription drugs with an over-the-counter equivalent will be excluded from coverage. This change will be applied in phases throughout 2021. This exclusion does not apply to insulin, preventive drugs (such as contraceptives or tobacco cessation), or to an entire class of drugs when one drug within the class becomes available over-the-counter.

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 appreciate the integrated approach to care provided by Kaiser Permanente

Monthly plan costs for faculty and staff

Retiree plan costs chart »

Pay Band
(per annum)
Self Self +
Child(ren)
Self +
Adult
Family
$59,000 and under $24.97 $44.95 $54.69 $74.64
$59,001–$118,000 $63.15 $113.67 $141.85 $192.35
$118,001–$176,000 $102.33 $184.19 $219.96 $301.80
$176,001 and above $142.90 $257.22 $300.89 $415.18
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: $125
  • Hospital stay: $250
  • Prescription drugs: $5 generic; $25 brand name