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  Thirteen (13) Kaiser Plans to Chose from 

In Three Easy to Understand

                                                              Groups.    

NOTE: NORBAR Members are not eligible for Kaiser Plan Benefits.

YOU MAY CLICK ON EACH PLAN FOR A FULL PLAN DESCRIPTION                      

                      YOU WOULD CONSIDER A “MOST AFFORDABLE” PLAN

IF YOU:

ü  ARE INTERESTED IN PAYING LOWER PREMIUMS

ü  ARE IN GOOD HEALTH

ü  NEED TO SEE A PHYSICIAN ONLY OCCASIONALLY

ü  DO NOT NEED TO TAKE PRESCRIPTION (Rx) DRUGS  

ü  (OR) ONLY TAKE GENERIC PRESCRIPTION (Rx) DRUGS 

Ø   $0/$1500 HSA COMPATIBLE PLAN                                $1500 Deductible - $0 Co-pay after deductible
Ø  $0/$2200 HSA COMPATIBLE PLAN                                 $2200 Deductible - $0 Co-pay after deductible
Ø  $0/$2700 HSA COMPATIBLE PLAN                                 $2700 Deductible - $0 Co-pay after deductible
Ø  $30/$2700 HSA COMPATIBLE PLAN                              $2700 Deductible - $30 Co-pay after deductible  
Ø  $30/$1500 HRA COMPATIBLE PLAN                              $1500 Deductible - $30 Co-pay after deductible  
Ø  $30/$2500 HRA COMPATIBLE PLAN                              $2500 Deductible - $30 Co-pay after deductible

YOU WOULD CONSIDER A “BEST BALANCE/VALUE”  PLAN

IF YOU:

ü  ARE INTERESTED IN A BALANCE OF COVERAGE AND PREMIUM

ü  HAVE CHILDREN

ü  NEED TO SEE A PHYSICIAN ON A MORE FREQUENT BASIS

ü  NEED TO TAKE ONE (OR MORE) PRESCRIPTION (Rx) DRUGS FOR A HEALTH CONDITION 

Ø  $30/ $1000 Deductible HMO Plan                                   $1000 Deductible - $30 Office Visit - $10 Generic Drugs  
Ø  $30/$1500 Deductible HMO Plan                                    $1500 Deductible - $30 Offcie Visit - $10 Generic Drugs  
Ø  $30 Co-Pay HMO Plan                                                         $0 Deductible - $30 Office Visits - $10 Generic Drugs
Ø  $50 Co-Pay HMO Plan                                                         $0 Deductible - $50 Office Visits - $10 Generic Drugs

 YOU WOULD CONSIDER A “BEST BENEFITS”  PLAN

IF YOU:

ü  ARE FINANCIALLY ABLE AND PREFER TO HAVE THE BEST COVERAGE

ü  IN NEED OF HAVING HEALTH CONDITIONS CHECKED REGULARLY

ü  CONCERNED ABOUT BEING HOSPITALIZED FOR HEALTH CONDITIONS

ü  NEED TO TAKE ONE (OR MORE) Rx DRUGS FOR ONE (OR MORE) HEALTH CONDITIONS 

*PLEASE REFER TO THE PROGRAM BROCHURE/BENEFITS SUMMARY/BENEFITS BOOKLET AND ENROLLMENT MATERIALS FOR A COMPLETE DESCRIPTION OF THE PROGRAM.

 

FORMS:

Acrobat


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Summmary of Benefits*

Enrollment Package / Enrollment Instructions

Change Form Package 

Student Certification

Domestic Partner Affidavit

Deductible Fee Shecdule - Northern CA

Deductibel Fee Schedule - Southern CA

Kaiser Glossary of Terms

Credit Card Authorization Form

Kaiser/Dental/Vision Electronic Funds Transfer (EFT) Authorization

Payment Options

Kaiser Member Outreach:  (800) 792-3992


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