| Kaiser Select 2016 Plans Compared |
| COMPANY |
Kaiser |
Kaiser |
Kaiser |
Kaiser |
Kaiser |
Kaiser |
| Plan |
0/20 |
1000/20 |
1500/30 |
3000/30 |
4500/50 |
Standard Bronze |
| Metal Tier |
Gold EPO |
Gold EPO |
Gold EPO |
Gold EPO |
Bronze EPO |
HSA
Eligible |
| Deductible |
none |
$1,000 |
$1,500 |
$3,000 |
$4,500 |
$5,000 |
| Co-insurance |
30% |
20% |
30% |
30% |
40% |
50% |
| Maximum Out of Pocket (In Network) |
$6,350 |
$6,350 |
$6,850 |
$6,850 |
$6,850 |
$6,850 |
| Primary Care/Specialist Copay |
$20/$40 |
$20/$40 |
$30/$50 |
$30/$50 |
$30 first 3/ded |
ded |
| Urgent Care visit |
$40 |
$40 |
$50 |
$50 |
ded |
ded |
| Alternative Care |
|
|
|
na |
|
|
| Prescription Drug |
$10/$30/50%/50% |
$10/$30/50%/50% |
$10/$30/50%/50% |
$15/$55/ded/ ded |
$25/ded/ded |
ded |
| Mental Health visit |
$20 |
$20 |
$30 |
$30 |
ded |
ded |
| Network |
Kaiser |
Kaiser |
Kaiser |
Kaiser |
Kaiser |
Kaiser |
| Non-Smoker, area 1 rates |
Monthly |
Monthly |
Monthly |
Monthly |
Monthly |
Monthly |
| 20 & Under |
$171 |
$156 |
$140 |
$130 |
$104 |
$100 |
| 21 |
$269 |
$246 |
$220 |
$205 |
$163 |
$157 |
| 22 |
$269 |
$246 |
$220 |
$205 |
$163 |
$157 |
| 23 |
$269 |
$246 |
$220 |
$205 |
$163 |
$157 |
| 24 |
$269 |
$246 |
$220 |
$205 |
$163 |
$157 |
| 25 |
$271 |
$247 |
$221 |
$205 |
$164 |
$158 |
| 26 |
$276 |
$252 |
$226 |
$209 |
$167 |
$161 |
| 27 |
$282 |
$258 |
$231 |
$214 |
$171 |
$164 |
| 28 |
$293 |
$267 |
$239 |
$222 |
$178 |
$171 |
| 29 |
$302 |
$275 |
$246 |
$229 |
$183 |
$176 |
| 30 |
$306 |
$279 |
$250 |
$232 |
$185 |
$178 |
| 31 |
$312 |
$285 |
$255 |
$237 |
$189 |
$182 |
| 32 |
$319 |
$291 |
$261 |
$242 |
$193 |
$186 |
| 33 |
$323 |
$294 |
$264 |
$245 |
$196 |
$188 |
