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 |
34 | $327 | $298 | $267 | $248 | $198 | $190 |
35 | $329 | $300 | $269 | $250 | $200 | $192 |
36 | $331 | $302 | $271 | $252 | $201 | $193 |
37 | $334 | $304 | $273 | $253 | $202 | $194 |
38 | $336 | $306 | $274 | $255 | $204 | $195 |
39 | $340 | $310 | $278 | $258 | $206 | $198 |
40 | $344 | $314 | $281 | $261 | $209 | $200 |
41 | $351 | $320 | $287 | $266 | $213 | $204 |
42 | $357 | $326 | $292 | $271 | $216 | $208 |
43 | $366 | $333 | $299 | $278 | $222 | $213 |
44 | $376 | $343 | $308 | $286 | $228 | $219 |
45 | $389 | $355 | $318 | $295 | $236 | $227 |
46 | $404 | $369 | $330 | $307 | $245 | $235 |
47 | $421 | $384 | $344 | $320 | $255 | $245 |
48 | $441 | $402 | $360 | $334 | $267 | $256 |
49 | $460 | $419 | $376 | $349 | $279 | $268 |
50 | $481 | $439 | $393 | $365 | $292 | $280 |
51 | $503 | $458 | $411 | $382 | $305 | $293 |
52 | $526 | $480 | $430 | $399 | $319 | $306 |
53 | $550 | $501 | $449 | $417 | $333 | $320 |
54 | $575 | $525 | $470 | $437 | $349 | $335 |
55 | $601 | $548 | $491 | $456 | $364 | $350 |
56 | $629 | $573 | $514 | $477 | $381 | $366 |
57 | $657 | $599 | $537 | $499 | $398 | $382 |
58 | $687 | $626 | $561 | $521 | $416 | $400 |
59 | $701 | $640 | $573 | $533 | $425 | $408 |
60 | $731 | $667 | $598 | $555 | $443 | $426 |
61 | $757 | $691 | $619 | $575 | $459 | $441 |
62 | $774 | $706 | $633 | $588 | $469 | $451 |
63 | $795 | $725 | $650 | $604 | $482 | $463 |
64 | $807 | $737 | $660 | $614 | $489 | $471 |