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Kaiser Permanente of
Oregon
Kaiser Permenente - Apply Online or Download an Application
Index | Exclusions
& Limitations | Locate
Physicians | Locate
Facility | Download Application
Plan Benefits
Platinum | Gold Rx | Silver Rx | Bronze | HSA
Compatible | Child-only
Plan Premiums
Platinum | Gold Rx | Silver Rx | Bronze | HSA
Compatible | Child-only
| BRONZE DEDUCTIBLE PLANS |
$1,500 |
$2,500 |
$3,500 |
$5,000 |
$7,500 |
| Features |
| Deductible (individual/family) |
$1,500/$4,500 |
$2,500/$7,500 |
$3,500/$10,500 |
$5,000/$15,000 |
$7,500/$22,500 |
| Out-of-pocket maximum (individual/family) |
$10,000/$30,000 |
| Lifetime maximum |
$2 million |
| Benefits |
Services not subject to deductible unless otherwise indicated |
| Preventive Care |
| Immunizations |
No charge |
| Routine physicals |
$35 copay |
| Well-baby visits |
| Gynecholgical exams/Mammograms |
| Outpatient services (per visit or procedure) |
| Primary care office visit |
$35 copay |
| Specialty care office visit |
50% coinsurance (after deductible) |
| Nurse treatment visit (includes allergy injections)1 |
| Outpatient surgery2 |
| Lab tests2 |
| X-rays2 |
| Inpatient hospital care |
| Inpatient care (including maternity) |
50% coinsurance (after deductible) |
| Maximum per admittance |
None |
| Maternity coverage |
| Prenatal care (applies to prenatal office visits, one postnatal visit, and lactation consultants) |
$35 copay |
| Emergency & urgent care |
| Emergency Department visit |
50% coinsurance (after deductible) |
| Urgent care visit |
| Ambulance Service |
| Prescription drugs |
| (up to a 30-day supply) |
Not covered |
| Other services |
| Vision exams |
50% coinsurance (after deductible) |
| Vision hardware allowance (applies to lenses, frames, and/or contacts every 24 months) |
Not covered |
- Waived if in conjunction with an office visit
- Preventive procedures and tests not subject to deductible
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