Kaiser Permanente Colorado Health Insurance in COLORADO – Health Plan Options

Kaiser Permanente Colorado — 30 Copayment Plan

A comparison of the 30 Copayment Plan offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care- $30 per office visit Specialist Care- $40 per office visit	Primary Care- $30 per office visit Specialist Care- $40 per office visit
Copay	Primary Care- $30 per visit Specialty Care- $40 per visit	Primary Care- $30 per visit Specialty Care- $40 per visit
Deductible	N/A	N/A

Kaiser Permanente Colorado — 35 Copayment Plan w/Rx

A comparison of the 35 Copayment Plan w/Rx offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care- $35 per primary office visit Specialist Care- $50 per office visit	Primary Care- $35 per primary office visit Specialist Care- $50 per office visit
Copay	Primary care- $35 per visit Specialty care- $50 per visit	Primary care- $35 per visit Specialty care- $50 per visit
Deductible	N/A	N/A

Kaiser Permanente Colorado — 40 Copayment Plan w/Rx

A comparison of the 40 Copayment Plan w/Rx offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care- $40 per office visit Specialist Care- $60 per office visit	Primary Care- $40 per office visit Specialist Care- $60 per office visit
Copay	Primary Care- $40 per visit Specialty Care- $60 per visit	Primary Care- $40 per visit Specialty Care- $60 per visit
Deductible	N/A	N/A

Kaiser Permanente Colorado — 2000 Deductible Plan (70%)

A comparison of the 2000 Deductible Plan (70%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$2,000 Individual / $6,000 Family	$2,000 Individual / $6,000 Family

Kaiser Permanente Colorado — 5000 Deductible Plan (70%)

A comparison of the 5000 Deductible Plan (70%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	li> Primary Care- $30 per office visit(not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	li> Primary Care- $30 per office visit(not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialty care- $50 per visit	Primary Care- $30 per visit Specialty care- $50 per visit
Deductible	see brochure	see brochure

Kaiser Permanente Colorado — 2000 Deductible Plan (70%) w/Rx

A comparison of the 2000 Deductible Plan (70%) w/Rx offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$2,000 Individual / $6,000 Family	$2,000 Individual / $6,000 Family

Kaiser Permanente Colorado — 3000 Deductible Plan (70%) w/Rx

A comparison of the 3000 Deductible Plan (70%) w/Rx offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$3,000 Individual / $9,000 Family	$3,000 Individual / $9,000 Family

Kaiser Permanente Colorado — 1000 Deductible Plan (80%) w/Rx

A comparison of the 1000 Deductible Plan (80%) w/Rx offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$1,000 Individual / $3,000 Family	$1,000 Individual / $3,000 Family

Kaiser Permanente Colorado — 1500 Deductible Plan (80%) w/Rx

A comparison of the 1500 Deductible Plan (80%) w/Rx offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit(not subject to deductible)	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit(not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$1,500 Individual / $4,500 Family	$1,500 Individual / $4,500 Family

Kaiser Permanente Colorado — 2000 HSA-Qualified Deductible Plan (80%)

A comparison of the 2000 HSA-Qualified Deductible Plan (80%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care- 80% coinsurance per office visit after deductible is met Specialist Care- 80% coinsurance per office visit after deductible is met	Primary Care- 80% coinsurance per office visit after deductible is met Specialist Care- 80% coinsurance per office visit after deductible is met
Copay	Primary Care- 80% coinsurance per visit after deductible is met Specialist Care- 80% coinsurance per visit after deductible is met	Primary Care- 80% coinsurance per visit after deductible is met Specialist Care- 80% coinsurance per visit after deductible is met
Deductible	$2,000 Individual / $4,000 Family	$2,000 Individual / $4,000 Family

Kaiser Permanente Colorado — 2000 HSA-Qualified Deductible Plan (100%)

A comparison of the 2000 HSA-Qualified Deductible Plan (100%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Chare per visit after deductible is met	No Chare per visit after deductible is met
Copay	No charge per visit after deductible is met	No charge per visit after deductible is met
Deductible	$2,000 Individual / $4,000 Family	$2,000 Individual / $4,000 Family

Kaiser Permanente Colorado — 2500 HSA-Qualified Deductible Plan (100%)

A comparison of the 2500 HSA-Qualified Deductible Plan (100%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge after deductible is met	No Charge after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$2,500 Individual / $5,000 Family	$2,500 Individual / $5,000 Family

Kaiser Permanente Colorado — 3000 HSA-Qualified Deductible Plan (100%)

A comparison of the 3000 HSA-Qualified Deductible Plan (100%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$3,000 Individual / $6,000 Family	$3,000 Individual / $6,000 Family

Kaiser Permanente Colorado — 4000 HSA-Qualified Deductible Plan (100%)

A comparison of the 4000 HSA-Qualified Deductible Plan (100%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$4,000 Individual / $8,000 Family	$4,000 Individual / $8,000 Family

Kaiser Permanente Colorado — 5000 HSA-Qualified Deductible Plan (100%)

A comparison of the 5000 HSA-Qualified Deductible Plan (100%) offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$5,000 Individual / $10,000 Family	$5,000 Individual / $10,000 Family

Kaiser Permanente Colorado — 5000 Deductible Plan (60%) w/Rx Children's Plan

A comparison of the 5000 Deductible Plan (60%) w/Rx Children's Plan offered by Kaiser Permanente Colorado is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	60%	60%
Office Visit	Routine medical office visits: Primary Care- $10 per office visit Specialist- $40 per office visit	Routine medical office visits: Primary Care- $10 per office visit Specialist- $40 per office visit
Copay	Primary Care- $10 per office visit Specialist- $40 per office visit	Primary Care- $10 per office visit Specialist- $40 per office visit
Deductible	$5,000 Individual	$5,000 Individual

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