March 17, 2010

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

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
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Network See Provider See Provider
Application 3000 HSA-Qualified Deductible Plan (100%) Application 3000 HSA-Qualified Deductible Plan (100%) Application
Brochure 3000 HSA-Qualified Deductible Plan (100%) Brochure 3000 HSA-Qualified Deductible Plan (100%) Brochure
Copay No charge per visit after deductible is met No charge per visit after deductible is met
Office Visit 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
Coinsurance 100% 100%
Coinsurance Limit 3000 HSA-Qualified Deductible Plan (100%) 3000 HSA-Qualified Deductible Plan (100%)
Out-of-Pocket Maximum $3,000 Individual / $6,000 Family $3,000 Individual / $6,000 Family
Lifetime Maximum Unlimited lifetime coverage Unlimited lifetime coverage
Prescription Drugs No charge No charge
Emergency Room No charge No charge
Adult Preventative Care No charge No charge
Child Preventative Care No charge No charge
Lab / X-Ray No charge No charge
Maternity Not covered Not covered
Physical Therapy 3000 HSA-Qualified Deductible Plan (100%) 3000 HSA-Qualified Deductible Plan (100%)
Skilled Nursing 3000 HSA-Qualified Deductible Plan (100%) 3000 HSA-Qualified Deductible Plan (100%)
Home Health Care 3000 HSA-Qualified Deductible Plan (100%) 3000 HSA-Qualified Deductible Plan (100%)
Mental Health 3000 HSA-Qualified Deductible Plan (100%) 3000 HSA-Qualified Deductible Plan (100%)
Hospital Care No charge per admission No charge per admission
Optional Benefits 3000 HSA-Qualified Deductible Plan (100%) 3000 HSA-Qualified Deductible Plan (100%)