Kaiser Copay

The Traditional $10 Copay Plan provides access to comprehensive full-service medical care. Doctor and specialist visits are available for a $10 copay. Most preventative services are covered at no cost. Hospitalization, radiology, and lab tests are also covered at no cost. Prescription medication is covered at a copay range of $5 - $10. County of Sonoma, California, Human Resources, Benefits Unit.

Kaiser Co Pay
Kaiser Copay Plans
Kaiser Copay For Therapy
Kaiser Copay Assistance

This is a comparison of the copay medical plans for FY 2019-20 open enrollment. Please see the High Deductible Health Plan Comparison page as well.

Comparing network costs versus non-network costs between Kaiser Permanente and United Healthcare in the Co-Pay plans
United Healthcare (UHC) Copay Choice Plus Plan			Kaiser Permanente (KP) DHMO Plan
Annual Deductible	Network	Non-Network	Annual Deductible	Network	Non-Network
Individual	$1,500	$3,000	Individual	$750	Not Covered
Family	$3,000	$6,000	Family	$1,500	Not Covered

Out of Pocket Max Comparison
Annual Out-of-Pocket Max: UHC			Annual Out-of-Pocket Max: KP
Annual Deductible	Network	Non-Network	Annual Deductible	Network	Non-Network
Individual	$5,000	$10,000	Individual	$2,000	Not Covered
Family	$10,000	$20,000	Family	$4,000	Not Covered

Co-Insurance Comparison
Co-Insurance: UHC			Co-Insurance: KP
Annual Deductible	Network	Non-Network	Annual Deductible	Network	Non-Network
Percentage you pay after you have satisfied your deductible.	20%	50%	Percentage you pay after you have satisfied your deductible.	10%	Not Covered

Kaiser Permanente's Medical Financial Assistance program helped pay for her medical care. Improving health care access for people with limited incomes and resources is fundamental to Kaiser Permanente’s mission. Our Medical Financial Assistance program helps low-income, uninsured, and underserved patients receive access to care.
Premiums and services indicated in chart starting on page 2. Line only for company identifying information NW underwriting, MAS address I, KAISER PERMANENTE. Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after: 20 Copayment Coverage for.
Kaiser Permanente. If you elect to participate in the Kaiser Permanente HMO plan, you are limited to using physicians and facilities that are part of Kaiser Permanente’s network of providers. All health care services (except for emergencies) must be coordinated.

Office Visit and Urgent Care Cost Comparison
Office Visits/Urgent Care ⁽¹⁾: UHC			Office Visits/Urgent Care ⁽¹⁾: KP
Service	Network	Non-Network	Service	Network	Non-Network
Preventative Care/Screenings	No Charge	50% of eligible expenses after deductible	Preventative Care/Screenings	No Charge	Not Covered
Primary Care - Illness/Injury	$30 Copay		Primary Care - Illness/Injury	$30 Copay
Specialist	$50 Copay		Specialist	$50 Copay
Inpatient Hospital	20% Co-insurance after $1,000 Copay		Inpatient Hospital	10% Coinsurance
Urgent Care	$75 Copay		Urgent Care	$75 Copay
Ambulance	20% after deductible		Ambulance	$500 Copay
Emergency Room	$500 Copay		Emergency Room	$500 Copay
Virtual Visits (Network Benefits are available only when services are delivered through a Designated Virtual Network Provider.)	$30 Copay	Not Covered	Virtual Care - Primary/Specialty - Phone Visit, Video Visit - Chat Online, Email, E-visits	No Charge	Not Covered

Mental Health Benefits Comparison
Mental Health ⁽¹⁾: UHC			Mental Health ⁽¹⁾: KP
Service	Network	Non-Network	Service	Network	Non-Network
Inpatient (Hospitalization/Day Treatment)	20% Co-insurance after $1,000 Copay	50% of eligible expenses after deductible	Inpatient (Hospitalization/Day Treatment)	10% Coinsurance	Not Covered
Outpatient (Therapy)	$30 Copay	50% of eligible expenses after deductible	Outpatient (Therapy)	$30 Copay	Not Covered

Inpatient and Outpatient Addictive Disorders Services Comparison
Substance-Related & Addictive Disorders Services ⁽¹⁾: UHC			Substance-Related & Addictive Disorders Services ⁽¹⁾: KP
Service	Network	Non-Network	Service	Network	Non-Network
Inpatient	20% Co-insurance after $1,000 Copay	50% of eligible expenses after deductible	Inpatient	10% Coinsurance	Not Covered
Outpatient (Therapy)	$30 Copay	50% of eligible expenses after deductible	Outpatient (Therapy)	$30 Copay	Not Covered

Vision Benefits Comparison
Vision: UHC			Vision: KP
Service	Network	Non-Network	Service	Pediatric (up to end of month he/she turns age 19)	Adult (members age 19 and over)
Up to 1 Routine Exam per plan year under the Medical Plan	$50 Copay	- Allowances apply to network providers only. - Please refer to your plan details for out-of-network allowances	Optometrist/ Ophthalmologist	Optometrist: $30 Copay/ Ophthalmologist: $50 Copay (Includes contact lens fitting up to $175)
Optical hardware	- Frames $130 allowance OR - Contact lens $150 allowance		Optical hardware	- 10% Coinsurance - 1 pair of glasses & lenses every 2 years or 2 years of contact lenses	$150 Credit once every 24 months towards optical hardware

Prescription Comparison
Prescription: UHC			Prescription: KP ⁽²⁾
Retail: 30-day supply	Mail Order: 90-day supply	Retail: 30-day supply	Mail Order: 90-day supply
Tier 1	$10 Copay	$20 Copay	Generic	$10 Copay	$20 Copay
Tier 2	$30 Copay	$60 Copay	Preferred Brand Name	$30 Copay	$60 Copay
Tier 3	$50 Copay	$100 Copay	Non-Preferred Brand Name	Approved drugs covered at generic costshare
Specialty (30 day supply)	20% up to $100	Specialty	20% up to $100

* Please refer to the official plan documents for detailed information and listing of covered services

If a procedure is preformed during a Primary Care, Specialty Care, or Urgent Care Visit then the service is covered at coinsurance after deductible is met.
For Southern Colorado Kaiser Permanente members: maintenance medications must be filled at a Pharmacy in a Kaiser Permanente medical office or through Kaiser Permanente mail order.

Rates - Employee Monthly Contribution

United Healthcare Copay Choice Plus Plan		Kaiser Permanente DHMO Plan
Employee Only	$159.14	Employee Only	$93.72
Employee + Spouse	$437.52	Employee + Spouse	$298.02
Employee + Child(ren)	$310.30	Employee + Child(ren)	$190.34
Family	$638.86	Family	$440.48

Kaiser Co Pay

Kaiser Permanente vs. Aetna: What You Need to Know

Kaiser Copay Plans

After the war ended the shipyard workforce fell from 90,000 to 13,000. Only 12 of 75 medical group providers remained. On July 21, 1945, the Permanente Health Plan opened to the public to continue the health care delivery set up by Kaiser and Garfield. In 10 years, more than 300,000 people enrolled in Northern California with the support of two unions, the International Longshoremen’s and Warehousemen’s Union and the Retail Clerks Union.

In 1953, the name of the health plan and the hospitals were changed from Permanente to Kaiser Permanente. Even today, there are ties between the nonprofit Kaiser Foundation Health Plan and Hospitals and the Permanente Medical Groups.

Kaiser Copay For Therapy

Aetna sold its group life and disability businesses to The Hartford for $1.45 billion. Aetna also responded to the hurricane season with donations exceeding $470,000 in Texas, Louisiana, and parts of the Caribbean. The company also matched donations from associates that totalled more than $230,000. Aetna is acquired by CVS Health Corporation at the end of 2017.

In 2018, The Aetna Foundation focused on the fight against the opioid epidemic in the U.S. Movavi video editor key activation. with grants totaling $6 million. In collaboration with U.S News & World News, the Aetna Foundation reveals the Healthiest Communities from 3,000 communities nationwide, across 10 categories.

Kaiser Copay Assistance

To learn more about each company, you can check out the Kaiser Permanente Overview and Aetna Overview.