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Kaiser Signature HMO

Kaiser Permanente provides comprehensive prepaid health care services through a system of health care network facilities. All health care is arranged or provided by a primary care physician (PCP) of the Kaiser Center you select at the time you enroll.

Kaiser has over 30 centers in the DC, Maryland and Virginia (DMV) region. Some centers serve as after-hours care centers, where participants with urgent medical problems may be seen when regular medical centers are closed. With the exception of life threatening emergency treatment, participants must receive care through Kaiser centers. Hospitalization coverage is included at area hospitals associated with Kaiser.

Please note that the Kaiser option is not available to eligible employees outside of the DMV.

Cost for coverage

Select your annual salary range to view your cost for coverage chart.

Your portion of the cost of the medical coverage is deducted from your pay on a pre-tax basis.

This chart provides an overview of Kaiser's plan options. Please refer to theÌýKaiser Summary of BenefitsÌýfor a comprehensive listing of medical benefits.
Ìý Kaiser Permanente
Ìý HMO

Choice of physician

 Must select a primary care physician from the list of physicians at one of Kaiser Permanente's medical centers.

Annual deductible

 None

Copayments

$20Ìýprimary care

$40Ìýspecialty care

Does not apply to outpatient mental health and prescription benefits.

No copayment for preventive care office visits for adults and children over age 5.

No copayment for primary care physician office visits for children under age 5 (specialist copayments apply for children under age 5).

No copayment for women's preventive health services.

Coinsurance

None

Maximum out-of-pocket expense

$3,500Ìýindividual

$9,400Ìýfamily

Lifetime maximum

Unlimited

Claim forms

No claim forms to file.

Pre-certification

Hospital certification arranged by the member through the plan.

Use the to estimate your out-of-pocket costs for common exams, tests, and procedures before you come in for a visit.

Select the Maryland, Virginia, WashingtonÌýD.C. as your region then sign on to get a personalized estimate.

Kaiser's video visitsÌýallows you to get care without visiting the office. Video appointments are available with your primary care doctor, pediatrician, mental health provider and for urgent situations, an emergency medicine doctor. You just need to be a Kaiser Permanente member who’s registered onÌý, and have a camera-equipped computer or mobile device.

Video visits are easy, secure, and part of your coordinated care.Ìý

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Â鶹ÊÓƵ makes every effort to ensure the accuracy of the information that appears on the benefits site. However, if there are discrepancies between the information presented and the legal documents governing a plan or program (the "plan documents"), the plan documents will always govern. Â鶹ÊÓƵ reserves the right to amend or terminate any benefit plan at its sole discretion at any time, for any reason.

Kaiser Permanente

Customer service: 301-468-6000
24-hour nurse line (DC):
703-359-7878
24-hour nurse line (outside of DC):
800-777-7904