HMO Plans
| Health Plan Name |
Office Visit Copay |
Hospital Copay |
Outpatient Copay |
| Basic
HMO |
$30 |
$400/day, max $1600 |
$150 |
| Standard HMO |
$20 | $150/day, max $600 | $50 |
| Classic 15 |
$15 | $500 | $150 |
| Classic 20 |
$20 | $750 | $150 |
| Classic 30 |
$30 | $1000 | $150 |
| Classic 35 |
$30 | 20% to $4k max | $200 |
Deductible Plans
| Plan Name |
Office Visit Copay |
Deductible |
Coinsurance |
| $30 |
$750 |
20% to $2,500 max |
|
| $30 |
$2000 |
30% to $5,500 max |
HSA Plans
| Plan Name | Deductible | Coinsurance | Max Out-of-Pocket |
| $2,000/$4,000 |
100/0 |
$2000/$4000 |
|
| $2,500/$5,000 |
80/20 |
$5000/$10,000 |
Triple Option Plans
The following plans allow employees to use Kaiser facilities, use the Mountain Medical Affiliates network doctors, or go completely out-of-network for care. Benefits vary according to which option is chosen. Employees can choose to go to a Kaiser doctor for routine visits and pay the appropriate copay for the visit, and still continue to use a specialist outside of Kaiser with a separate deductible applying.
Dental Plan Descriptions
Supplemental Options and Rates