Kaiser Bronze 60 HDHP HMO 5500/40%

Kaiser Bronze 60 HDHP HMO 5500/40%


Cost Share Information 
Individual Deductible  $5,500
Family Deductible  $11,000
Out of Pocket Limit-Individual  $6,500 (including deductible)
Out of Pocket Limit-Family  $13,000 (including deductible)
Co-Insurance  40%
Lifetime Maximum  Unlimited
Office Visits 
Primary Care  40% after deductible
Specialist  40% after deductible
Adult Preventive Care  No Charge
Child Preventive Care  No Charge
Maternity Prenatal/Postnatal Care  No Charge
Rehabilitation Services  40% after deductible
Chiropractic Care  Not Covered 
Inpatient Services 
Inpatient Hospital 40% after deductible 
Maternity Delivery/Inpatient  40% after deductible 
Outpatient Services 
Outpatient Facility  40% after deductible 
Mental Health Outpatient  40% after deductible 
Lab/X-Ray  40% after deductible 
Emergency Care 
Emergency Room  40% after deductible 
Urgent Care  40% after deductible
Ambulance  40% after deductible 
Prescription Drugs 
Rx Deductible  Integrated Medical/Rx 
Rx Generic  40% after deductible; $500 max/script 
Rx Preferred  40% after deductible; $500 max/script 
Rx Non-Preferred  40% after deductible; $500 max/script 
Recovery/ Special Needs 
Home Health Care  Refer to carrier 
Durable Medical Equipment  40% after deductible 
Optional Benefits  None 

Complete Benefit Summary

If you you have questions about the Kaiser Bronze 60 HDHP HMO 5500/40% plan or any other plans from Kaiser Permanete of California please call The Lynn Company at (800)-326-5966 for more information on California Health Insurance Plans
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