Kaiser Bronze 60 HDHP HMO

Kaiser Bronze 60 HDHP PPO


Cost Share Information 
Individual Deductible  $4,800
Family Deductible  $9,600
Out of Pocket Limit-Individual  $6,550 (including deductible)
Out of Pocket Limit-Family  $13,100 (including deductible)
Co-Insurance  40%
Lifetime Maximum  None
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  40% after deductible; 100 visits per year 
Durable Medical Equipment  40% after deductible 
Optional Benefits  None 

Complete Benefit Summary

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