Medical Plan Comparison

Medical Plan Comparison - Kaiser & UMR-United Healthcare Direct Link

Kaiser Permanente service areas include CA, CO, DC, GA, MD, OR, VA and WA

Category	Enhanced PPO	HSA Plan	Value PPO
HSA contributions are paid per pay period. The family deductible must be met before any person receives benefits. The family out of pocket max must be met before benefits are paid at 100% for any family member. Individual deductible when enrolled in family coverage on Kaiser CA HSA. All medical plans cover preventative care at 100%. For complete plan details see SBC's below.**
Petco Contribution to HSA	n/a	Employee: $350* Family: $700*	n/a
Deductible	Employee: $750 Family: $1,500	Employee: $2,000 Family: $4,000 ($3,200)**	Employee: $3,750 Family: $7,500
Co-pay (Flat $ amount paid for services)	PCP $25 Specialist $50 Urgent Care $80 ($25) Generic Rx $10/$20	N/A	PCP $40 Specialist $80 ($50) Urgent Care $80 ($40) Generic Rx $10/$20
Co-insurance (% paid for services once deductible met)	20% Inpatient / Outpatient / Labs / Rx	Inpatient/ Outpatient/Labs 20% PCP 20% Specialist 20% Urgent Care 20% Rx 20%	30% Inpatient / Outpatient / Labs / Rx
Copay + Coinsurance	Emergency Room: $200 copay + 20% coinsurance	Emergency Room: $200 copay + 20% coinsurance	Emergency Room: $200 copay + 20% coinsurance
Out of Pocket Max (Expenses for covered services per plan year)	Employee: $5,000 Family: $10,000	Employee $4,000 Family $8,000***	Employee $5,000 Family $10,000

Locate a Kaiser provider by calling you local office or visit https://healthy.kaiserpermanente.org/doctors-locations.

Find a UMR-UHC in-network provider by following these simple steps:

CA only provider search
ALL other states providers
Or connect with a Quantum care coordinator for assistance at (877) 324-3536
- Monday – Friday 8:30AM – 10:00PM EST

Click here to get started.