Information for the 20-21 Plan Year

View the Summary of Benefits for the new 2020-21 plans.  See what each plan covers and what you will pay for covered services.

Watch this quick video to learn what Kaiser has to offer you as a member, from plans to appointments to billing and much more.  

DHMO 1000

  • Deductible- $1,000 Individual/$3,000 Family
  • Out of Pocket Limit- $4,000 Individual/$9,000 Family
  • No additional deductibles for specific services

DHMO 2500

  • Deductible- $2,500 Individual/$7,500 Family
  • Out of Pocket Limit- $4,000 Individual/$9,000 Family
  • No additional deductibles for specific services

HDHP 1500

  • Deductible- $1,500 Individual/$3,000 Family
  • Out of Pocket Limit- $4,000 Individual/$6,850 Family
  • No additional deductibles for specific services

HDHP 3000

  • Deductible- $3,000 Individual/$6,000 Family
  • Out of Pocket Limit- $5,000 Individual/$10,000 Family
  • No additional deductibles for specific services

POS

  • Deductible
    • Plan Provider-$1,000 Individual/$3,000 Family
    • PAR Provider- $2,000 Individual/$6,000 Family
    • Non-PAR Provider- $5,000 Individual/$15,000 Family
  • Out of Pocket Limit
    • Plan Provider- $3,000 Individual/$6,000 Family
    • PAR Provider- $3,500 Individual/$7,000 Family
    • Non-PAR Provider $16,000 Individual/$48,000 Family
  • No additional deductibles for specific services

 

In addition to the listed plans APS also offers Chiropractic and Acupuncture.  

Chiropractic benefit covers evaluation and management, lab services and x-rays required for such services and manual manipulators
Acupuncture benefit, when clinically appropriate, covers neuromusculoskeletal pain due to an injury or an illness or allergies, asthma, nausea and/or vomiting
For more information visit the Additional Benefits portion of the website or call the Centers for Complementary Medicine at 1-844-800-0788 or visit kp.org/locations and search by keyword to schedule an appointment