Kaiser Permanente

KP VA Standard Platinum 0 Ded/Vision

Plan Overview

Medical Deductible
  • Individual: $0
  • Family: $0
  • Per Person: $0
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $4,300
  • Family: $8,600
  • Per Person: $4,300
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $10 Copay
Specialist
  • Standard: $20 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $10 Copay
Non Preferred Brand Drugs
  • Standard: $50 Copay
Generic Drugs
  • Standard: $5 Copay
Specialty Drugs
  • Standard: $150 Copay

Inpatient Coverage

Hospital Services
  • Standard: $350 Copay per stay
Inpatient Services
  • Standard: No Charge

Emergency and Urgent Care

Emergency Room
  • Standard: $100 Copay