Kaiser Smart Plan With HSA

• Your per-paycheck contributions are the lowest of the Kaiser plans.
• For in-network preventive care services, the plan pays 100% (no copay or deductible).
• For in-network doctor visits and services, the plan pays 80% after you meet the deductible:
  • 2024: $1,600 individual / $3,200 family
  • 2025: $1,650 individual / $3,300 family
• Out-of-network services: The plan does not cover non-Kaiser providers, except in emergencies.
• In-network prescription drugs:
  • Retail: $10 generic / $30 brand after deductible (30-day supply)
  • Mail-order: $20 generic / $60 brand after deductible (100-day supply)
• This plan is available to Workmates in California, Colorado, Georgia, and Hawai‘i.

Bonus! There’s a reason they call this the Smart Plan. When you enroll in it, you’re eligible for a Health Savings Account (HSA), and that lets you set aside pretax dollars to pay for eligible medical expenses. Can you say “ka-ching”? Plus, Workday chips in, so you get free money annually, $1,000 for employee-only coverage or $2,000 if you're also covering dependents, over the course of each pay period (24 pay periods). Pretty smart, huh?

What you pay for care
 

Kaiser Traditional Plan

• Your per-paycheck contributions are moderate.
• For in-network preventive care services, the plan pays 100% (no copay or deductible).
• For in-network doctor visits, you pay a $20 copay and a set copay for certain other in-network services with no deductible. After your copay, the plan pays 100%.
• Out-of-network services: The plan does not cover non-Kaiser providers, except in emergencies.
• In-network prescription drugs:
  • Retail: $10 generic / $30 brand (30-day supply)
  • Mail-order: $20 generic / $60 brand (100-day supply)
• This plan is available to Workmates in California, Colorado, Georgia, and Hawai‘i.

What you pay for care