Published on October 19, 2024

What you need to know

Imagine the convenience of having all your health care providers under one roof. Now, if you're in California, Colorado, Georgia, or Hawai‘i, stop imagining—'cause this dream becomes a reality when you enroll in a Kaiser plan. Check out the highlights below, but keep in mind: The plans do not cover care from non-Kaiser providers except in the case of a life-threatening emergency.

Flu shots are on us!

Stay away from the ick this flu season with a free flu shot from Workday. Flu shots at your doctor’s office or a pharmacy are covered 100% by your Workday medical plan.

Kaiser

Wanna get smart?

Set aside pretax dollars in a Health Savings Account (HSA). Get free money from Workday. Feel secure in knowing you and your family are covered. What more could you want from a medical plan? Learn how a plan with an HSA works.

LEARN MORE

Kaiser Smart Plan With HSA

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  • 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
 

Calendar-year deductible

CoverageDeductible
Individual2024: $1,600
2025: $1,650
Individual in Family2024: $3,200
2025: $3,300
Entire Family2024: $3,200
2025: $3,300
 

Calendar-year out-of-pocket maximum

CoverageOut-of-Pocket Maximum
Individual2024: $4,000
2025: $4,000
Individual in Family2024: $4,000
2025: $4,000
Entire Family2024: $6,850
2025: $6,850
 

Select medical services

This is what you pay for care for certain services. For other medical expenses and more information, review the medical plan comparison (2024|2025).

ServiceCost
Preventive Care$0 
Office Visits20% after deductible
Emergency Room (ER)20% after deductible 
Urgent Care20% after deductible
Outpatient Surgery20% after deductible 
Behavioral Health20% after deductible
Physical Therapy20% after deductible
Family Planning ServicesFertility coverage available.*

* Please contact Kaiser for coverage details. Family planning benefits are administered for Workday by Maven Wallet and include reimbursement allowance for IVF or IUI, egg freezing, adoption, or surrogacy.

Your first step to free money

If you enroll in the Kaiser Smart Plan, you need to elect the HSA during enrollment to receive the company contributions (even if you don't want to contribute to your account right now). Then, be sure to open your account with Fidelity.

Open your HSA account

Kaiser Traditional Plan

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  • 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
 

Calendar-year deductible

CoverageDeductible
Individual$0
Individual in Family$0
Entire Family$0
 

Calendar-year out-of-pocket maximum

CoverageOut-of-Pocket Maximum
Individual$1,500
Individual in Family$1,500
Entire Family$3,000
 

Select medical services

This is what you pay for care for certain services. For other medical expenses and more information, review the medical plan comparison (2024|2025).

ServiceCost
Preventive Care$0 
Office Visits$20 PCP / $20 specialist
Emergency Room (ER)$100 (waived if admitted)
Urgent Care$20
Outpatient Surgery$100 per procedure
Behavioral Health$20 copay
Physical Therapy$20 per outpatient visit
Family Planning ServicesFertility coverage available.**

** Please contact Kaiser for coverage details. Family planning benefits are administered for Workday by Maven Wallet and include reimbursement allowance for IVF or IUI, egg freezing, adoption, or surrogacy.

Your one-stop health-management tool

Once you’re enrolled in a Kaiser plan, be sure to register for My Health Manager. Here are just a few of the tasks you can handle—anytime, anywhere—through My Health Manager:

  • Email your doctor
  • View lab test results
  • Order prescription refills
  • Request routine appointments
  • Access your temporary ID card while you wait for the printed ID card to arrive. ID cards can take up to two to three weeks to be printed and mailed.

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FYI

Learn more about your plan by reviewing the Kaiser Benefit Summaries and other plan documents.