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Kaiser Bronze 60 HDHP HMO 5500/40%

Kaiser Bronze 60 HDHP HMO 5500/40%	In-Network
Cost Share Information
Individual Deductible	$5,500
Family Deductible	$11,000
Out of Pocket Limit-Individual	$6,500 (including deductible)
Out of Pocket Limit-Family	$13,000 (including deductible)
Co-Insurance	40%
Lifetime Maximum	Unlimited
Office Visits
Primary Care	40% after deductible
Specialist	40% after deductible
Adult Preventive Care	No Charge
Child Preventive Care	No Charge
Maternity Prenatal/Postnatal Care	No Charge
Rehabilitation Services	40% after deductible
Chiropractic Care	Not Covered
Inpatient Services
Inpatient Hospital	40% after deductible
Maternity Delivery/Inpatient	40% after deductible
Outpatient Services
Outpatient Facility	40% after deductible
Mental Health Outpatient	40% after deductible
Lab/X-Ray	40% after deductible
Emergency Care
Emergency Room	40% after deductible
Urgent Care	40% after deductible
Ambulance	40% after deductible
Prescription Drugs
Rx Deductible	Integrated Medical/Rx
Rx Generic	40% after deductible; $500 max/script
Rx Preferred	40% after deductible; $500 max/script
Rx Non-Preferred	40% after deductible; $500 max/script
Recovery/ Special Needs
Home Health Care	Refer to carrier
Durable Medical Equipment	40% after deductible

Optional Benefits	None

Complete Benefit Summary

If you you have questions about the Kaiser Bronze 60 HDHP HMO 5500/40% plan or any other plans from Kaiser Permanete of California please call The Lynn Company at (800)-326-5966 for more information on California Health Insurance Plans.

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Please note that we cannot bind insurance via email, fax, or voicemail. Any quotes given are subject to underwriting guidelines by the respective insurance carriers. Any reference of coverage used are not intended to express legal opinion as to the nature of coverage, but rather just a brief generalization of coverages. Please read your policy for coverage details.

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3761 Bernard Street | Bakersfield, CA 93306
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