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GoFundMe a traditional HMO with Kaiser Permanente to California employees. The following chart is an overview on benefits coverage. For a full list of benefits included, please refer to the Kaiser benefit summary.
| Kaiser HMO | ||
|---|---|---|
| In Network | Annual Deductible | |
| Individual | $0 | |
| Family | $0 | |
| Out-of-Pocket Maximum | ||
| Individual | $1,500 | |
| Family | $3,000 | |
| Doctor’s Visit | ||
| Primary Care | $20 | |
| Specialist | $20 | |
| Preventive Care | 100% Covered | |
| Emergency Care | $50 | |
| Urgent Care | $20 | |
| Hospitalization | ||
| Inpatient | $250 per admit | |
| Outpatient | $20 | |
| Prescription Drugs (retail) | ||
| Rx Deductible | None | |
| Generic | $10 | |
| Preferred | $30 | |
| Non-Preferred | $30 | |
| Out of Network | Annual Deductible | |
| Individual | Not Covered | |
| Family | Not Covered | |
| Out-of-Pocket Maximum | ||
| Individual | Not Covered | |
| Family | Not Covered | |
| Emergency Care | $50 |
Kaiser:
Kaiser: Kaiser Permanente
Kaiser: 800-464-4000
Group Numbers: Kaiser Southern California 237004 | Kaiser Northern
California 609019
