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Kaiser Anthem

Plan Name Permanente Blue Cross
HMO HMO
Network Name Kaiser CA Care HMO
Kaiser Permanente
Health Benefits
Features: Lifetime Maximum Benefit Unlimited Unlimited
· Schedule, view and cancel appointments
· Search for providers, get directions to facilities Calendar Year Deductible
· See detailed medical records - Individual $0 $0
· View prescriptions, order refills, check status of order - Family $0 $0
· Send messages to doctor or member services Out-of-Pocket Maximum
- Individual $1,500 $2,000
Download Kaiser’s mobile app for free from the iTunes App Store - Family $3,000 $4,000
or Google Play store.
Coinsurance (Plan Pays) 100% 100%

Office Visit Copay
Anthem Blue Cross - Preventive Care No Charge No Charge
- Primary Care Physician $20 Copay $20 Copay
Features: - Specialist $35 Copay $40 Copay
· Keep your ID card on your phone that can be viewed, faxed or - Urgent Care $20 Copay $20 Copay
sent via email right from your mobile device - Telemedicine No Charge $10 Copay
· Find a doctor, urgent care center or hospital fast with maps and Hospitalization
driving directions - Inpatient $250 Copay $250 Copay
· The Health Record tool keeps your records available and up to - Outpatient Surgery $35 Copay $125 Copay
date
· Compare cost and quality for common procedures Lab and X-Ray
- Diagnostic No Charge No Charge
Download Anthem’s free mobile app today. To log in on your - Complex No Charge No Charge
smartphone, you must be registered on Anthem’s secure member site
and have a user name and password. Emergency Services $100 Copay $100 Copay
Chiropractic $15 Copay $20 Copay
Max 20 Visits/Year Max 60 Visits/Year