- Kaiser Permanente Birth Control Copay Assistance
- Kaiser Permanente Birth Control Copay California
- Org Kaiser Permanente
- Kaiser Birth Control Options
Kaiser Permanente is a Health Maintenance Organization (HMO) that provides patient services, hospitalization, supplies and prescription drugs through its own network of doctors, hospitals and other Kaiser-affiliated health care facilities.
See which plan works best for you. Download a printer-friendly feature comparison chart of our copayment plans. Membership agreement. For detailed information about this plan, read the membership agreement. Membership agreement for Northern California ♦. Membership agreement for Southern California ♦. Kaiser Permanente Medical Financial Assistance (MFA) Program If you need help paying for health care services or prescriptions you’ve gotten, or are scheduled to get, from Kaiser Permanente, our MFA program may be able to help you. On the KP 0/25/Rx plan, you would pay a separate copayment for each of the covered services you receive. In this case, you would pay a $25 copay for the doctor’s ofice visit, a $25 copay for the X-ray, and either a $15 copay or 50 percent coinsurance (whichever is greater) for the generic drug. Copay, coinsurance, or deductible payment for these services. Birth control counseling or consultations, when given by an in-network provider. Prescribed over-the-counter female contraceptives, such as spermicide and sponges. Kaiser Permanente Created Date. The findings in the birth control. Either by not covering them at all or by charging a copay. (Kaiser Health News is an editorially independent program of KFF.). A non-profit charitable.
Kaiser Permanente Birth Control Copay Assistance
| Basics | |
|---|---|
Overview | You may use only Kaiser Permanente doctors and facilities except in emergencies. Group #7145 (Northern CA) Group #230178 (Southern CA) |
Pre-Authorization Requirement | Pre-authorization required for all elective inpatient and outpatient procedures. PENALTY for not pre-authorizing: not covered. |
Office copay | $30 copay primary/$50 copay specialist |
Deductible | No deductible |
Out-of-Pocket Maximum | $3,500 per individual/$7,000 family |
| Kaiser Mobile Health Clinic (located at Campus Drive and Bonair Siding in the Maples Parking Lot) | Please note - the Kaiser Mobile Heatlh Clinic has suspended operations indefinitely due to the COVID-19 pandemic and is not available at this time on campus. An announcement will be made when services are scheduled to resume. As a Kaiser Permanente member, you and your covered dependents will have access to convenient state-of-the-art care on the Mobile Health Vehicle every Tuesday. The mobile clinic has individual offices for confidential exams and consultations, a lab, and Internet connections to specialists throughout the Kaiser network. For an appointment, call Kaiser toll-free at (877) 741-4648 or visit Kaiser's Mobile Health Vehicle website. Although walk-ins will be welcome, priority will be given to those with an appointment |
| Preventative Care | |
|---|---|
Physical exams for adults | 100% |
Physical exams for children | 100% |
Pap smears | 100% |
Immunizations | 100% Office visit copay applies if provided during doctor office visit |
| Well-woman visits | 100% |
| Prescription Drugs | |
|---|---|
Pharmacy (Retail) | Kaiser Permanente Pharmacy |
Mail order drug program | Kaiser Permanente Mail Order Pharmacy |
Birth Control Pills | Included in Prescription Drug benefit, covered at 100% |
Traveling Outside the U.S.
Kaiser Permanente Birth Control Copay California
Your Kaiser HMO plan provides services in California only. You receive no coverage for routine services outside the service area. However, Kaiser provides “Emergency Care” coverage anywhere you may experience an emergency that is life-threatening in nature.
If you need to file a claim for emergency care received while overseas, download the Kaiser emergency claim form or contact Kaiser to have an emergency claim form sent to you.
Org Kaiser Permanente
If you’re thinking about using birth control but aren’t sure what type is right for you, visit kp.org/birthcontrol.
This website has information about the different kinds of birth control available to members at low or no cost1. It also answers questions about emergency contraception and gives advice to teens.
The site also lets you get 24/7 phone advice, send an email to your doctor, or make an appointment to talk to your doctor about your options.
Visit kp.org/birthcontrol to get the facts about birth control. It has all you need to know to make the best decision for you.
Kaiser Birth Control Options
1Costs are dependent on your policy terms. For questions about your coverage, please call Member Services at 800-777-7902 or view your benefit coverage documents.