Kaiser Medical Plans

Schedule appointments, message your provider, access lab results, and more through your Kaiser member portal at kp.org.

The Kaiser HMO offers one-stop shopping for your health needs, including pharmacy services and specialists.

This plan may be right for you if:

  • You like knowing what you’ll pay when you go to the doctor, with copays for most services and no deductible.

  • You want the lowest annual out-of-pocket maximum of Samsara’s medical plans.

  • You’re comfortable receiving all of your care from Kaiser facilities, doctors, and hospitals.

  • You’re comfortable getting a referral from your Kaiser doctor to see a specialist.

Here’s how it works:

Doctors and other healthcare providers

  • You must use Kaiser facilities and physicians, except in a medical emergency, or for urgent care when you’re temporarily outside the Kaiser service area.

Cost sharing between you and the plan

  • You’ll pay a flat $20 copay for office visits to a primary care provider, specialist, or urgent care.

  • There is no annual deductible. Preventive care is no charge, and you’ll pay a copay or coinsurance for many other services, such as prescriptions, diagnostic tests, imaging, outpatient surgery, hospital stays, and emergency room visits.

  • You’ll continue to pay copays and coinsurance until you reach the annual out-of-pocket maximum. After that, the plan pays 100% of covered services.

You can review the full plan design and benefits of the Kaiser plans here.

What’s my paycheck cost?

Semi-Monthly Employee Contribution

Semi-Monthly Employee Contribution
Plan Name EE Only EE + SP/DP EE + CH EE + FAM
Kaiser - California and Georgia HMO 75.5 241.5 179 360.5
Kaiser - Hawaii HMO 75.5 216 179 360.5

Kaiser Programs (Available to all Samsara Kaiser members)

Kaiser Video Visits and 24 Hour Care Line - 866-454-8855; kp.org 

  • Get the care you need the way you want it. No matter which option you choose, your providers can see your health history, update your medical record, and give you personalized care that fits your life. Options include 24 hour care line, Video Visits, and email/e-visits. 

Class Pass - kp.org/classpass

  • ClassPass makes it easier for you to work out from anywhere. ClassPass partners with 30,000 gyms and studios around the world, offering a range of classes including yoga, dance, cardio, boxing, Pilates, boot camp, and more. Kaiser Permanente members can get:

    • Unlimited on-demand video workouts at no cost

    • Reduced rates on livestream and in-person fitness classes

Calm app - kp.org/selfcareapps

  • Calm is the #1 app for meditation and sleep — designed to help lower stress, reduce anxiety, and more. Kaiser Permanente members can access all the great features of Calm at no cost.

Optum One Pass

  • One Pass Select Affinity is a subscription-based fitness membership to help employees meet their health goals. On top of being one of the largest fitness networks in the industry, One Pass Select Affinity features extensive digital offerings, and home delivery services with most plans.

More Valuable Resources

Aetna Medical Plans

Aetna offers nationwide coverage in the U.S.

Aetna Medical Plans

Dental

Coverage to keep your smile looking great.

Dental

Medical Plans Overview

Choose the best medical plan option for your needs.

Medical Plans Overview

Mental Health

Access mental wellness benefits from Modern Health.

Mental Health

Vision

See clearly with our vision plan.

Vision