Kaiser Permanente-Std - Islands of Hawaii/Maui/Oahu/Kauai

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General Information

Plan Name:	Kaiser Permanente-Std
Service Area:	Islands of Hawaii/Maui/Oahu/Kauai
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	634
Enrollment Code-Self & Family:	635
Link to Plan Home Page:	http://www.kaiserpermanente.org
Telephone:	808/597-5955
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$15
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$7
RX/ Brand/ Retail:	$7
RX/ Brand/ NonFormulary:	$7

Rates

Non-Postal
___Monthly	Self: $50.53	Self: & Family: $108.63
___Twice Biweekly	Self: $46.64	Self: & Family: $100.28
___Biweekly	Self: $23.32	Self: & Family: $50.14
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Annuitants
___Monthly	Self: $50.53	Self: & Family: $108.63
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $10.49	Self: & Family: $22.56
___Monthly	Self: $22.74	Self: & Family: $48.88
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $10.49	Self: & Family: $22.56
___Monthly	Self: $22.74	Self: & Family: $48.88
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $46.64	Self: & Family: $100.28
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Certain Temporary Employees
___Monthly	Self: $202.11	Self: & Family: $434.53
___Biweekly	Self: $93.28	Self: & Family: $200.55
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Former Spouse Enrollees
___Biweekly	Self: $93.28	Self: & Family: $200.55
___Monthly	Self: $202.11	Self: & Family: $434.53
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Temporary Continuation of Coverage
___Biweekly	Self: $95.15	Self: & Family: $204.56
___Monthly	Self: $206.15	Self: & Family: $443.22
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FDIC
___Biweekly	Self: $10.49	Self: & Family: $22.56
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