Kaiser Permanente-Std - Portland/Salem areas

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General Information

Plan Name:	Kaiser Permanente-Std
Service Area:	Portland/Salem areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	574
Enrollment Code-Self & Family:	575
Link to Plan Home Page:	http://www.kaiserpermanente.org
Telephone:	800/813-2000
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:	$15
RX/ Brand/ Retail:	$30
RX/ Brand/ NonFormulary:	$30

Rates

Non-Postal
___Twice Biweekly	Self: $60.00	Self: & Family: $137.70
___Monthly	Self: $65.00	Self: & Family: $149.17
___Biweekly	Self: $30.00	Self: & Family: $68.85
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Annuitants
___Monthly	Self: $65.00	Self: & Family: $149.17
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $29.25	Self: & Family: $67.13
___Biweekly	Self: $13.50	Self: & Family: $30.98
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $29.25	Self: & Family: $87.23
___Biweekly	Self: $13.50	Self: & Family: $40.26
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Worker's Compensation Recipients
___Twice Biweekly	Self: $60.00	Self: & Family: $137.70
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Certain Temporary Employees
___Biweekly	Self: $120.00	Self: & Family: $275.40
___Monthly	Self: $260.00	Self: & Family: $596.70
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Former Spouse Enrollees
___Biweekly	Self: $120.00	Self: & Family: $275.40
___Monthly	Self: $260.00	Self: & Family: $596.70
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Temporary Continuation of Coverage
___Biweekly	Self: $122.40	Self: & Family: $280.91
___Monthly	Self: $265.20	Self: & Family: $608.63
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FDIC
___Biweekly	Self: $13.50	Self: & Family: $30.98
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