5 MEDICAL Medical insurance helps you pay for preventive care, routine health needs, prescriptions, and advanced procedures by cost-sharing with your insurance provider. Hover over the insurance terms below to learn what they mean. Please note: HMO plans are for California Employees Only. Y O U R J O U R N E Y T O HEALTH DEDUCTIBLE Individual: $3,400 Family: $6,800 Individual: None Family: None COINSURANCE N/A N/A OFFICE VISITS Primary Care: No Charge* Specialist: No Charge* Urgent Care: No Charge* Primary Care: $20 Copay Specialist: $20 Copay Urgent Care: $20 Copay PROCEDURES Inpatient: No Charge* Outpatient: No Charge* Emergency Room: No Charge* OP Lab & X-ray: No Charge* Radiology: No Charge* Inpatient: $500 per Admission Outpatient: $20 per Procedure Emergency Room: $50 per Visit OP Lab & X-ray: No Charge Radiology: $0 Copay PRESCRIPTIONS Retail: No Charge* Mail Order: No Charge* Retail: $10/$25 Mail Order: $10/$25 OUT-OF-POCKET MAXIMUM Individual: $3,400 Family: $6,800 Individual: $1,500 Family: $3,000 HDHP Kaiser No. Cal/So. Cal Traditional HMO Kaiser No. Cal/So. Cal Review Plan Summaries HDHP Kaiser No. Cal/So. Cal Traditional HMO Kaiser No. Cal/So. Cal In-Network Only (No Out-of-Network Benefits) *Deductible applies first The benefits and rates in this guide are for illustrative purposes only. Please refer to the Summary of Benefits for specific benefits. To the extent the rates or the benefit plan information summarized herein differs from the underlying plan details specified in the insurance documents that govern the terms and conditions of the plans of insurance de- scribed in this guide, the underlying insurance documents will govern in all cases. Click to View 2026 Kaiser Medical Premiums Staff Principals Directors In-Network Only (No Out-of-Network Benefits) Associates & Managers