Get the up-to-date Standard Silver 2500/35 CSR 87% - Kaiser Permanente-2025 now

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The document is the Evidence of Coverage for the Kaiser Permanente Individuals and Families Deductible Plan, effective from January 1, 2016 to December 31, 2016. It outlines the health care coverage details, including deductibles, copayments, and coinsurance amounts for various services. The plan emphasizes the importance of understanding coverage differences compared to familiar plans and includes a cancellation policy allowing members to rescind their contract within ten days. It provides comprehensive information on benefits, exclusions, limitations, and procedures for obtaining services, as well as guidelines for claims and appeals.

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What does silver hmo mean?

Silver plan premiums are higher than those for Bronze plans, but lower than those for Gold or Platinum plans. A plan with a higher monthly premium typically means youll have a lower deductible, lower copays, and a lower out-of-pocket maximum.

What is the difference between Kaiser bronze and silver?

What is the out-of-pocket limit for this plan? $5,000 Individual / $15,000 Family The out-of-pocket limit is the most you could pay in a year for covered services. If you have other family members in this plan, they have to meet their own out-of- pocket limits until the overall family out-of-pocket limit has been met.

What is the difference between Silver 73 and Silver 87?

Many services arent subject to a deductible. For Silver 87, that amount for individuals is $1,400 for medical services, and $100 for prescription drugs. A familys deductible is $2,800 for medical services, and $200 for prescriptions. There is no deductible for dental care.

What is Silver 87 HMO?

On average, Platinum-level plans cover 90 percent of health care costs, and you pay 10 percent; Gold plans cover 80 percent, while you pay 20 percent; Silver plans cover 70 percent, while you pay 30 percent; and Bronze plans cover 60 percent, while you pay 40 percent.

Is silver 87 hmo good?

More often than not, if you qualify for the Silver 87, it will provide you the best coverage for the price. Since the service fees and deductible are low, people with serious or chronic health conditions may wish to consider enrolling on a Silver 87 Plan, if they are eligible.