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Open Enrollment 2022

Marc's analysis of KAISER!

Silver 94, 87 & 73 Enhanced CSR
Must have low-income to qualify:

Silver 94
-
$75 Deductible
$5 Dr. Visit Copay / $8 Specialist

$5 Urgent Care

$8 Lab / $8 X-ray
Rx: $3 Generic / $10 Tier 2 / $15 Tier 3
10% Hospitalization
10% Outpatient Surgery

10% Inpatient Surgery (After Deductible)

$1,000 Out of pocket maximum (2 max)


Silver 87- $800 Deductible / $0 Rx
$15 Dr. Visit Copay / $25 Specialist
$10 Urgent Care
$15 Lab / $25 X-ray
Rx: $5 Generic / $
20 T2 / $35 T3 (After Ded.)
15% Hospitalization
15% Outpatient Surgery
15% Inpatient Surgery (After Deductible)
$2,600 Out of pocket maximum (2 max)


Silver 73- $3,700 Deductible / $10 Rx
$35 Dr. Visit Copay / $75 Specialist
$35 Urgent Care
$35 Lab / $75 X-ray
Rx:
$15 Generic / $55 T2 / $85 T3 (After Ded.)
20% Hospitalization
20% Outpatient Surgery
20% Inpatient Surgery (After Deductible)
$6,300 Out of pocket maximum (2 max)

KAISER

  Which health plan is best for you?

2018 Strategy:  If your Silver plan from last year is going up over 20%, then you might want to consider downgrading to a Bronze 60 plan with a much higher deductible and much lower premium per month.  We will help you compare all of your options.

- Get the BEST VALUE

- Licensed CERTIFIED Agent

- 19 Years of Experience

We have done all of
the analysis for you!


  - Carrier Details & Phone #s

  - Information / Co. Facts

  - Pros & Cons of the Carrier

  - Hospital & Doctor Network

  - BBB Rating / Review Links

  - Wiki Links and more!




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Click a carrier below for company details:

Health Plan Summary:
Platinum 90 -
$0 Deductible

$15 Dr. Visit Copay / $30 Specialist

$15 Urgent Care

$15 Lab / $30 X-ray
Rx: $5 Generic / $15 Tier 2 / $25 Tier 3

10% Outpatient Hospitalization
10% Outpatient Surgery

10% Inpatient Hospitalization

$3,350 Out of pocket maximum (2 max)

Gold 80 - $0 Deductible
$30 Dr. Visit Copay / $55 Specialist
$30 Urgent Care
$35 Lab / $55 X-ray
Rx: $15 Generic / $55 Tier 2 / $75 Tier 3
20% Hospitalization
20% Outpatient Surgery
10% Inpatient Surgery
$7,200 Out of pocket maximum (2 max)

Silver 70- $3,700 Deductible / $10 Rx
$35 Dr. Visit Copay / $70 Specialist
$35 Urgent Care
$40 Lab / $85 X-ray
Rx:
$15 Generic / $55 Tier 2 / $85 Tier 3 (After Ded.)
20% Outpatient Hospitalization
20% Outpatient Surgery
20% Inpatient Hospitalization (After Ded.)
$7,200 Out of pocket maximum (2 max)

Bronze 60 - $6,300 Deductible
$75 Dr. Visit Copay (3) visits / $105 Specialist (3) visits
$75 Urgent Care (3) visits
$40 Lab / X-ray not covered until meet deductible
Rx:
$15 Generic / $50 Tier 2 / $70 Tier 3 (After Ded.)
100% Hospitalization (
After Deductible)
100% Outpatient Surgery (
After Deductible)

100% Inpatient Hospitalization (After Deductible)
$7,550 Out of pocket maximum (2 max)




Meet Marc Harris
Your Local Certified Insurance Agent

I have been helping clients since 1998 and was
one of the first agents to get certified with
Covered California and the CoveredCA.com
Exchange.  After reviewing the kaiser Permanente options for this years open enrollment, I have concluded that they are going through a huge restructure and are unsure of their operations for this coming year. Some of our clients have seen upwards of a 40% rate increase.  What a "bait and switch" in my opinion.  Ready to renew your policy? We can help you today!  Complete our short Covered CA
RENEWAL FORM and someone will contact you.

KAISER PERMANENTE Info / Facts:
Founded in 1945 (70+ Years Ago)    "By the Numbers"

$64.6 Billion in Revenue (with 11.8 Million members)
# of Employees: 186,497 (18K physicians / 38 Facilities) 
Privately Held Company: not-for-profit
BBB Rated: A+ (Click Here) - Started 6/30/1997
Wiki Link: Kaiser Permanente
website: 
KaiserPermanente.org or KP.org 
Customer Service Phone: (844) 524-7370
Payment Phone: (888) 524-7370

In-Network: 
Find a HOSPITAL   /  DOCTOR Search
        

Notes
(Advantages & Disadvantages):
- PROS: HMO network with High Customer Satisfaction
- A+ Rated and Accredited by the Better Business Bureau
-
Doctor's office, lab and pharmacy all under one roof.

- Our clients either love or hate Kaiser

- CONS:
-
You are stuck in their managed care HMO system.
-
Long waiting lists for surgery.

- Must get authorization and jump through hoops
- Much fewer selection of hospitals in CA vs other carriers

- Our clients either love or hate Kaiser

- All of the above is just our honest opinion.