The SBC shows you how you and the plan would share the cost for covered health care services. H2172_19_84_M 2019AR0732 PBPs 001, 002, 003, & 004 January 1–December 31, 2020 . 2020 Summary of Benefits . The SBC shows you how you and the plan would share the cost for covered health care services. Compare Kaiser's costs and benefits with other UC plans. Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services : 20 Copayment Coverage Period: Beginning on or after 01/01/20. Kaiser Permanente Senior Advantage Basic Plan (HMO) and Kaiser Permanente Senior Advantage Plan (HMO) H9003_SAIDSB0220_M PBPs 1 … Refer to COBRA for information on continuing health coverage for yourself and your dependents if you involuntarily lose your health benefits. 2020 Summary of Benefits . About this Summary of Benefits Thank you for considering Kaiser Permanente Medicare Advantage. January 1–December 31, 2020 . 2174 0 obj <>stream Kaiser Permanente Senior Advantage Basic Plan (HMO) and MD 20852 The Summary … Line only for company identifying information [NW underwriting, MAS address] Plan ID: 12105 /1210 6_CC_ 20 20 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2021 offered by Connect for Health Colorado. To receive the Senior Advantagebenefits described in this Summary of Benefits, you must be enrolled in Kaiser Permanente through the FEHB Program and meet the eligibility requirements described in your FEHB brochure (73-003). The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2020 Summary of Benefits Coverage (SBC), Kaiser HMO. The Summary of Benefits and Coverage (SBC) document will help you choose a health . 鮋�P� The summary of benefits and coverage documents are listed under Washington HealthPlanFinder, or Kaiser Foundation Health Plan of Washington. %%EOF 2020 . Summary of Benefits and Coverage: Coverage Period: 01/01/2020-12/31/2020 What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020-12/31/2020 : FAIRFAX COUNTY GOVERNMENT (HMO RETIREES) Coverage for: Individual / Family | Plan Type: HMO KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., 2101 East Jefferson Street, Rockville. Contact us 1-800-464-4000 (TTY 711) Summary of benefits and coverage for plans offered to individuals & families. The SBC … Coverage Period: 01/01/2020-12/31/2020 : AMERICAN UNIVERSITY (HMO SIG) Coverage for: Individual / Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., 2101 East Jefferson Street, Rockville. Annual premiums for employer-sponsored family health coverage … 2020 . Select a Summary of Benefits and Coverage from the plan listings below. endstream endobj startxref 2020 Summary of Findings 2 Employer Health Benefits 2020 ANNUAL SURVEY workers in large firms, covered workers in small firms on average contribute a higher percentage of the premium for family coverage (35% vs. 24%). �r�C���q�^}8��ǧ�rT~���ʼT)*lc� XM'�:�.��?�-��jV���5m�k�$M �;k"�����x�}K���>=Q�җ*YQ|#���$��dhk����(�%���R?d;�ZA!-�]����Զ1��]̚s1$,4���ea@��y��J�tﱨC��!Ċ��I��,U=\7�}g�j.�-��E҇�DYD��[Ux����X#C�0?Ws���DM���Y� |�R�+�W��4h 3�cC���B�$ʖ�N�=�_���RRN��biсG�C�.������Q�I�����b~�0L���ɏ0*�J�B�����izÿ)��8�\�U�oM�h~*~Ԑ/n�!El�2M���P�2r��%f��Jd�0�^��tw�xi a)�D/[�B�0}Gh��%E�-6�J���B��8�o��qF_�¾�$�G��E REVIEW BENEFITS. Coverage Period: 10/01/2019-09/30/2020 Kaiser Permanente: Traditional Plan $10 OV, $10 Rx Coverage for: Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Kaiser Permanente Senior Advantage Los Angeles and Orange Counties Plan (HMO) 1. 2 About this Summary of Benefits Thank you for considering Kaiser Permanente Senior Advantage. KP CO Bronze 6500/50 ... 2020. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. For complete details, please refer to the Evidence of Coverage (EOC), which we will send you after you enroll. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services : Covered CA_Platinum HMO 0/15 Coverage Period: Beginning on or after 01/01/2020 . Kaiser Permanente Medicare Advantage Standard Plan DC Summary of Benefits. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : Puget Sound Energy, Inc. All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 RQ-141813-1 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ���U��x��E�����߃ Coverage for: Individual / Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2020 PLANS OFFERED BY COVERED CALIFORNIA Covered CA ... 2020 PLANS OFFERED BY KAISER PERMANENTE Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020– 12/31/2020 PG&E Kaiser Permanente Health Account Plan (HAP) Coverage for: All Coverage Types | Plan Type: DEPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Use the red button below to download the SBC for Kaiser in Northern California. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2020 – 06/30/2021 : CU Health Plan – Kaiser Coverage for: Individual / Family | Plan Type: EPO [, MAS address] 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Use the red button below to download the SBC for Kaiser in Northern California. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : Port of Seattle All plans offered and underwritten by Kaiser Foundation Health Plan of Washington, Inc. 1 of 6 RQ-137443-1 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2020-06/30/2021 : COMMONWEALTH OF VA (HMO ACTIVES) Coverage for: Individual / Family | Plan Type: HMO KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., 2101 East Jefferson Street, Rockville. This plan document outlines the benefits, deductibles, co-pays, and coverage levels for a variety of commonly-used medical treatments and services. H0524_20SB030_M PBP 030 326711544 N030 January 1–December 31, 2020 . Summary of benefits and coverage for plans offered to individuals & families. SBC's allow you to check plan benefits and coverage. For TTY service, call 711. About this Summary of Benefits Thank you for considering Kaiser Permanente Senior Advantage. Kaiser Permanente: DHMO Group Plan Summary of Benefits and Coverage: Coverage Period: 01/01/2020-12/31/2020 What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020-12/31/2020 : DHMO Group Plan Coverage for: Individual / Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. If you would like … You can use this Summary of Benefits to learn more about our plan. Select a Summary of Benefits and Coverage from the plan listings below. The SBC shows you how you and the . January 1–December 31, 2020 . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. U�0�h�����b��+��B�=���L�A"f���i�V=���#[=٩�}r�Y����m���̩��/�J��1������֎��P���[Qi)���݊��ii�Br�~k��c$xD�R��ϊl��,�z�|s�tc�J��Y�-��������������_@Ģ�� u+sZ_IKSi�1���=�=�Q/�O[}��0Ob�ټ��:�@���t�zF���o��Cdz�h�7B�w�T������&E�P%���$�OT}>h��u�8g�M��c`���L�@V��?�IrL��{H�2��҅� 2019AR1254 . REVIEW BENEFITS . The SBC shows you how you and … ARCHIVE. The SBC shows you how … Review plan listings of previous Summary of Benefits and Coverage … QUESTIONS? It includes … State Premiums for January 1, 2020 to December 31, 2020 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You can use this Summary of Benefits to learn more about our plans. You can also easily compare Kaiser Permanente plan benefits and coverage with other carriers. The Kaiser Family Foundation 2020 Employer Health Benefits Survey reports findings from a telephone survey of 1,765 randomly selected non-federal public … Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 10/01/2019-09/30/2020 Kaiser Permanente: Traditional Plan $20 OV, $10-20 Rx Coverage for: Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 – 12/31/2020 : VMware - Hawaii Coverage for: Individual / Family | Plan Type: HMO . Summary of Benefits and Coverage: ... All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest Coverage Period: 6/1/2020-5/31/2021 Coverage for: Individual / Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This document is a summary and does not include all plan rules, benefits, limitations, and exclusions. Existing Members: For more about your plan, call Kaiser at 800-464-4000, 24 hours a day, 7 days a week (closed holidays). NOTE: Information about the cost of this plan (called the premium) will be provided separately. Annual premiums for employer-sponsored family health coverage … NOTE: Information about the cost of this plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share … 2020 Anthem Bronze HRA SBC; 2020 Anthem Gold HRA SBC; 2020 Anthem Silver HRA SBC; 2020 Anthem HMO SBC; 2020 Kaiser HMO SBC; 2020 UHC HDHP SBC; 2020 UHC HMO SBC; Spanish. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2020 – 06/30/2021 : CU Health Plan – Kaiser Coverage for: Individual / Family | Plan Type: EPO [, MAS address] 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2096 0 obj <>/Encrypt 2071 0 R/Filter/FlateDecode/ID[<5042CA192C5D134199436CA1F6E94C05>]/Index[2070 105]/Info 2069 0 R/Length 123/Prev 496069/Root 2072 0 R/Size 2175/Type/XRef/W[1 3 1]>>stream Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021 – 12/31/2021 : PEBB SoundChoice Plan All plans offered and underwritten by Kaiser Foundation Health Plan of Washington The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The 2020 survey included 1,765 interviews with non-federal public and private firms. Select a Summary of Benefits and Coverage from the plan listings below. Summary of Benefits and Coverage: Coverage Period: 07/01/2020-06/30/2021 What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2020-06/30/2021 : HMO Group Plan Coverage for: Individual / Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021 – 12/31/2021 : PEBB SoundChoice Plan All plans offered and underwritten by Kaiser Foundation Health Plan of Washington The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The … Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 - 12/31/2020 : City and County of Denver DHMO 500 20% Coverage for: Individual/Family | Plan Type: HMO . KP CO Bronze 6500/50 KP CO Bronze 7000/50 RX Copay KP CO Bronze 8000/50 KP CO Catastrophic KP CO Gold 1500/20 KP CO Gold 2000/20 KP CO Silver 125/10/94% CSR … Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 10/01/2019-09/30/2020 Kaiser Permanente: DHMO 500 Optical Coverage for: Family | Plan Type: DHMO The Summary of Benefits and Coverage (SBC) document will help you choose a … Drug tier You pay Tier 1 (Preferred generic) $3 (up to a 30-day supply) Tier 2 (Generic) All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest Coverage Period: 1/1/2020-12/31/2020 Coverage for: Individual / Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ... 2021 offered by Kaiser Foundation Health Plan of The Colorado. 1. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : Port of Seattle All plans offered and underwritten by Kaiser Foundation Health Plan of Washington, Inc. 1 of 6 RQ-137443-1 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. plan would share the cost for covered health care services. 20 Coverage for: Individual / Family | Plan Type: HMO . Coverage Period: Beginning on or after 01/01/2020 Coverage for: Individual / Family | Plan Type: Deductible HMO . Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 2 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. SBC Uniform Glossary. COBRA premiums are calculated at 102% of the Basic premiums, but some carriers may charge less than these maximum amounts. %PDF-1.6 %���� Note: The summary of benefits and coverage documents for Kaiser Foundation Health Plan of the Northwest are outside of the Washington region. Summary of benefits and coverage for plans offered to individuals & families. 1287 0 obj <>stream Coverage Period: 01/01/2020-12/31/2020 Coverage for: Individual/Family| Plan Type: HMO. endstream endobj 2071 0 obj <>>>/Filter/Standard/Length 128/O(�<>���{�9\\*'@����H��\(��A��:\n� )/V 4>> endobj 2072 0 obj <>6<>]>>/PageLayout/OneColumn/PageMode/UseThumbs/Pages 2067 0 R/StructTreeRoot 210 0 R/Type/Catalog/ViewerPreferences 2099 0 R>> endobj 2073 0 obj <> endobj 2074 0 obj <>/MediaBox[0 0 792 612]/Parent 2068 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2075 0 obj <>stream Coverage Period: 01/01/20 u + Spouse or Child(ren), You + Family Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services 20 – 12/31/2020 Kaiser Permanente: HMO Coverage for: You, Yo | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services 20 – 12/31/2020 Kaiser Permanente: HMO Coverage for: You, Yo | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. H2172_EG_19_120 . �+�ظ�j\z�z���nt~n�;�[�K8qd=V���oA��b���Z��~ Summary of Benefits . Use our online health and drug encyclopedias, and locate Kaiser Permanente hospital and medical offices and phone numbers. �m����)1plqu�m㍊s��!��F@#$�Ndq́� 1 of 6 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 – 12/31/2020 PG&E Kaiser Permanente Exclusive Provider Organization (EPO) Coverage for: All Coverage Types | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 1 of 7. H1170_09_02_M PBPs 2 & 9 353340791 January 1–December 31, 2020 . Coverage Period: Beginning on or after 01/01/2020 Coverage for: Individual / Family | Plan Type: Deductible HMO . 2070 0 obj <> endobj Summary of Benefits and Coverage: ... All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest Coverage Period: 4/1/2020-3/31/2021 Coverage for: Individual / Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2020 Summary of Benefits . The SBC shows you how you and the plan would share … Coverage Period: Beginning on or after 01/01/2020 . The SBC shows you how you and the plan would share the cost for covered health care services. Kaiser Permanente Medicare AdvantageHMO Group plan4 With Medicare Part D prescription drug coverage. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. Kaiser Permanente Medicare Advantage (HMO) for Federal Members High, Standard, and Basic Options with Medicare Part D prescription drug coverage . Kaiser Permanente: HMO Group Plan Summary of Benefits and Coverage: Coverage Period: 07/01/2020-06/30/2021 What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2020-06/30/2021 : HMO Group Plan Coverage for: Individual / Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2020 Summary of Benefits . ~I,~ KAISER PERMANENTE. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share … The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Contact us 1-800-464-4000 (TTY 711) Summary of benefits and coverage for plans offered to individuals & families. ��!�z��R{��e���U�$F�T>���?�Ѫ\��jX'������������ REVIEW BENEFITS. 2020 . This is only a summary. 2020 Summary of Benefits . %PDF-1.6 %���� About this Summary of Benefits Thank you for considering Kaiser Permanente Medicare Advantage .You can use this Summary of Benefits to learn more about our plan. Kaiser Permanente Senior Advantage Basic Plan (HMO) and �KP7�>\���A��r�.ۜ��Di. You can use this Summary of Benefits to learn more about our plan. January 1–December 31, 2020 . Review plan listings of 2019 Summary of Benefits and Coverage documents or 2020 Summary of Benefits and Coverage documents. With Medicare Part D prescription drug coverage. January 1–December 31, 2020 . 2020 Summary of Benefits . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : Options Comprehensive Plan All plans offered and underwritten by Kaiser Foundation Health Plan of Washington 1 of 7. Kaiser is an HMO (Health Maintenance Organization) with a closed network of providers. Please read the FEHB Plan brochure (RI 73-047) that contains the complete terms of this … 1. NOTE: Information about the cost of this plan (called the premium) will be provided separately. �ۏ'�Q�X��C���y8i��^/]E�N�i������=�W�hY�K�6��$�L^o�3�]��HpWOP�r�B ���� �7}�3�rǠA���1�k��>�N�Z�'���� eO�ՊhÄ/�0|������ A�L�[8�ɞD�(VE�h��A+.�ZB�R��Q�'�Н;�5 ��o�� MD 20852 plan. January 1, 2020–December 31, 2020 . Select a Summary of Benefits and Coverage from the plan listings below. Have questions? If you reach the $4,020 limit in 2020, you move on to the coverage gap stage and your coverage changes. Summary of Benefits . Coverage for: Individual / Family | Plan Type: HMO . Coverage Period: 10/01/2019-09/30/2020 Kaiser Permanente: HSA A Individual Coverage for: Individual | Plan Type: DHMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. REVIEW BENEFITS. Kaiser Permanente Medicare AdvantageHMO Group plan3 With Medicare Part D prescription drug coverage. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 – 12/31/2020 PG&E Kaiser Permanente Exclusive Provider Organization (EPO) Coverage for: All Coverage Types | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.