KP GA Silver HMO $3500 $30

Kaiser Foundation Health Plan of Georgia, Inc. · 2026 plan year

Silver

Ind. medical deductible: $3,500
Rx deductible (separate): $500
Family deductible: $7,000
Ind. OOP max: $10,150
Family OOP max: $20,300

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Compare with other Silver plans in GA

Side by side: deductibles, out-of-pocket limits and copays.

Anthem Silver Blue Value HMO 3500 $10 $0 Virtual PCP $0 Select DrugsAnthem Blue Cross and Blue Shield · Deductible $3,500 · Out-of-pocket max $10,600
Connect Silver HMO $3700 $10Cigna HealthCare of Georgia, Inc. · Deductible $3,700 · Out-of-pocket max $10,125
Anthem Silver Pathway Guided Access HMO 3900 $10 $0 Virtual PCP $0 Select DrugsAnthem Blue Cross and Blue Shield · Deductible $3,900 · Out-of-pocket max $10,600

Compare 4 plans Browse all Silver plans in GA

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan 94% AV Level Silver Plan Limited Cost Sharing Plan Variation Zero Cost Sharing Plan Variation

More Kaiser Foundation Health Plan of Georgia, Inc. plans in GA

KP GA Gold HMO $500 $20 KP GA Bronze HMO $5500 $60 Virtual Complete KP GA Bronze HMO $6500 40% HSA KP GA Gold HMO $1000 $20 KP GA Signature Gold HMO $500 $20

Monthly premiums by age

Rating Area 3

Age	Individual	Individual + tobacco
Under 15	$440	$440
21	$575	$690
30	$653	$784
40	$735	$882
50	$1,027	$1,233
60	$1,561	$1,874
64 and over	$1,726	$2,071

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$30.00

Specialist

Benefit	In-network
Specialist Visit	$60.00

Hospital

Benefit	In-network
Emergency Room Services	40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	40.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	40.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$60.00

Pharmacy

Benefit	In-network
Generic Drugs	$15.00
Non-Preferred Brand Drugs	50.00% Coinsurance after deductible
Preferred Brand Drugs	$50.00 Copay after deductible
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$30.00

Other

Benefit	In-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	40.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	40.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	$60.00
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	20.00% Coinsurance after deductible
Chiropractic Care	$30.00
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	40.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	$60.00
Dialysis	40.00% Coinsurance after deductible
Durable Medical Equipment	40.00% Coinsurance after deductible
Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Gender Affirming Care	See plan details
Habilitation Services	$60.00
Hearing Aids	Not covered
Home Health Care Services	No charge
Hospice Services	No charge
Imaging (CT/PET Scans, MRIs)	$500.00
Infertility Treatment	40.00% Coinsurance after deductible
Infusion Therapy	20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	40.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	$60.00
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$30.00
Outpatient Rehabilitation Services	$60.00
Prenatal and Postnatal Care	40.00% Coinsurance after deductible
Private-Duty Nursing	Not covered
Prosthetic Devices	40.00% Coinsurance after deductible
Radiation	40.00% Coinsurance after deductible
Reconstructive Surgery	40.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$60.00
Rehabilitative Speech Therapy	$60.00
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	$30.00
Routine Eye Exam for Children	$30.00
Routine Foot Care	Not covered
Skilled Nursing Facility	40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	40.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$30.00
Transplant	40.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	40.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	40.00% Coinsurance after deductible