SimpliveraCoverage Companion

KP CO Silver 3800/25% - AI/LTD

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Silver
Ind. deductible
$3,800
Family deductible
$7,600
Ind. OOP max
$8,500
Family OOP max
$17,000

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan87% AV Level Silver Plan94% AV Level Silver PlanStandard Silver Off Exchange PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More Kaiser Foundation Health Plan of Colorado plans in CO

KP Colorado Option BronzeKP Select CO Gold 0/30 RX CopayKP Select CO Gold 1500/25KP Select CO Silver 2500/35KP Select CO Silver 4500/35 RX Copay

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness25.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit25.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services25.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)25.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services25.00% Coinsurance after deductible
Urgent Care Centers or Facilities25.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$15.00 Copay after deductible
Medical Service Drugs25.00% Coinsurance after deductible
Non-Preferred Brand Drugs25.00% Coinsurance after deductible
Non-Preferred Generic Drugs25.00% Coinsurance after deductible
Preferred Brand Drugs$85.00 Copay after deductible
Preventive DrugsNo charge
Specialty Drugs25.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Intensive Outpatient for Mental/Behavioral Health25.00% Coinsurance after deductible
Intensive Outpatient for Substance Use Disorder25.00% Coinsurance after deductible
Mental Health Wellness VisitNo charge
Mental/Behavioral Health Inpatient Services25.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services25.00% Coinsurance after deductible
Mental/Behavioral Health Prenatal Care25.00% Coinsurance after deductible
Office Visit - Mental/Behavioral Health25.00% Coinsurance after deductible
Office Visit - Substance Use Disorder25.00% Coinsurance after deductible
Partial Hospitalization for Mental/Behavioral Health25.00% Coinsurance after deductible
Partial Hospitalization for Substance Use Disorder25.00% Coinsurance after deductible
Postpartum Mental/Behavioral Health25.00% Coinsurance after deductible
Postpartum Substance Use Disorder25.00% Coinsurance after deductible
Residential Day Treatment for Mental/Behavioral Health25.00% Coinsurance after deductible
Residential Day Treatment for Substance Use Disorder25.00% Coinsurance after deductible
Substance Use Disorder Prenatal Care25.00% Coinsurance after deductible
Telehealth Mental/Behavioral HealthNo Charge after deductible
Telehealth Substance Use DisorderNo Charge after deductible

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNo Charge after deductible
Acupuncture25.00% Coinsurance after deductible
Allergy Testing25.00% Coinsurance after deductible
Applied Behavior Analysis Based Therapies25.00% Coinsurance after deductible
Autism Spectrum Disorders - Assessment and Evaluation Services25.00% Coinsurance after deductible
Bariatric Surgery25.00% Coinsurance after deductible
Basic Dental Care - Child50.00% Coinsurance after deductible
Chemotherapy25.00% Coinsurance after deductible
Chiropractic Care25.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care25.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo Charge after deductible
Diabetes Education25.00% Coinsurance after deductible
Diabetic Supplies20.00%
Dialysis25.00% Coinsurance after deductible
Durable Medical Equipment25.00% Coinsurance after deductible
Emergency Transportation/Ambulance25.00% Coinsurance after deductible
Eye Glasses for Children25.00% Coinsurance after deductible
Gender Affirming Care25.00% Coinsurance after deductible
Habilitation Services25.00% Coinsurance after deductible
Hearing Aids25.00% Coinsurance after deductible
Home Health Care Services25.00% Coinsurance after deductible
Hospice Services25.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)25.00% Coinsurance after deductible
Infertility Treatment25.00% Coinsurance after deductible
Infusion Therapy25.00% Coinsurance after deductible
Inpatient Physician and Surgical Services25.00% Coinsurance after deductible
Inpatient Rehabilitation25.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services25.00% Coinsurance after deductible
Major Dental Care - Child50.00% Coinsurance after deductible
Nutritional Counseling25.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)25.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)25.00% Coinsurance after deductible
Outpatient Rehabilitation Services25.00% Coinsurance after deductible
Prenatal and Postnatal Care25.00% Coinsurance after deductible
Private-Duty Nursing25.00% Coinsurance after deductible
Prosthetic Devices25.00% Coinsurance after deductible
Prosthetics: Legs and Arms20.00% Coinsurance after deductible
Prosthetics: Recreational20.00% Coinsurance after deductible
Radiation25.00% Coinsurance after deductible
Reconstructive Surgery25.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy25.00% Coinsurance after deductible
Rehabilitative Occupational Therapy25.00% Coinsurance after deductible
Rehabilitative Physical Therapy25.00% Coinsurance after deductible
Rehabilitative Speech Therapy25.00% Coinsurance after deductible
Routine Eye Exam for Children25.00% Coinsurance after deductible
Skilled Nursing Facility25.00% Coinsurance after deductible
Standalone Laboratory25.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services25.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services25.00% Coinsurance after deductible
Telehealth PCPNo Charge after deductible
Telehealth SpecialistNo Charge after deductible
Transplant25.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders25.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging25.00% Coinsurance after deductible

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