Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.

KP Select CO Gold 0/30 RX Copay

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Gold
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$8,500
Family OOP max
$17,000

More Kaiser Foundation Health Plan of Colorado plans in CO

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$349$349
21$456$525
30$518$596
40$583$671
50$815$937
60$1,239$1,424
64 and over$1,369$1,575

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$30.00

Specialist

BenefitIn-network
Specialist Visit$60.00

Hospital

BenefitIn-network
Emergency Room Services$750.00
Inpatient Hospital Services (e.g., Hospital Stay)40.00%
Outpatient Surgery Physician/Surgical Services40.00%
Urgent Care Centers or Facilities$75.00

Pharmacy

BenefitIn-network
Generic Drugs$15.00
Medical Service Drugs$625.00
Non-Preferred Brand Drugs$375.00
Non-Preferred Generic Drugs$375.00
Preferred Brand Drugs$50.00
Preventive DrugsNo charge
Specialty Drugs$625.00

Mental Health

BenefitIn-network
Intensive Outpatient for Mental/Behavioral HealthNo charge
Intensive Outpatient for Substance Use DisorderNo charge
Mental Health Wellness VisitNo charge
Mental/Behavioral Health Inpatient Services40.00%
Mental/Behavioral Health Outpatient Services$30.00
Mental/Behavioral Health Prenatal Care$30.00
Office Visit - Mental/Behavioral Health$30.00
Office Visit - Substance Use Disorder$30.00
Partial Hospitalization for Mental/Behavioral HealthNo charge
Partial Hospitalization for Substance Use DisorderNo charge
Postpartum Mental/Behavioral Health$30.00
Postpartum Substance Use Disorder$30.00
Residential Day Treatment for Mental/Behavioral HealthNo charge
Residential Day Treatment for Substance Use DisorderNo charge
Substance Use Disorder Prenatal Care$30.00
Telehealth Mental/Behavioral HealthNo charge
Telehealth Substance Use DisorderNo charge

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNo charge
Acupuncture$40.00
Allergy Testing$60.00
Applied Behavior Analysis Based Therapies$30.00
Autism Spectrum Disorders - Assessment and Evaluation Services$30.00
Bariatric Surgery40.00%
Basic Dental Care - Child50.00% Coinsurance after deductible
Chemotherapy$625.00
Chiropractic Care$40.00
Delivery and All Inpatient Services for Maternity Care40.00%
Dental Check-Up for ChildrenNo Charge after deductible
Diabetes Education$30.00
Diabetic Supplies20.00%
Dialysis$60.00
Durable Medical Equipment40.00%
Emergency Transportation/Ambulance40.00%
Eye Glasses for Children50.00%
Gender Affirming Care40.00%
Habilitation Services$60.00
Hearing Aids$30.00
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$500.00
Infertility Treatment40.00%
Infusion Therapy$625.00
Inpatient Physician and Surgical Services40.00%
Inpatient Rehabilitation40.00%
Laboratory Outpatient and Professional Services40.00%
Major Dental Care - Child50.00% Coinsurance after deductible
Nutritional Counseling$30.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$60.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40.00%
Outpatient Rehabilitation Services$60.00
Prenatal and Postnatal Care40.00%
Private-Duty Nursing40.00%
Prosthetic Devices40.00%
Prosthetics: Legs and Arms20.00%
Prosthetics: Recreational20.00%
Radiation40.00%
Reconstructive Surgery40.00%
Rehabilitative Occupational and Rehabilitative Physical Therapy$60.00
Rehabilitative Occupational Therapy$60.00
Rehabilitative Physical Therapy$60.00
Rehabilitative Speech Therapy$60.00
Routine Eye Exam for Children$30.00
Skilled Nursing Facility40.00%
Standalone Laboratory40.00%
Substance Abuse Disorder Inpatient Services40.00%
Substance Abuse Disorder Outpatient Services$30.00
Telehealth PCPNo charge
Telehealth SpecialistNo charge
Transplant40.00%
Treatment for Temporomandibular Joint Disorders40.00%
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging40.00%

Service area

This plan covers 13 geographic areas.

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