KP Select CO Silver 350/5%/94% CSR

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Silver

Ind. deductible: $350
Family deductible: $700
Ind. OOP max: $3,500
Family OOP max: $7,000

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Standard Silver On Exchange Plan Zero Cost Sharing Plan Variation

More Kaiser Foundation Health Plan of Colorado plans in CO

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

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	5.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	5.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	5.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	5.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	5.00% Coinsurance after deductible
Urgent Care Centers or Facilities	5.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$5.00 Copay after deductible
Medical Service Drugs	5.00% Coinsurance after deductible
Non-Preferred Brand Drugs	5.00% Coinsurance after deductible
Non-Preferred Generic Drugs	5.00% Coinsurance after deductible
Preferred Brand Drugs	$10.00 Copay after deductible
Preventive Drugs	No charge
Specialty Drugs	5.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Intensive Outpatient for Mental/Behavioral Health	No charge
Intensive Outpatient for Substance Use Disorder	No charge
Mental Health Wellness Visit	No charge
Mental/Behavioral Health Inpatient Services	5.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	5.00% Coinsurance after deductible
Mental/Behavioral Health Prenatal Care	5.00% Coinsurance after deductible
Office Visit - Mental/Behavioral Health	5.00% Coinsurance after deductible
Office Visit - Substance Use Disorder	5.00% Coinsurance after deductible
Partial Hospitalization for Mental/Behavioral Health	No charge
Partial Hospitalization for Substance Use Disorder	No charge
Postpartum Mental/Behavioral Health	5.00% Coinsurance after deductible
Postpartum Substance Use Disorder	5.00% Coinsurance after deductible
Residential Day Treatment for Mental/Behavioral Health	No charge
Residential Day Treatment for Substance Use Disorder	No charge
Substance Use Disorder Prenatal Care	5.00% Coinsurance after deductible
Telehealth Mental/Behavioral Health	No charge
Telehealth Substance Use Disorder	No charge

Other

Benefit	In-network
Diabetes Education	5.00% Coinsurance after deductible
Diabetic Supplies	20.00%
Dialysis	5.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	No charge
Acupuncture	5.00% Coinsurance after deductible
Allergy Testing	5.00% Coinsurance after deductible
Applied Behavior Analysis Based Therapies	5.00% Coinsurance after deductible
Autism Spectrum Disorders - Assessment and Evaluation Services	5.00% Coinsurance after deductible
Bariatric Surgery	5.00% Coinsurance after deductible
Basic Dental Care - Child	50.00% Coinsurance after deductible
Chemotherapy	5.00% Coinsurance after deductible
Chiropractic Care	5.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	5.00% Coinsurance after deductible
Dental Check-Up for Children	No Charge after deductible
Durable Medical Equipment	5.00% Coinsurance after deductible
Emergency Transportation/Ambulance	5.00% Coinsurance after deductible
Eye Glasses for Children	5.00% Coinsurance after deductible
Gender Affirming Care	5.00% Coinsurance after deductible
Habilitation Services	5.00% Coinsurance after deductible
Hearing Aids	5.00% Coinsurance after deductible
Home Health Care Services	5.00% Coinsurance after deductible
Hospice Services	5.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	5.00% Coinsurance after deductible
Infertility Treatment	5.00% Coinsurance after deductible
Infusion Therapy	5.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	5.00% Coinsurance after deductible
Inpatient Rehabilitation	5.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	5.00% Coinsurance after deductible
Major Dental Care - Child	50.00% Coinsurance after deductible
Nutritional Counseling	5.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	5.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	5.00% Coinsurance after deductible
Outpatient Rehabilitation Services	5.00% Coinsurance after deductible
Prenatal and Postnatal Care	5.00% Coinsurance after deductible
Private-Duty Nursing	5.00% Coinsurance after deductible
Prosthetic Devices	5.00% Coinsurance after deductible
Prosthetics: Legs and Arms	5.00%
Prosthetics: Recreational	5.00%
Radiation	5.00% Coinsurance after deductible
Reconstructive Surgery	5.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	5.00% Coinsurance after deductible
Rehabilitative Occupational Therapy	5.00% Coinsurance after deductible
Rehabilitative Physical Therapy	5.00% Coinsurance after deductible
Rehabilitative Speech Therapy	5.00% Coinsurance after deductible
Routine Eye Exam for Children	5.00% Coinsurance after deductible
Skilled Nursing Facility	5.00% Coinsurance after deductible
Standalone Laboratory	5.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	5.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	5.00% Coinsurance after deductible
Telehealth PCP	No charge
Telehealth Specialist	No charge
Transplant	5.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	5.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	5.00% Coinsurance after deductible

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