KP Select CO Bronze 7500/60 RX Copay - AI/LTD

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Expanded BronzeHSA eligible

Ind. deductible: $7,500
Family deductible: $15,000
Ind. OOP max: $10,150
Family OOP max: $20,300

Other cost-sharing reduction variants for this plan:

Standard Bronze Off Exchange Plan Standard Bronze 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	$60.00 Copay with deductible

Specialist

Benefit	In-network
Specialist Visit	45.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	45.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	45.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	50.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$150.00 Copay with deductible + 45.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$35.00
Medical Service Drugs	$750.00
Non-Preferred Brand Drugs	$450.00
Non-Preferred Generic Drugs	$450.00
Preferred Brand Drugs	$250.00
Preventive Drugs	No charge
Specialty Drugs	$750.00

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	45.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	No charge
Mental/Behavioral Health Prenatal Care	No charge
Office Visit - Mental/Behavioral Health	No charge
Office Visit - Substance Use Disorder	No charge
Partial Hospitalization for Mental/Behavioral Health	No charge
Partial Hospitalization for Substance Use Disorder	No charge
Postpartum Mental/Behavioral Health	No charge
Postpartum Substance Use Disorder	No charge
Residential Day Treatment for Mental/Behavioral Health	No charge
Residential Day Treatment for Substance Use Disorder	No charge
Substance Use Disorder Prenatal Care	No charge
Telehealth Mental/Behavioral Health	No charge
Telehealth Substance Use Disorder	No charge

Other

Benefit	In-network
Allergy Testing	45.00% Coinsurance after deductible
Applied Behavior Analysis Based Therapies	No charge
Abortion for Which Public Funding is Prohibited	No charge
Acupuncture	45.00% Coinsurance after deductible
Autism Spectrum Disorders - Assessment and Evaluation Services	No charge
Bariatric Surgery	45.00% Coinsurance after deductible
Basic Dental Care - Child	50.00% Coinsurance after deductible
Chemotherapy	$750.00
Chiropractic Care	45.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	45.00% Coinsurance after deductible
Dental Check-Up for Children	No Charge after deductible
Diabetes Education	No Charge after deductible
Diabetic Supplies	20.00%
Dialysis	45.00% Coinsurance after deductible
Durable Medical Equipment	45.00% Coinsurance after deductible
Emergency Transportation/Ambulance	45.00% Coinsurance after deductible
Eye Glasses for Children	50.00%
Gender Affirming Care	45.00% Coinsurance after deductible
Habilitation Services	45.00% Coinsurance after deductible
Hearing Aids	45.00% Coinsurance after deductible
Home Health Care Services	45.00% Coinsurance after deductible
Hospice Services	No charge
Imaging (CT/PET Scans, MRIs)	45.00% Coinsurance after deductible
Infertility Treatment	45.00% Coinsurance after deductible
Infusion Therapy	$750.00
Inpatient Physician and Surgical Services	45.00% Coinsurance after deductible
Inpatient Rehabilitation	45.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	45.00% Coinsurance after deductible
Major Dental Care - Child	50.00% Coinsurance after deductible
Nutritional Counseling	No Charge after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	45.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50.00% Coinsurance after deductible
Outpatient Rehabilitation Services	45.00% Coinsurance after deductible
Prenatal and Postnatal Care	45.00% Coinsurance after deductible
Private-Duty Nursing	45.00% Coinsurance after deductible
Prosthetic Devices	45.00% Coinsurance after deductible
Prosthetics: Legs and Arms	20.00%
Prosthetics: Recreational	20.00%
Radiation	45.00% Coinsurance after deductible
Reconstructive Surgery	45.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	45.00% Coinsurance after deductible
Rehabilitative Occupational Therapy	45.00% Coinsurance after deductible
Rehabilitative Physical Therapy	45.00% Coinsurance after deductible
Rehabilitative Speech Therapy	45.00% Coinsurance after deductible
Routine Eye Exam for Children	$60.00 Copay with deductible
Skilled Nursing Facility	45.00% Coinsurance after deductible
Standalone Laboratory	45.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	45.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	No charge
Telehealth PCP	No charge
Telehealth Specialist	No charge
Transplant	45.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	45.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	45.00% Coinsurance after deductible

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