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 OR Silver 3000

Kaiser Foundation Health Plan of the Northwest · 2027 plan year

Silver
Ind. deductible
$3,000
Family deductible
$6,000
Ind. OOP max
$9,900
Family OOP max
$19,800

More Kaiser Foundation Health Plan of the Northwest plans in OR

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 5 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$312$312
21$492$590
30$558$670
40$629$754
50$879$1,054
60$1,335$1,602
64 and over$1,476$1,770

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$35.00

Specialist

BenefitIn-network
Specialist Visit$65.00

Hospital

BenefitIn-network
Urgent Care Centers or Facilities$65.00
Emergency Room Services$350.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)35.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services35.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$65.00
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services35.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$35.00

Other

BenefitIn-network
Accidental Dental35.00% Coinsurance after deductible
Acupuncture$25.00
Allergy Testing$65.00
Chemotherapy$65.00
Chiropractic Care$25.00
Cosmetic Surgery35.00% Coinsurance after deductible
Telehealth - Primary CareNo charge
Telehealth - SpecialistNo charge
Transplant35.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$60.00
Abortion for Which Public Funding is ProhibitedNo charge
Delivery and All Inpatient Services for Maternity Care35.00% Coinsurance after deductible
Diabetes Education$35.00
Dialysis$65.00
Durable Medical Equipment35.00% Coinsurance after deductible
Emergency Transportation/Ambulance35.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services$65.00
Hearing Aids35.00%
Home Health Care Services35.00% Coinsurance after deductible
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$350.00 Copay after deductible
Infusion Therapy$65.00
Inpatient Physician and Surgical Services35.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$60.00
Nutritional Counseling$35.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$35.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)35.00% Coinsurance after deductible
Outpatient Rehabilitation Services$65.00
Prenatal and Postnatal CareNo charge
Prosthetic Devices35.00% Coinsurance after deductible
Radiation$65.00
Reconstructive Surgery35.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$65.00
Rehabilitative Speech Therapy$65.00
Routine Eye Exam (Adult)$35.00
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$65.00
Skilled Nursing Facility35.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services35.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$35.00

Service area

This plan covers 56 geographic areas. 49 of them are covered only in part, meaning specific ZIP codes rather than the whole county. The filing does not list which, so confirm with the insurer or on HealthCare.gov before enrolling.

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