KP CO Silver 1000/10%/87% CSR

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Silver

Ind. deductible: $1,000
Family deductible: $2,000
Ind. OOP max: $3,500
Family OOP max: $7,000

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 94% 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	10.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	10.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	10.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	10.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	10.00% Coinsurance after deductible
Urgent Care Centers or Facilities	10.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$10.00 Copay after deductible
Medical Service Drugs	10.00% Coinsurance after deductible
Non-Preferred Brand Drugs	10.00% Coinsurance after deductible
Non-Preferred Generic Drugs	10.00% Coinsurance after deductible
Preferred Brand Drugs	$30.00 Copay after deductible
Preventive Drugs	No charge
Specialty Drugs	10.00% 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	10.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	10.00% Coinsurance after deductible
Mental/Behavioral Health Prenatal Care	10.00% Coinsurance after deductible
Office Visit - Mental/Behavioral Health	10.00% Coinsurance after deductible
Office Visit - Substance Use Disorder	10.00% Coinsurance after deductible
Partial Hospitalization for Mental/Behavioral Health	No charge
Partial Hospitalization for Substance Use Disorder	No charge
Postpartum Mental/Behavioral Health	10.00% Coinsurance after deductible
Postpartum Substance Use Disorder	10.00% 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	10.00% Coinsurance after deductible
Telehealth Mental/Behavioral Health	No charge
Telehealth Substance Use Disorder	No charge

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	No charge
Acupuncture	10.00% Coinsurance after deductible
Allergy Testing	10.00% Coinsurance after deductible
Applied Behavior Analysis Based Therapies	10.00% Coinsurance after deductible
Autism Spectrum Disorders - Assessment and Evaluation Services	10.00% Coinsurance after deductible
Bariatric Surgery	10.00% Coinsurance after deductible
Basic Dental Care - Child	50.00% Coinsurance after deductible
Chemotherapy	10.00% Coinsurance after deductible
Chiropractic Care	10.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	10.00% Coinsurance after deductible
Dental Check-Up for Children	No Charge after deductible
Diabetes Education	10.00% Coinsurance after deductible
Diabetic Supplies	20.00%
Dialysis	10.00% Coinsurance after deductible
Durable Medical Equipment	10.00% Coinsurance after deductible
Emergency Transportation/Ambulance	10.00% Coinsurance after deductible
Eye Glasses for Children	10.00% Coinsurance after deductible
Gender Affirming Care	10.00% Coinsurance after deductible
Habilitation Services	10.00% Coinsurance after deductible
Hearing Aids	10.00% Coinsurance after deductible
Home Health Care Services	10.00% Coinsurance after deductible
Hospice Services	10.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	10.00% Coinsurance after deductible
Infertility Treatment	10.00% Coinsurance after deductible
Infusion Therapy	10.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	10.00% Coinsurance after deductible
Inpatient Rehabilitation	10.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	10.00% Coinsurance after deductible
Major Dental Care - Child	50.00% Coinsurance after deductible
Nutritional Counseling	10.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	10.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	10.00% Coinsurance after deductible
Outpatient Rehabilitation Services	10.00% Coinsurance after deductible
Prenatal and Postnatal Care	10.00% Coinsurance after deductible
Private-Duty Nursing	10.00% Coinsurance after deductible
Prosthetic Devices	10.00% Coinsurance after deductible
Prosthetics: Legs and Arms	10.00%
Prosthetics: Recreational	10.00%
Radiation	10.00% Coinsurance after deductible
Reconstructive Surgery	10.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	10.00% Coinsurance after deductible
Rehabilitative Occupational Therapy	10.00% Coinsurance after deductible
Rehabilitative Physical Therapy	10.00% Coinsurance after deductible
Rehabilitative Speech Therapy	10.00% Coinsurance after deductible
Routine Eye Exam for Children	10.00% Coinsurance after deductible
Skilled Nursing Facility	10.00% Coinsurance after deductible
Standalone Laboratory	10.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	10.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	10.00% Coinsurance after deductible
Telehealth PCP	No charge
Telehealth Specialist	No charge
Transplant	10.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	10.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	10.00% Coinsurance after deductible

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