KP GA Gold HMO $1000 $20

Kaiser Foundation Health Plan of Georgia, Inc. · 2026 plan year

Gold

Ind. medical deductible: $1,000
Rx deductible (separate): $500
Family deductible: $2,000
Ind. OOP max: $8,000
Family OOP max: $16,000

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Compare with other Gold plans in GA

Side by side: deductibles, out-of-pocket limits and copays.

Gold Elite Saver Plus HMO $1000 $10Oscar Health Plan of Georgia · Deductible $1,000 medical + $200 Rx (separate) · Out-of-pocket max $8,500
SoloCare Gold PPO $1000 20% ChiroAlliant Health Plans, Inc. · Deductible $1,000 · Out-of-pocket max $7,500
SoloCare Gold HMO $1000 20%Alliant Health Plans, Inc. · Deductible $1,000 · Out-of-pocket max $7,500

Compare 4 plans Browse all Gold plans in GA

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Zero Cost Sharing Plan Variation

More Kaiser Foundation Health Plan of Georgia, Inc. plans in GA

KP GA Gold HMO $500 $20 KP GA Silver HMO $3500 $30 KP GA Bronze HMO $5500 $60 Virtual Complete KP GA Bronze HMO $6500 40% HSA KP GA Signature Gold HMO $500 $20

Monthly premiums by age

Rating Area 3

Age	Individual	Individual + tobacco
Under 15	$456	$456
21	$596	$715
30	$677	$812
40	$762	$914
50	$1,065	$1,278
60	$1,618	$1,941
64 and over	$1,788	$2,146

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	$20.00

Specialist

Benefit	In-network
Specialist Visit	$40.00

Hospital

Benefit	In-network
Emergency Room Services	30.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	30.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$50.00

Pharmacy

Benefit	In-network
Generic Drugs	$10.00
Non-Preferred Brand Drugs	45.00% Coinsurance after deductible
Preferred Brand Drugs	$40.00 Copay after deductible
Specialty Drugs	45.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$20.00

Other

Benefit	In-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	30.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	40.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	$40.00
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	20.00% Coinsurance after deductible
Chiropractic Care	$20.00
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	30.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	$40.00
Dialysis	30.00% Coinsurance after deductible
Durable Medical Equipment	30.00% Coinsurance after deductible
Emergency Transportation/Ambulance	30.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Gender Affirming Care	See plan details
Habilitation Services	$40.00
Hearing Aids	Not covered
Home Health Care Services	No charge
Hospice Services	No charge
Imaging (CT/PET Scans, MRIs)	$350.00
Infertility Treatment	30.00% Coinsurance after deductible
Infusion Therapy	20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	30.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	$40.00
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$20.00
Outpatient Rehabilitation Services	$40.00
Prenatal and Postnatal Care	30.00% Coinsurance after deductible
Private-Duty Nursing	Not covered
Prosthetic Devices	30.00% Coinsurance after deductible
Radiation	30.00% Coinsurance after deductible
Reconstructive Surgery	30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$40.00
Rehabilitative Speech Therapy	$40.00
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	$20.00
Routine Eye Exam for Children	$20.00
Routine Foot Care	Not covered
Skilled Nursing Facility	30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$20.00
Transplant	30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	40.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	30.00% Coinsurance after deductible