KP CO Bronze 6500/35%/HSA

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$6,500
Family deductible
$13,000
Ind. OOP max
$8,500
Family OOP max
$17,000

Compare with other Expanded Bronze plans in CO

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

More Kaiser Foundation Health Plan of Colorado plans in CO

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 6 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$297$297
21$388$446
30$440$506
40$496$570
50$693$797
60$1,053$1,211
64 and over$1,164$1,338

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness35.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit35.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services35.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)35.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services35.00% Coinsurance after deductible
Urgent Care Centers or Facilities35.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$35.00 Copay after deductible
Medical Service Drugs35.00% Coinsurance after deductible
Non-Preferred Brand Drugs35.00% Coinsurance after deductible
Non-Preferred Generic Drugs35.00% Coinsurance after deductible
Preferred Brand Drugs35.00% Coinsurance after deductible
Preventive DrugsNo charge
Specialty Drugs35.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Intensive Outpatient for Mental/Behavioral Health35.00% Coinsurance after deductible
Intensive Outpatient for Substance Use Disorder35.00% Coinsurance after deductible
Mental Health Wellness VisitNo charge
Mental/Behavioral Health Inpatient Services35.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services35.00% Coinsurance after deductible
Mental/Behavioral Health Prenatal Care35.00% Coinsurance after deductible
Office Visit - Mental/Behavioral Health35.00% Coinsurance after deductible
Office Visit - Substance Use Disorder35.00% Coinsurance after deductible
Partial Hospitalization for Mental/Behavioral Health35.00% Coinsurance after deductible
Partial Hospitalization for Substance Use Disorder35.00% Coinsurance after deductible
Postpartum Mental/Behavioral Health35.00% Coinsurance after deductible
Postpartum Substance Use Disorder35.00% Coinsurance after deductible
Residential Day Treatment for Mental/Behavioral Health35.00% Coinsurance after deductible
Residential Day Treatment for Substance Use Disorder35.00% Coinsurance after deductible
Substance Use Disorder Prenatal Care35.00% Coinsurance after deductible
Telehealth Mental/Behavioral HealthNo Charge after deductible
Telehealth Substance Use DisorderNo Charge after deductible

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNo Charge after deductible
Acupuncture35.00% Coinsurance after deductible
Allergy Testing35.00% Coinsurance after deductible
Applied Behavior Analysis Based Therapies35.00% Coinsurance after deductible
Autism Spectrum Disorders - Assessment and Evaluation Services35.00% Coinsurance after deductible
Bariatric Surgery35.00% Coinsurance after deductible
Basic Dental Care - Child50.00% Coinsurance after deductible
Chemotherapy35.00% Coinsurance after deductible
Chiropractic Care35.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care35.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo Charge after deductible
Diabetes Education35.00% Coinsurance after deductible
Diabetic Supplies20.00%
Dialysis35.00% Coinsurance after deductible
Durable Medical Equipment35.00% Coinsurance after deductible
Emergency Transportation/Ambulance35.00% Coinsurance after deductible
Eye Glasses for Children35.00% Coinsurance after deductible
Gender Affirming Care35.00% Coinsurance after deductible
Habilitation Services35.00% Coinsurance after deductible
Hearing Aids35.00% Coinsurance after deductible
Home Health Care Services35.00% Coinsurance after deductible
Hospice Services35.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)35.00% Coinsurance after deductible
Infertility Treatment35.00% Coinsurance after deductible
Infusion Therapy35.00% Coinsurance after deductible
Inpatient Physician and Surgical Services35.00% Coinsurance after deductible
Inpatient Rehabilitation35.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services35.00% Coinsurance after deductible
Major Dental Care - Child50.00% Coinsurance after deductible
Nutritional Counseling35.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)35.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)35.00% Coinsurance after deductible
Outpatient Rehabilitation Services35.00% Coinsurance after deductible
Prenatal and Postnatal Care35.00% Coinsurance after deductible
Private-Duty Nursing35.00% Coinsurance after deductible
Prosthetic Devices35.00% Coinsurance after deductible
Prosthetics: Legs and Arms20.00% Coinsurance after deductible
Prosthetics: Recreational20.00% Coinsurance after deductible
Radiation35.00% Coinsurance after deductible
Reconstructive Surgery35.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy35.00% Coinsurance after deductible
Rehabilitative Occupational Therapy35.00% Coinsurance after deductible
Rehabilitative Physical Therapy35.00% Coinsurance after deductible
Rehabilitative Speech Therapy35.00% Coinsurance after deductible
Routine Eye Exam for Children35.00% Coinsurance after deductible
Skilled Nursing Facility35.00% Coinsurance after deductible
Standalone Laboratory35.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services35.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services35.00% Coinsurance after deductible
Telehealth PCPNo Charge after deductible
Telehealth SpecialistNo Charge after deductible
Transplant35.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders35.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging35.00% Coinsurance after deductible

Service area

This plan covers 15 geographic areas.

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