KP Cascade Silver
Kaiser Foundation Health Plan of the Northwest · 2027 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $4,000
- Family OOP max
- $8,000
Other cost-sharing reduction variants for this plan:
More Kaiser Foundation Health Plan of the Northwest plans in WA
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 | $1.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $15.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $225.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $100.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $65.00 |
| Urgent Care Centers or Facilities | $15.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $5.00 |
| Non-Preferred Brand Drugs | $35.00 |
| Preferred Brand Drugs | $15.00 |
| Specialty Drugs | $35.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $100.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $1.00 |
Other
| Benefit | In-network |
|---|---|
| Dialysis | $15.00 |
| Abortion for Which Public Funding is Prohibited | No charge |
| Acupuncture | $1.00 |
| Allergy Testing | $15.00 |
| Chemotherapy | $15.00 |
| Chiropractic Care | $1.00 |
| Cosmetic Surgery | $100.00 |
| Delivery and All Inpatient Services for Maternity Care | $100.00 |
| Dental Anesthesia | $100.00 |
| Diabetes Care Management | No charge |
| Diabetes Education | No charge |
| Durable Medical Equipment | 15.00% |
| Emergency Transportation/Ambulance | $75.00 |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | $100.00 |
| Habilitation Services | $15.00 |
| Hearing Aids | 15.00% |
| Hearing Exams | $1.00 |
| Home Health Care Services | $5.00 |
| Hospice Services | No charge |
| Imaging (CT/PET Scans, MRIs) | 15.00% |
| Infertility Treatment | 30.00% |
| Infusion Therapy | $15.00 |
| Inherited Metabolic Disorder - PKU | 15.00% |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $15.00 |
| Nutritional Counseling | No charge |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $1.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $100.00 |
| Outpatient Rehabilitation Services | $15.00 |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 15.00% |
| Radiation | $15.00 |
| Reconstructive Surgery | $100.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $15.00 |
| Rehabilitative Speech Therapy | $15.00 |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $15.00 |
| Skilled Nursing Facility | $100.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $100.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $1.00 |
| Transplant | $100.00 |
| Treatment for Temporomandibular Joint Disorders | $15.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $20.00 |
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