Health Plans

Kaiser Permanente Oregon

2017 Kaiser Health Plans in Oregon

Health Maintenance Organization (HMO) plans

Kaiser Permanente Health Plan List

Plan Name Plan Type Plan Details Networks

Coverage Area

  • Benton County: 97330–31, 97333, 97339, 97370
  • Clackamas County: 97004, 97009, 97011, 97013, 97015, 97017, 97022–23, 97027, 97034–36, 97038, 97042, 97045, 97049, 97055, 97067–68, 97070, 97086, 97089, 97222, 97267–69
  • Columbia County: All ZIP codes
  • Hood River County: 97014
  • Linn County: 97321–22, 97335, 97348, 97355, 97358, 97360, 97374, 97377, 97389
  • Marion County: 97002, 97020, 97026, 97032, 97071, 97137, 97301–03, 97305–14, 97317, 97325, 97342, 97346, 97352, 97358, 97362, 97373, 97375, 97381, 97383–85, 97392
  • Multnomah County: All ZIP codes
  • Polk County: All ZIP codes
  • Washington County: All ZIP codes
  • Yamhill County: All ZIP codes
KP OR Bronze 5000/50 HMO SBC Provider Search
KP OR Bronze 6500/50 HMO SBC Provider Search
Oregon Std. Bronze Plan HMO SBC Provider Search
KP OR Silver 2000/30 HMO SBC Provider Search
KP OR Silver 2750/20% HSA HMO SBC Provider Search
KP OR Silver 3000/30 HMO SBC Provider Search
Oregon Std. Silver Plan HMO SBC Provider Search
KP OR Gold 0/20 HMO SBC Provider Search
KP OR Gold 1000/20 HMO SBC Provider Search
Oregon Std. Gold Plan HMO SBC Provider Search

10 Essential Benefits

Healthcare reform says all health plans must include ten essential benefits. The basic benefits include:

  1. Outpatient Care - the kind you get without being admitted to a hospital
  2. Emergency Services - for issues that could lead to death or disable you if you do not treat them.
  3. Inpatient Care - covers room and board, tests, drugs, and care from doctors and nurses while admitted, which may include organ and tissue transplants, and hospice and respite care.
  4. Maternity and Newborn Care - care before and after your baby is born
  5. Mental Health and Substance Use Disorder Services - this includes behavioral health treatment, counseling, and psychotherapy.
  6. Prescription Drugs - covers retail, mail order, and specialty drugs.
  7. Rehabilitative and Habilitative Services - services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  8. Laboratory Services - covers lab tests, X-ray services, and pathology, and imaging and diagnostics such as MRI, CT scan, and PET scan.
  9. Preventive and Wellness Services - including mammograms, colonoscopies, vaccines. Covered in full if you use in-network providers for care such as routine physicals, screening, and immunizations. Disease management coordinates care for diabetes, asthma, and other conditions.
  10. Pediatric Services - including dental care (preventive, basic, major) and vision care (eye exam, lenses, and eyewear).