Health Plans

Kaiser Permanente Oregon

Kaiser Health Plans in Oregon

Kaiser Permanente of Oregon

Optional Dental Plan Rates & Benefits
  Plan A Plan B PlanC
Benefit maximum $1,000 None None
Deductible (individual/family) $50/$150 $50/$150 $100/$300
Benefits Member pays
Preventive and diagnostic services* No charge 20%
Basic restorative services 20% 50% 50%
Oral surgery, endodontics, and periodontics 50% 75% 75%
Major restorative services 50% 75% 75%
Orthodontics (for children and adults) 75% 75% 75%

*Not subject to the deductible

Monthly Premium 0-24 25-44 45+
Plan A
Subscriber only $50.34 $53.36 $56.38
Subscriber + spouse/domestic partner

$100.67

$106.71 $112.75
Subscriber + child(ren) $100.67 $103.69 $106.71
Subscriber, spouse, + child(ren) $151.01 $157.05 $163.09
Plan B
Subscriber only $46.77 $49.58 $52.35
Subscriber + spouse/domestic partner $93.54 $99.15 $104.77
Subscriber + child(ren) $193.54 $96.35 $99.15
Subscriber, spouse, + child(ren) $140.31 $145.92 $145.92
Plan C
Subscriber only $38.57 $40.89 $43.20
Subscriber + spouse/domestic partner $77.14 $81.77 $86.40
Subscriber + child(ren) $77.14 $79.46 $81.77
Subscriber, spouse, + child(ren) $115.72 $120.34 $124.97

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).