Understanding the Value Plan
$0 virtual care. Predictable copays for your first 3 office visits.1 Online tools and resources, many at no cost. With the Value Plan, it’s all yours from day one. And it’s all here to help you get the care you need and to make choices that are right for your health — not just right for your budget.
How the Value Plan works
The Value Plan is a type of deductible plan that offers several ways to get care at a lower cost — or no cost — even before you meet your deductible. Whether you need care right away or are planning for care you might need later, you’ve got peace of mind knowing you’re covered.
No-cost care options
Preventive care visits help keep you healthy and catch health problems early. Examples of preventive care visits include:
Some diagnostic care or treatment services might happen during a preventive care visit and come with additional costs. Learn more.
No-cost virtual care connects you to a wide range of doctors and specialists
wherever it works best for you. Examples include:2
Plus, all your Kaiser Permanente doctors can see — and update — your electronic health record. This helps them work together to ensure you get the right care at the right time, no matter what care option you choose.
Care options for a predictable copay
As part of the Value Plan, you get 3 in-person primary care visits for a predictable copay1 — before you reach your deductible. Examples of in-person primary care include:
You can get most lab tests done for a predictable copay. Keep in mind that this doesn’t cover X-rays, MRIs, and other scans. Examples of lab tests include:
You can get most prescriptions filled for a predictable copay — and get them delivered to your home with no shipping costs. Examples include:
Full-cost care options
After your third in-person primary care visit, you’ll need to pay the full cost for additional in-person primary care visits until you meet your deductible. Once you do, you’ll likely pay a copay or coinsurance. But keep in mind that many of these visits can be done by phone or video at no cost. Examples of in-person primary care include:
If you need to see a specialist in person, you’ll need to pay the full cost of the service until you meet your deductible. But keep in mind that some specialists are available by phone2 or video2 at no cost. Examples of specialist services include:
Value Plan members: To learn more about your costs for care, check your Evidence of Coverage and other coverage documents in My Documents.
How to make the most of the Value Plan
To get started with a Value Plan, it’s as easy as signing up for an online account at kp.org and downloading the no-cost Kaiser Permanente app. Whether you’re at home or on the go, both tools make it easy to:
After registering, you can tap into many other online resources to help support and inspire healthy living. Here are a few we’ve handpicked for you.
Call us from your couch for 24/7 advice. Get checkups, follow-up care, and prescriptions by phone or video. Email nonurgent questions and photos to your Kaiser Permanente care team and get a reply usually within 2 business days. Check most lab results, order most prescriptions to your front door, and schedule routine appointments — online, in our app, wherever, whenever.
You have many convenient ways to get care and stay connected to your care team virtually at no cost. And because all your Kaiser Permanente doctors can see — and update — your electronic health record, you get the right care at the right time, no matter how or when you choose to get it.
Explore your care options to find one that fits you.
Take advantage of wellness tools and programs
To help you thrive in mind, body, and spirit, you have access to a wide range of online wellness tools — many available at no cost.3
Mental health resources
Ease your mind and maintain well-being with health classes, on-demand audio meditations, self-care articles, and tools — including self-care apps, available 24/7 and at no cost to adult members.
Fitness and exercise deals
Access to gyms and fitness locations nationwide, live digital fitness classes, and on-demand workouts from One Pass Select Affinity3.
Classes and programs
Maintain and improve your health and wellness with online classes taught by our care teams, many at no cost.
Wellness coaching
Reach your health goals with personalized, one-on-one coaching sessions by phone at no cost. Health topics include managing your weight, quitting smoking, reducing stress, eating healthier.
Manage your costs online
Your kp.org account gives you the tools you need to plan ahead and stay informed on your health care costs. After signing in, visit your personal Coverage and Costs page to:
New members
Get started with Kaiser Permanente and make the most of your plan.
Get care
Explore the many ways you can get care in person or on the go.
Contact us
Have questions about your health plan or care options? Give us a call.
Footnotes
[1] Services covered as an office visit vary by region. Refer to your Evidence of Coverage for more information.
[2] When appropriate and available.
[3] The apps and services described above are not covered under your health plan benefits, are not a Medicare-covered benefit, and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. The apps and services may be discontinued at any time.
Some treatment services you receive during preventive care or primary care visits might come with extra costs in addition to the amount you pay at check-in. For example, you may be asked to pay (or be billed) if you need diagnostic care during a preventive visit, treatment services during an office visit, or a specialist consultation during a routine exam. Refer to your Evidence of Coverage for more information.
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