Primary care

Individual deductible limit

$4,000.00 remaining

$0.00 spent toward $4,000 limit

Individual out-of-pocket limit

$8,900.00 remaining

$0.00 spent toward $8,900 limit

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Below are your benefits for Primary care. To review more benefits, browse all by category. browse all services by category.

Costs may vary after out-of-pocket limit is met

Your costs may vary for these services after the out-of-pocket limit is met. For cost details, refer to your Evidence of Coverage (EOC).

Virtual care - Phone visit

Benefit details	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply.	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider.
Before deductible limit is met	Before deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Your cost right now No cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Your cost right now Full cost
After deductible limit is met	After deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. No cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. 50% Coinsurance
After out-of-pocket limit is met	After out-of-pocket limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Cost varies	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Cost varies

Virtual care - Video visit

Benefit details	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply.	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider.
Before deductible limit is met	Before deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Your cost right now No cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Your cost right now Full cost
After deductible limit is met	After deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. No cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. 50% Coinsurance
After out-of-pocket limit is met	After out-of-pocket limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Cost varies	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Cost varies

Primary care visit

Includes services such as general doctor visits and pediatrician visits.

Benefit details	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply.	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider.
Before deductible limit is met	Before deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Your cost right now $45 Copay Copay A set amount you pay for services. For example, a $10 copay for an office visit. (Get a cost estimate)	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Your cost right now Full cost
After deductible limit is met	After deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. $45 Copay	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. 50% Coinsurance
After out-of-pocket limit is met	After out-of-pocket limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Cost varies	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Cost varies

Immunizations

Vaccines or substances that prevent or decrease the symptoms of disease.

Benefit details	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply.	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider.
Before deductible limit is met	Before deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Your cost right now No cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Your cost right now No cost
After deductible limit is met	After deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. No cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. No cost
After out-of-pocket limit is met	After out-of-pocket limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Cost varies	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Cost varies

Office procedure

Includes procedures such as mole removal, diabetic nail trimming, and ear wax removal.

Benefit details	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply.	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider.
Before deductible limit is met	Before deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Your cost right now $45 Copay Copay A set amount you pay for services. For example, a $10 copay for an office visit. (Get a cost estimate)	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Your cost right now Full cost
After deductible limit is met	After deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. $45 Copay	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. 50% Coinsurance
After out-of-pocket limit is met	After out-of-pocket limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Cost varies	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Cost varies

Shots

Includes costs for injectable medications such as antibiotics and steroids. Administration of injections may have a separate cost.

Benefit details	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply.	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider.
Before deductible limit is met	Before deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Your cost right now Full cost	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Your cost right now Full cost
After deductible limit is met	After deductible limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. 40% Coinsurance	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. 50% Coinsurance
After out-of-pocket limit is met	After out-of-pocket limit is met	In-Network In-Network The service areas where members can receive care from Kaiser Permanente health care professionals. When you receive care within an in-network area, your current plan benefits and rates will apply. Cost varies	Out-of-network Out-of-network Anywhere outside of Kaiser Permanente service areas where members may get care from non-Kaiser Permanente health care professionals. When you get care from outside of your network, your plan benefits and rates may be different than if you get in-network care or care through a participating provider. Cost varies

If there's a discrepancy between what's displayed on this page and your Evidence of Coverage (EOC), the EOC will govern. Please refer to your EOC for a complete description of your coverage and cost share.

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Primary care Specialty care Hospital care Labs & imaging Mental health Surgeries Therapy & rehabilitation services Urgent care & emergency services Medical equipment Preventive care Vision