Kaiser HMO

NetApp offers a Kaiser HMO to employees located in California. With the Kaiser HMO, you pay a copay for most services. You do not have to meet a deductible or pay coinsurance. To receive benefits, however, you must use doctors and hospitals in the Kaiser network (except in an emergency).

How the Kaiser HMO Works

Getting Care

  • This plan pays benefits for eligible services when you use doctors and hospitals in the Kaiser network. Except in certain emergencies, your care will not be covered if you use a non-network provider.
  • Preventive care services are covered at 100%. Preventive care includes routine physical exams and well-child preventive exams (up to 23 months).
  • In Sunnyvale, you and your covered dependents can visit the mobile health vehicle for certain routine services.

Paying for Care

  • You do not have to meet a plan deductible before the plan pays benefits.  
  • You pay a copay for most services, and the plan pays the rest.  
  • You’re protected against really large bills. Once your expenses reach the out-of-pocket maximum, the plan pays for 100% of the costs until the end of the calendar year. 
Kaiser HMO Overview
Annual Deductible None
Copays You pay copays for physician office visits, emergency room, urgent care and prescription drugs.
Coinsurance The plan pays 100% after you pay a copay for most services.
Out-of-Pocket Limit $1,500 single/$3,000 family
Plan Benefits
Preventive Care Covered at 100%
Non-Preventive Care You pay copays for most services as long as you use network providers.
Prescription Drugs

You pay copays for prescription drugs.

For 2017:

  • Generic: $5 copay, up to 100-day supply
  • Brand: $20 copay, up to 100-day supply

For 2018:

  • Generic: $10 copay, up to 100-day supply
  • Brand: $25 copay, up to 100-day supply

See the plan details for 2017 [PDF].

See the plan details for 2018 [PDF].