Kaiser Urgent Care Copay



A deductible is an amount you pay for healthcare before your insurance starts to pay. If you’ve met your deductible, you’ll only owe your copay at the time of your urgent care visit. The typical copay at urgent care is between $25 and $75, though this depends on your. .If you receive urgent or emergency care outside of a Kaiser facility, please call the Kaiser number listed on the back of your ID card. View a comparison of the medical plans on the 2021 At-a-Glance. Log into your Kaiser account to schedule appointments, email your doctor, have a video visit, and find resources to support your entire.

This is a comparison of the copay medical plans for FY 2019-20 open enrollment. Please see the High Deductible Health Plan Comparison page as well.

Comparing network costs versus non-network costs between Kaiser Permanente and United Healthcare in the Co-Pay plans
United Healthcare (UHC) Copay Choice Plus PlanKaiser Permanente (KP) DHMO Plan
Annual DeductibleNetworkNon-NetworkAnnual DeductibleNetworkNon-Network
Individual$1,500$3,000Individual$750Not Covered
Family $3,000$6,000Family $1,500

Kaiser Urgent Care Riverside

Out of Pocket Max Comparison
Annual Out-of-Pocket Max: UHCAnnual Out-of-Pocket Max: KP
Annual DeductibleNetworkNon-NetworkAnnual DeductibleNetworkNon-Network
Individual$5,000$10,000Individual$2,000Not Covered
Family$10,000$20,000Family $4,000
Co-Insurance Comparison
Co-Insurance: UHCCo-Insurance: KP
Annual DeductibleNetworkNon-NetworkAnnual DeductibleNetworkNon-Network
Percentage you pay after you have satisfied your deductible.20%50%Percentage you pay after you have satisfied your deductible.10%Not Covered
Office Visit and Urgent Care Cost Comparison
Office Visits/Urgent Care (1): UHCOffice Visits/Urgent Care (1): KP
ServiceNetworkNon-NetworkServiceNetworkNon-Network
Preventative Care/ScreeningsNo Charge50% of eligible expenses after deductiblePreventative Care/ScreeningsNo ChargeNot Covered
Primary Care - Illness/Injury$30 CopayPrimary Care - Illness/Injury$30 Copay
Specialist$50 CopaySpecialist$50 Copay
Inpatient Hospital20% Co-insurance after $1,000 CopayInpatient Hospital10% Coinsurance
Urgent Care$75 CopayUrgent Care$75 Copay
Ambulance20% after deductibleAmbulance$500 Copay
Emergency Room$500 CopayEmergency Room
Virtual Visits
(Network Benefits are available only when services are delivered through a
Designated Virtual Network Provider.)
$30 CopayNot CoveredVirtual Care - Primary/Specialty
- Phone Visit, Video Visit
- Chat Online, Email, E-visits
No ChargeNot Covered
Mental Health Benefits Comparison
Mental Health (1): UHCMental Health (1): KP
ServiceNetworkNon-NetworkServiceNetworkNon-Network
Inpatient (Hospitalization/Day Treatment)20% Co-insurance after $1,000 Copay50% of eligible expenses after deductibleInpatient (Hospitalization/Day Treatment)10% Coinsurance Not Covered
Outpatient (Therapy)$30 CopayOutpatient (Therapy)$30 Copay
Inpatient and Outpatient Addictive Disorders Services Comparison
Substance-Related & Addictive Disorders Services (1): UHCSubstance-Related & Addictive Disorders Services (1): KP
ServiceNetworkNon-NetworkServiceNetworkNon-Network
Inpatient20% Co-insurance after $1,000 Copay50% of eligible expenses after deductibleInpatient10% Coinsurance Not Covered
Outpatient (Therapy) $30 Copay Outpatient (Therapy)$30 Copay
Vision Benefits Comparison
Vision: UHCVision: KP
ServiceNetworkNon-NetworkServicePediatric
(up to end of month he/she turns age 19)
Adult
(members age 19 and over)
Up to 1 Routine Exam per plan year under the Medical Plan$50 Copay- Allowances apply to network providers only.
- Please refer to your plan details for out-of-network allowances
Optometrist/
Ophthalmologist
Optometrist: $30 Copay/ Ophthalmologist: $50 Copay
(Includes contact lens fitting up to $175)
Optical hardware - Frames $130 allowance OR
- Contact lens $150 allowance
Optical hardware- 10% Coinsurance
- 1 pair of glasses & lenses every 2 years or 2 years of contact lenses
$150 Credit once every 24 months towards optical hardware
Kaiser Urgent Care Copay
Prescription Comparison
Prescription: UHCPrescription: KP (2)
Retail: 30-day supplyMail Order: 90-day supplyRetail: 30-day supplyMail Order: 90-day supply
Tier 1$10 Copay$20 CopayGeneric$10 Copay$20 Copay
Tier 2$30 Copay$60 CopayPreferred Brand Name$30 Copay$60 Copay
Tier 3$50 Copay$100 CopayNon-Preferred Brand NameApproved drugs covered at generic costshare
Specialty (30 day supply)20% up to $100Specialty20% up to $100
Kaiser Urgent Care Copay

* Please refer to the official plan documents for detailed information and listing of covered services

  1. If a procedure is preformed during a Primary Care, Specialty Care, or Urgent Care Visit then the service is covered at coinsurance after deductible is met.
  2. For Southern Colorado Kaiser Permanente members: maintenance medications must be filled at a Pharmacy in a Kaiser Permanente medical office or through Kaiser Permanente mail order.

Kaiser Urgent Care Near Me

Rates - Employee Monthly Contribution

United Healthcare Copay Choice Plus PlanKaiser Permanente DHMO Plan
Employee Only$159.14Employee Only$93.72
Employee + Spouse$437.52Employee + Spouse$298.02
Employee + Child(ren)$310.30Employee + Child(ren)$190.34
Family$638.86Family$440.48