Platinum 90 HMO 0-10 +Child Dental Alt
Platinum 90 HMO 0-10 +Child Dental Alt - SBC
Platinum 90 HMO 0-20 +Child Dental Alt
Platinum 90 HMO 0-20 +Child Dental Alt - SBC
Gold 80 HMO 0-40 + Child Dental Alt
Gold 80 HMO 0-40 + Child Dental Alt - SBC
Gold 80 HMO 250-35 + Child Dental
Gold 80 HMO 250-35 + Child Dental - SBC
Gold 80 HMO 1000-40 + Child Dental Alt
Gold 80 HMO 1000-40 + Child Dental Alt - SBC
Silver 70 HMO 2000-65 + Child Dental Alt
Silver 70 HMO 2000-65 + Child Dental Alt - SBC
Silver 70 HMO 2500-55 + Child Dental
Silver 70 HMO 2500-55 + Child Dental - SBC
2026-2027 Summary of Benefits and Coverage
Effective 12/01/26 - 11/30/27
Silver 70 HDHP HMO 3200-25% + Child Dental
Silver 70 HDHP HMO 3200-25% + Child Dental - SBC
Bronze 60 HMO 5800-60 + Child Dental
Bronze 60 HMO 5800-60 + Child Dental - SBC
Bronze 60 HDHP HMO 7200-0 + Child Dental
Bronze 60 HDHP HMO 7200-0 + Child Dental - SBC
*Silver 70 HMO 2300-65 PCP + Child Dental Alt
*Silver 70 HMO 2300-65 PCP + Child Dental Alt - SBC
*Silver 70 HMO 3100-75 PCP + Child Dental Alt
*Silver 70 HMO 3100-75 PCP + Child Dental Alt - SBC
Kaiser Pediatric Vision
Kaiser Chiropractic and Acupuncture
*Grandfathered Plans
VIsion