|
April 1, 2012 through March 31, 2013
Kaiser Permanente helps your child stay healthy and active. You can choose a personal physician who will get to know your child. If your child qualifies, coverage includes, but is not limited to the following benefits:
Benefit
|
Copayment
|
Doctor office visits
|
$5
|
Prescriptions
|
$5 generic (100-day supply)
|
Urgent care
|
$5
|
Emergency visits
|
$35
|
Hospital care
|
No charge
|
Hearing and vision tests
|
No charge
|
Laboratory/X-ray services
|
No charge
|
Mental health care
|
Outpatient: $5 per individual therapy visit; up to 20 visits per calendar year
Inpatient: no charge; up to 30 days per calendar year
|
Eyeglasses
|
$125 allowance for pair of eyeglasses every 24 months
|
Copayment maximum
per calendar year
|
$250 per child/$500 for two or more children
|
Dental coverage for Kaiser Permanente Child Health Plan is offered to all our Child Health Plan members at no additional premium. The DeltaCare program is administered by PMI, the HMO affiliate of Delta Dental.
|
