Individual and Family

At Kaiser Permanente, they offer you a range of individual plans from which to choose, so you can select a plan that's right for you and your family. Whether you're looking for lower monthly premiums or broad coverage, our online tools will help you find the Kaiser Permanente plan that fits your budget and lifestyle needs. Kaiser Permanente offers a variety of affordable, quality health insurance plans for you and your family.

I've heard that the quality of care provided by HMOs is inferior to that provided under traditional, fee-for-service coverage?

At Kaiser Permanente, one of our top priorities is to continually improve the quality of health care we provide. By coordinating patient care and working closely with their fellow physicians, the Permanente Medical Group physicians lead the way in improving clinical practice, conducting medical research, and improving overall health care quality for our members and our communities.

Recently I've heard a great deal about HMO drug formularies that restrict patients' access to necessary pharmaceuticals?

Kaiser Permanente has developed prescription drug formularies—lists of drugs that have been approved by review boards of Kaiser Permanente physicians and pharmacists--to ensure that appropriate medications are available for our members, while also providing these drugs cost effectively. Kaiser Permanente's formularies are doctor-driven and quality-based.

As an integrated delivery system, Kaiser Permanente seeks input from the entire range of health care specialties in developing our formularies. In doing so, we evaluate each medication for:

I've heard that HMO administrators pressure physicians to discharge their patients from hospitals?

At Kaiser Permanente, clinical decisions are made by physicians working with their patients. The decision of how long a mother and her newborn baby stay in the hospital is made by the physician in consultation with the mother, based on what is medically appropriate for the mother and child. If there is a medical reason to extend the stay, our physicians decide with patients when discharge is appropriate.

I've heard that HMO administrators pressure physicians to discharge their patients from hospitals?

At Kaiser Permanente, clinical decisions are made by physicians working with their patients. The decision of how long a mastectomy patient stays in the hospital, or whether a hospital stay is recommended, is based on what is medically and psychologically appropriate for each individual patient.

Outpatient mastectomies (in which the patient goes home the same day of surgery) are becoming more common, and many women choose to recover in the comfort of their homes, with appropriate support, instead of in the hospital.

How are Kaiser Permanente physicians compensated?

Our doctors are compensated as a result of a two-step process: (1) Health Plan pays the Medical Group; and (2) the Medical Group pays the doctors. A summary of these steps is provided below.

Health Plan pays the Medical Group

Does Kaiser Permanente use "gag clauses" that prevent physicians from discussing health care options with their patients?

No. Kaiser Permanente strongly opposes "gag clauses" that prevent physicians from discussing treatments not covered by the Plan, possible referrals outside the Plan, or how physicians are compensated. Our physicians are encouraged to tell patients about all the treatment options that are available, no matter what the Plan covers. Information on how our physicians are compensated is provided below.

Who makes medical decisions at Kaiser Permanente?

At Kaiser Permanente, medical decisions are made by physicians and their patients working together. The doctor-patient relationship is the foundation of our care.

If I change jobs or become unemployed, can I bring my coverage with me?

If you switch employers, you have the right to carry your group health insurance coverage with you to a new job for up to 18 months under the Consolidated Omnibus Budget Reconciliation Act (COBRA).
You must pay the full premium, but at group rates that are far cheaper than the individual rates you would pay for similar coverage. Health insurance under COBRA is available if you are in the following situations:

Can I buy an individual policy?

Yes. If you are unemployed, self-employed, or decide to return to school you may want to buy an individual health insurance policy. To get a quote for individual health plans from Kaiser click on "get a quote" button below.

 Kaiser Individual health insurance quote

 

How do I pick a health plan?

If your employer gives you a choice of plans or you need to purchase your own coverage, it is crucial that you understand your health insurance choices and pick the insurance that is best for you and your family.
Here are some questions you should ask yourself when choosing a health insurance plan:
How affordable is the cost of care?

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