Switch View

Please Select Your View

You will only be asked to do this once, though you can change it at any time.

Site Search

VIEWING AS: ACTIVE MEMBER
OEFI Logo

VIEWING AS: ACTIVE MEMBER SWITCH VIEW

OPERATING ENGINEERS
TRUST FUNDS

Health and Welfare Benefit Summaries

  • Covered Features

    Kaiser Permanente is one of the medical plans available to eligible participants in certain areas of California.
  • Contact Information

    Phone: (800) 464-4000
    Website: kp.org
  • Choice of Providers

    You must use Kaiser Permanente facilities and providers for all services with an exception for bona fide medical emergencies.
  • Calendar Year Maximum

    None
  • Out-of-Pocket Maximums

    $1,500 Individual
    $3,000 for two or more family members
  • Doctor Visits – Office

    Your copayment is: $25 per visit
  • Hospital Visits

    $250 co-pay per admission
  • Lab & X-Rays

    $10 co-pay per service
  • Routine Physicals

    $25 co-pay per visit
  • Ambulance Services

    $50 per trip
  • Emergency Room

    $100 co-pay per visit; waived if admitted
  • Prescription

    For Prescription benefits, click here.
  • Inpatient Psychiatric Care

    $250 co-pay per admission
  • Inpatient Alcohol and Substance Abuse Care

    $250 co-pay per admission for detoxification $100 co-pay per admission for transitional residential recovery servicesMaximum of 60 days per calendar year, not to exceed 120 days in any 5 year period

Join Our Mailing List

Get The Scoop in your inbox along with other plan news and information!