Kaiser

Ancestry considers you part of our family. That’s why we offer several medical plans featuring a range of coverage levels and costs, so you have the flexibility to choose the best plan for yourself and your family. If you’re in California, you have the option of selecting the Kaiser $500 Deductible plan.

Kaiser (California Residents Only) – Northern CA Network

HSA Eligible
HSA Funding by Ancestry
Preventive Doctor's Visit
$500 Deductible
No
No
Covered at 100% in-network*
* Plan deductible does not apply.

In-Network

Individual / Family Deductible
Individual / Family Out-of-Pocket Max
Plan Coinsurance
Office Visit
$500 Deductible
$500 / $1,000
$3,000 / $6,000
10%
$20

Retail Prescriptions

Generic
Preferred Brand Name
$500 Deductible
$20 copay
$60 copay

Mail Order Prescriptions

Generic
Preferred Brand Name
$500 Deductible
Usually 2x the plan pharmacy cost sharing
Usually 2x the plan pharmacy cost sharing

Kaiser Monthly Costs

See what both you and Ancestry contribute each month for the medical plans.

For more information, see the Plan Documents and Required Notices.

Questions?

Kaiser

Medical
Plan/Group Number: 605266
Phone: 1-800-464-4000
Website

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