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  • PlanComparison : 8 plans + no group headers 
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Plan Comparison

The following example shows a table that doesn't have any sub-title header rows in the body. This means there should be no "Expand/Collapse" buttons above the table and no "+/-" buttons in the table.

Kaiser California HMO Plan
In-network
Kaiser California HMO Plan
Out-network
Kaiser Northwest HMO Plan
In-network
Kaiser Northwest HMO Plan
Out-network
Kaiser California HMO Choice Plan
In-network
Kaiser California HMO Choice Plan
Out-network
Kaiser Northwest HMO Choice Plan
In-network
Kaiser Northwest HMO Choice Plan
Out-network
HSA-eligible Yes Yes No No No No No No
Company contribution to HSA $500 $500 None None None None None None
Annual deductible (individual/family) $2,850/$5,700 $5,700/$11,400 $900/$1,800 $1,800/$3,600 $750/$1,500 $1,500/$3,000 $400/$800 N/A
Coinsurance You pay 30%, plan plays 70% You pay 20%, plan plays 80% You pay 10%, plan plays 90% You pay 10%, plan plays 90% You pay 40%, plan pays 60% You pay 40%, plan pays 60% You pay 40%, plan pays 60% N/A
Annual out-of-pocket maximum (individual/family) $5,500/$11,000 $3,000/$6,000 $3,000/$6,000 $2,000/$4,000 $11,000/$22,000 $6,000/$12,000 $6,000/$12,000 N/A
Preventive care Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing Covered at 100% in-network, so you pay nothing
Generic 30% after deductible (deductible waived for some medications) 30% after deductible (deductible waived for some medications) 20% after deductible (deductible waived for some medications) 20% after deductible (deductible waived for some medications) 20% (min $10/max $20)** 20% (min $10/max $20)** $10** $10**
Formulary 30% after deductible (deductible waived for some medications) 30% after deductible (deductible waived for some medications) 20% after deductible (deductible waived for some medications) 20% after deductible (deductible waived for some medications) 30% (min $62.50/max $125)** 30% (min $62.50/max $125)** $75** $75**
Nonformulary 30% after deductible (deductible waived for some medications) 30% after deductible (deductible waived for some medications) 20% after deductible (deductible waived for some medications) 20% after deductible (deductible waived for some medications) 45% (min $100/max $200)** 45% (min $100/max $200)** $150** $150**