Kaiser Permanente Insurance Overview

Path is very excited to be partnering with Kaiser Permanente in California and Hawaii! 

Currently, Path accepts the following two Kaiser Permanente insurance plans: 

  • Kaiser Permanente Southern California
  • Kaiser Permanente Hawaii

 

Kaiser Initial Referral Information

Kaiser Permanente provides patients with a letter that indicates the patient has an initial 6 or 12-month referral for up to 16 sessions for those with Kaiser Permanente Southern California insurance and up to 52 sessions for patients with Kaiser Permanente Hawaii insurance.  If a patient needs additional sessions beyond the initial referral, Path will coordinate with their therapist to obtain an additional referral from Kaiser if ongoing care is needed.

 

Understanding out-of-pocket costs with Kaiser insurance

For patients with Kaiser Permanente Southern California coverage, copays for virtual visits are $0, but we will check your coverage and confirm your out-of-pocket cost before scheduling your first session. Some patients with Kaiser Permanente Hawaii coverage may have a copay for virtual visits.

If your insurance plan has an annual deductible, you'll pay for your visits until your deductible is met. After your deductible is met, your out-of-pocket costs will be any copay or coinsurance associated with your plan.

We will provide you with an estimate of your individual benefits to better understand your insurance and plan for your costs of care. You may also contact Kaiser directly to confirm your expected out-of-pocket costs.

 

Kaiser Permanente HMO

Expected costs of visits should always be verified with your insurance provider and the following represents expected costs and cannot be guaranteed. Path sessions can be covered by Kaiser Permanente HMO plans for Kaiser Permanente Southern California and Kaiser Permanente Hawaii patients only. Patients with HMO plan types have no annual deductible, no coinsurance cost, and no copay. We estimate your per-session cost to be $0. If you would like a more accurate estimate regarding your deductible and session cost, please contact Kaiser directly.

Kaiser Permanente DHMO

Expected costs of visits should always be verified with your insurance provider and the below represent expected costs and cannot be guaranteed. Path sessions are covered by Kaiser Permanente HMO plans for Kaiser Permanente Southern California and Kaiser Permanente Hawaii patients only. Patients with DHMO plan types have a $0 copay. However, you may have a deductible you need to meet before the total session cost is $0. Until your deductible is met, the session cost will vary. If you would like a more accurate estimate regarding your deductible and session cost, please contact Kaiser directly.

Kaiser Permanente Medicare and Medi-Cal

Currently, Path does not participate in Kaiser’s Medicare and Medi-Cal plans, so these are out of network and will not be covered by your insurance. We offer a self-pay option at $150 for individuals and $165 for family/couples per 60-minute therapy session.

To utilize your in-network benefits, please talk to Kaiser directly so that they may assist you with finding a participating provider.  

Have additional questions? Email support@pathccm.com

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