Medical

Please Note: The benefit information provided on this page represents plan information for the 2019 plan year. For 2020 benefit information, please view the 2020 Benefits page.

The City of San José Currently Offers a Choice of Six Medical Insurance Plans

Kaiser Permanente $25 Co-Pay HMO
Kaiser Permanente $1,500 Deductible HMO
Kaiser Permanente HSA Qualified $3000 Deductible HMO
Sutter Health Plus $20 Co-pay
Sutter Health Plus $1,500 Deductible Plan
Blue Shield $100 PPO

A Health In-Lieu plan is available for employees with alternate group medical coverage. For more information, see the details in the Health In Lieu Plan Document.

Cost

Employee and City contribution amounts are subject to change each year in January in accordance with contract renewals. Employee contributions toward monthly premiums are determined by the applicable Memorandum of Agreement (MOA) for each bargaining unit or the Benefit and Compensation Summary. See rate sheets below.

Health Plan Rates - For employees represented by POA or IAFF
Health Plan Rates - For all other employees

To see a side by side comparison of our offered plans, see the Health Plan Comparison.

Kaiser Resources and Plan Information

Website: http://my.kp.org/cityofsanjose
Phone: (800) 464-4000

$25 Copay HMO Group #887

$1,500 Deductible Plan Group #887

Plan Summary
Summary of Benefits and Coverage - Northern California
Paying For Care - Understanding the $1500 Deductible Plan

$3,000 Deductible Plan Group #887

As of January 1, 2015, Kaiser Permanente began to automatically track medical and pharmacy services to the annual Out-of-Pocket maximum for members. The Affordable Care Act (ACA) requires the accumulation of all services that are subject to cost sharing for both HMO and Deductible HMO plans and, as a result of this new reporting requirement, Kaiser members may start to receive a Letter of Accumulation (LOA). Instructions on how to understand the statement are provided below, along with a sample view of the format of the letter.