KP HI Gold 1000 Ded/250 Rx Ded
Gold · HMO · Kaiser Permanente · Hawaii
At age 40 it costs $567.85 a month before any subsidy.
What CMS publishes about it
| Plan ID | 60612HI0110011 |
|---|---|
| Insurer | Kaiser Permanente |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,000 |
| Deductible (family) | $2,000 |
| Drug deductible | $250 |
| Most you could pay in a year | $8,700 |
| Family maximum | $17,400 |
| Primary care visit | $30 |
| Specialist visit | $70 |
| Emergency room | $350 Copay after deductible |
| Inpatient stay | 30% |
| Generic drugs | $10 |
| Preferred brand drugs | 30% Coinsurance after deductible |
| Specialty drugs | 30% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.67% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-570-8004 · TTY 1-877-447-5990 |
Where it is sold, and what it costs there
5 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Hawaii County | $444.33 | $504.31 | $567.85 | $793.57 | $1,205.91 |
| Honolulu County | $444.33 | $504.31 | $567.85 | $793.57 | $1,205.91 |
| Kalawao County | $444.33 | $504.31 | $567.85 | $793.57 | $1,205.91 |
| Kauai County | $444.33 | $504.31 | $567.85 | $793.57 | $1,205.91 |
| Maui County | $444.33 | $504.31 | $567.85 | $793.57 | $1,205.91 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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When this plan’s price or benefits change.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.