KP OR Gold 0
Gold · EPO · Kaiser Permanente · Oregon
At age 40 it costs between $604 and $655 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 71287OR0420001 |
|---|---|
| Insurer | Kaiser Permanente |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $15 |
| Specialist visit | $50 |
| Emergency room | $350 |
| Inpatient stay | 30% |
| Generic drugs | $10 |
| Preferred brand drugs | $40 |
| Specialty drugs | 50% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 98.80% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-801-1270 · TTY 1-800-735-2900 |
Where it is sold, and what it costs there
11 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 |
|---|---|---|---|---|---|
| Clackamas County | $472 | $536 | $604 | $844 | $1,282 |
| Columbia County | $472 | $536 | $604 | $844 | $1,282 |
| Hood River County | $472 | $536 | $604 | $844 | $1,282 |
| Multnomah County | $472 | $536 | $604 | $844 | $1,282 |
| Washington County | $472 | $536 | $604 | $844 | $1,282 |
| Yamhill County | $472 | $536 | $604 | $844 | $1,282 |
| Marion County | $489 | $555 | $625 | $873 | $1,327 |
| Polk County | $489 | $555 | $625 | $873 | $1,327 |
| Benton County | $512 | $582 | $655 | $915 | $1,391 |
| Lane County | $512 | $582 | $655 | $915 | $1,391 |
| Linn County | $512 | $582 | $655 | $915 | $1,391 |
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.