KP Oregon Standard Gold Plan
Gold · EPO · Kaiser Permanente · Oregon
At age 40 it costs between $585 and $635 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 | 71287OR0420002 |
|---|---|
| Insurer | Kaiser Permanente |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 3 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $1,800 |
| Deductible (family) | $3,600 |
| Drug deductible | $0 |
| Most you could pay in a year | $8,150 |
| Family maximum | $16,300 |
| Primary care visit | $20 |
| Specialist visit | $40 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $30 |
| Specialty drugs | 50% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.87% |
| 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 | $458 | $520 | $585 | $818 | $1,243 |
| Columbia County | $458 | $520 | $585 | $818 | $1,243 |
| Hood River County | $458 | $520 | $585 | $818 | $1,243 |
| Multnomah County | $458 | $520 | $585 | $818 | $1,243 |
| Washington County | $458 | $520 | $585 | $818 | $1,243 |
| Yamhill County | $458 | $520 | $585 | $818 | $1,243 |
| Marion County | $474 | $538 | $606 | $846 | $1,286 |
| Polk County | $474 | $538 | $606 | $846 | $1,286 |
| Benton County | $497 | $564 | $635 | $887 | $1,348 |
| Lane County | $497 | $564 | $635 | $887 | $1,348 |
| Linn County | $497 | $564 | $635 | $887 | $1,348 |
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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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.