	Kaiser HMO Plan A	Kaiser HMO Plan B	Kaiser HDHP (HSA)	Teamsters 856 Trust Fund KP
Eligibility & cost-sharing limits
Who can enroll	Must live or work in a Kaiser service area at the time of enrollment	Must live or work in a Kaiser service area at the time of enrollment	Must live or work in a Kaiser service area at the time of enrollment	Must live or work in a Kaiser service area at the time of enrollment
Deductible — individual	None	$500	$1,750	None
Deductible — family	None	$500/member, $1,000/family	$3,500/member, $3,500/family	None
Deductible applies to	N/A	Hospital-related services (dollar copays are not subject to it)	All services that need a coinsurance % or copay	N/A
Out-of-pocket max — individual	$1,500	$3,000	$3,500	$1,500
Out-of-pocket max — family	$1,500/member, $3,000/family	$3,000/member, $6,000/family	$3,500/member, $7,000/family	$3,000
Counts toward the max	All copays/coinsurance except chiropractic	All copays/coinsurance except chiropractic	All copays/coinsurance	All copays/coinsurance
Hospital & emergency
Inpatient hospital	$0	10% after deductible	10% after deductible	$0
Outpatient surgery (facility)	$10	10% after deductible	10% after deductible	$15 per procedure
Emergency department	$10	10% after deductible	10% after deductible	$35 per visit (waived if admitted)
Ambulance	$0	10% up to $150 per trip	10% after deductible	$0
Doctor visits & tests
Office visit	$10	$20	10% after deductible	$10
Preventive exam	$0	$0	$0	$0
Urgent care	$10	$20	10% after deductible	$10
Allergy injections	$3	$0	10% after deductible	$0
Physical / occupational / speech therapy	$10	$20	10% after deductible	$10
Diagnostic X-ray & lab	$0	$10	10% after deductible	$0
Prescriptions
Retail pharmacy	$10 generic and $20 brand (up to 100-day supply); $20 specialty (up to 30 days)	$10 generic, $30 brand and $30 specialty (up to 30-day supply)	$10 generic, $30 brand, $30 specialty (up to 30 days), after deductible	$10 generic and $20 brand (up to 100-day supply)
Mail order (100-day supply)	$10 generic, $20 brand	$20 generic, $60 brand	$20 generic, $60 brand (after deductible)	$10 generic, $20 brand
Additional services
Durable medical equipment	$0	20% (no deductible)	10% after deductible	$0
Vision (routine exam)	$0	$0	10% after deductible	$0
Hearing exams	$10	$20	10% after deductible	$0
Infertility (diagnosis & treatment)	Standard cost shares for the service*	Standard cost shares for the service*	Standard cost shares for the service*	Subject to applicable copays
Home health	$0, up to 100 visits	$0 after deductible, up to 100 visits	$0 after deductible, up to 100 visits	$0
Skilled nursing	$0, up to 100 days	10% (no deductible), up to 100 days	10% after deductible, 100 days	$0
Hospice	$0	$0	$0	$0
Acupuncture	No self-referral (only with referral at a Kaiser facility)	No self-referral (only with referral at a Kaiser facility)	No self-referral (only with referral at a Kaiser facility)	$15, up to 20 visits (combined with chiropractic)
Chiropractic	$15, up to 20 visits	$15, up to 20 visits	Not covered	$15, up to 20 visits (combined with acupuncture)

Places in Martinez

Local restaurants, shops, parks & landmarks pulled from Foursquare.

Busywork Craft Supply605 Main Street, Martinez, CA, 94553retail|Craft supply

La Primavera1311 Pine Street, Martinez, CA, 94553food|Restaurant

Bar Cava718 Main Street, Martinez, CA, 94553food|Bar

States Coffee609 Ward Street, Martinez, CA, 94553food|Coffee

Slow Hand BBQ601 Main Street, Martinez, CA, 94553food|BBQ

LC Galleries625 Main Street, Martinez, CA, 94553rec|Gallery

Martinez Library740 Court Street, Martinez, CA, 94553rec|Library

Attic Child623 Main Street, Martinez, CA, 94553retail|Furniture / vintage

Ember Rest649 Main Street, Martinez, CA, 94553food|Restaurant

The Spotted Cow631 Escobar Street, Martinez, CA, 94553food|Restaurant

Barrelista Coffee House736 Main Street, Martinez, CA, 94553food|Coffee house

Martinez Museum1005 Escobar Street, Martinez, CA, 94553rec|Museum

Main Street Arts Gallery613 Main Street, Martinez, CA, 94553rec|Art gallery

Sisaket Thai Kitchen414 Ferry Street, Martinez, CA, 94553food|Thai restaurant

Del Cielo Brewing Co701 Escobar Street, Martinez, CA, 94553food|Brewery

Cinco de Mayo2250 Pacheco Boulevard, Martinez, CA, 94553food|Mexican restaurant

Roxx on Main627 Main Street, Martinez, CA, 94553food|Bar / live music

Sunflower Garden436 Ferry Street, Martinez, CA, 94553food|Restaurant

Copper Skillet811 Ferry Street, Martinez, CA, 94553food|Restaurant

Troy Greek720 Main Street, Martinez, CA, 94553food|Greek restaurant

Martinez Athletic Club729 Castro Street, Martinez, CA, 94553rec|Athletic club

Luigi's Deli537 Main Street, Martinez, CA, 94553food|Deli

Campbell Theater636 Ward Street, Martinez, CA, 94553rec|Theater

Pegasus Bicycle Works721 Castro Street, Martinez, CA, 94553retail|Bicycle shop

Five Suns Brewing626 Main Street, Martinez, CA, 94553food|Brewery

Source: Foursquare Places API.