Kaiser Foundation Health Plan, Inc., Northern California Region at Association Of California Water Agencies Joint Power Ins Auth

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This document is a Summary of Benefits and Coverage (SBC) for the ACWA JPIA CalCare HMO Plan, provided by Anthem BlueCross, for the coverage period of January 1, 2026, to December 31, 2026. It details the health plan's benefits, member cost-sharing for various medical services (including deductibles, copayments, and out-of-pocket limits), and lists services that are covered or excluded. The document outlines important questions, common medical event costs, and provides information on grievance and appeals rights, language assistance, and civil rights. It explicitly states that premium costs are provided separately, and includes illustrative cost examples rather than an overall plan cost.

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This document outlines the benefits and cost-sharing for the Anthem 2026 Advantage PPO Plan (S828) offered by Anthem Blue Cross Life and Health Insurance Company under the Prudent Buyer PPO Network. Effective from January 1, 2026, it details member expenses including deductibles ($500/person, $1000/family), medical out-of-pocket limits ($3,000/person, $6,000/family), and pharmacy out-of-pocket limits ($3,600/person, $7,200/family). The plan specifies copays and coinsurance for a wide range of services such as virtual care, doctor visits, emergency care, hospital stays, mental health, therapies, diagnostic tests, prescription drugs across multiple tiers, and vision care, for both in-network and out-of-network providers.

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This document details a Purchase Order (GLCN 26-0061) from Gorman Learning Center to Kaiser Foundation Health Plan, Inc. for $740,000.00, covering "Open P.O. FY 25-2026" for health plan services. The contract is effective for the fiscal year 2025-2026, starting July 1, 2025, and ending June 30, 2026. The total amount is split between Fund 02 ($381,000.00) and Fund 03 ($359,000.00). A preceding Requisition Form (GLCN 25-0061) dated July 8, 2025, requests the same purchase.

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This document is a Summary of Benefits and Coverage (SBC) for a health plan provided by Kaiser Foundation Health Plan of Washington to Spokane Transit Authority for the coverage period of January 1, 2026, to December 31, 2026. It details covered services, cost-sharing responsibilities (deductibles, copayments, coinsurance), limitations, excluded services, and member rights. The document also includes examples of how the plan might cover costs for specific medical situations.