Keys to Advancement, Inc.
MEDICAL PLANS Include:
- Preventive Services - Covered in Full
- Chiropractic and Alternative Care
- Rx - 1 month free w/mail order
- Adult Vision Exam + $250 Hardware (1x/24mo)
- <Age 19 Pediatric Vision Exam + Hardware (1x/12mo)
- <Age 19 Pediatric Dental (Included with Medical)
- Optional Voluntary Adult Dental Age 19+
Please Select From These Plan Options:
MEDICAL PLAN OPTION 1:
| BASE PLAN - Silver 3000 with Vision $45 Primary Care Copay/$55 Specialist Copay $3,000 Ded/40% Coins/$8,200 OoP Max Rx $30/$60/50%/50%*(*deductible applies) Includes Pediatric Dental and Vision Benefit Summary | |
| Your Employer Pays 100% of the Monthly Premium (Employee Only) | |
| Employee Only: | See Rate Sheet |
| Employee + Dependents: | See Rate Sheet |
MEDICAL PLAN OPTION 2:
| BUY-UP PLAN - Gold 1500 with Vision $35 Primary Care Copay/$45 Specialist Copay $1,500 Ded/25% Coins/$8,200 OoP Max Rx $10/$20/$60/50% Includes Pediatric Dental and Vision Benefit Summary | |
| Monthly Premium You Pay the Difference to Buy-Up to This Plan | |
| Employee Only: | See Rate Sheet |
| Employee + Dependents: | See Rate Sheet |
PEDIATRIC DENTAL PLAN
Children <Age 19 Are Automatically Enrolled in Pediatric Dental Unless They Are Enrolled in Other Pediatric Dental Coverage.
(Please make this selection on your Kaiser Enrollment/Change Form).
There is no extra charge for Pediatric Dental for each child <Age 19.
| KAISER PEDIATRIC CHOICE 100 DENTAL PLAN Members <Age 19 Automatically Enrolled, Unless Waived $50 Deductible* (Waived for Preventive Services) 100% Preventive / 80% Basic* / 50% Major* $425 Out-of-Pocket Maximum ($850 Max p/Family) Benefit Summary | |
| Your Monthly Contribution: | |
| Per Child Under Age 19: | $ No Extra Charge |
OPTIONAL VOLUNTARY ADULT KAISER DENTAL PLAN
(To add adult dental, you'll pay the premium shown below)
NOTE: Dental Enrollment Does Not Need to Match Medical Enrollment
Dental is Included with Medical for <Age 19. No need to add Children <Age 19 to Adult Dental.
| OPTIONAL VOLUNTARY KAISER ADULT DENTAL PLAN >Age 19 $50 Deductible (Waived for Preventive Services) 100% Preventive / 80% Basic / 50% Major $1,000 Maximum Benefit Benefit Summary | |
| Your Monthly Contribution: | |
| Employee Only: | $ 46.83 |
| Employee + Spouse: | $ 93.66 |
| Employee + Children >Age 19: | $ 93.66 |
| Employee + Family >Age 19: | $ 154.54 |
SUMMARY OF YOUR 2025-2026 PLAN HIGHLIGHTS and UPDATES
KP WA Silver 3000/45, now KP WA Silver 3000
Out-of-Pocket Maximum Reduced from $8,700 to $8,200.
Primary Care Office Visit Copay reduced from $45 to $40.
Naturopathic Office Visit Copay reduced from $45 to $40.
Mental Health and Substance Use Disorder Services Copay (Outpatient) reduced from $45 to $40.
KP WA Gold 1500/35, now KP WA Gold 1500
Primary Care Provider Assignment
Members without a designated Primary Care Provider will be assigned a Kaiser Primary Care Provider.
Adult Vision
Hardware Allowance increased from $200 to $250 every Two-Years.
Pediatric Dental Included with All Medical Plans (<Age19).
You'll Find Benefit Details in your Medical Plan Summary.
Out-of-Pocket Maximum <Age 19 Increases from $400 to $425.
Pediatric Vision Included with All Medical Plans (<Age 19)
You’ll Find Benefit Details in Your Medical Plan Summary.
Go to www.kp2020.org to Find Kaiser Vision Locations
Domestic Partner Eligibility
Employers will be responsible for verifying the eligibility of domestic partners and continued adherence to state-mandated offering requirements.
Epinephrine Autoinjectors (EpiPens)
Cost Share Cap of $35.
Get Care Now – Go to www.kp.org/getcare for Details
Online and Phone Visits 24/7 For Urgent Care Needs – No Charge
Interpreter-Supported Video Visits
Scheduled Video Visits Are Now Available in The Member’s Preferred Language
More Care Options While You’re Away From Home – Non-Urgent, Urgent and Emergency Care Across the U.S.
Alternative Care Benefits
Chiropractic: 10 Self-Referred Visits per Year
Acupuncture: 12 Self-Referred Visits per Year
Naturopathic Care: Unlimited Self-Referred Visits
Visit CHP Group for a List of Providers
Self-Care Apps – Free! – Go to www.kp.org/selfcare for Details
Calm – The Number One App for Sleep and Meditation
Headspace Care – Build a Personalized Plan to Strengthen your Emotional Health
CHP Active and Healthy – Go to www.chpactiveandhealthy.com for Details - Discounts on Alternative Care, Health Club Memberships, Sporting Events, and more.
Here's a link to all of the plan updates for 2025-2026.
The Quintana Group Compensation Disclosure.
MEDICAL ENROLLMENT / WAIVER FORMS:
Kaiser Enrollment/Change Form
English - Español
Kaiser Waiver of Coverage
English - Español
MEDICAL PLAN INFORMATION:
Rate Sheet - Base Plan and Buy-Up Plan
Kaiser Base Plan - $3,000 Deductible
Summary - SBC
Kaiser Buy-Up Plan - $1,500 Deductible
Summary - SBC
Kaiser Adult Vision Exam and Hardware
Adult Vision Summary
Kaiser Pediatric Choice 100 Dental
Summary
Find a Pediatric Choice PPO Provider
ADDITIONAL KAISER RESOURCES:
Welcome to Kaiser Permanente
English - Español
Kaiser Enrollment Guide
English - Español
Create Your Account
Get Care Online, By Phone, In Person
Kaiser Mobile App
Kaiser Drug List
Using Alternative Care
Estimate Your Treatment Costs
Calm & Headspace Care Wellness Apps - Free!
Fitness Apps
Additional Member Resources
Kaiser Medical Financial Assistance Program
Get Care Away From Home:
English - Español
FREQUENTLY ASKED QUESTIONS
English - Español
KAISER MEMBER SERVICES
1-800-813-2000
Want to Learn More?
Talk to a Kaiser Permanente enrollment specialist about specialty care, extra features and more.
Call 1-800-514-0985 Monday through Friday, 7am to 6pm.
Kaiser New Member Welcome Desk 1-888-491-1124
Kaiser New Member Pharmacy Services 1-888-572-7231
KAISER ADULT VOLUNTARY DENTAL PLAN
PLAN BEGINS 12/1/2025
(Dental Enrollment Does Not Need to Match Medical)
Kaiser Adult Voluntary Dental Benefit Summary
Find Kaiser Dental Providers
KAISER DENTAL
MEMBER SERVICES
800-813-2000
WILLAMETTE DENTAL GROUP VOLUNTARY DENTAL PLAN
PLAN ENDS 11/30/2025
Willamette Dental Benefit Summary
Benefit Booklet
WILLAMETTE DENTAL
MEMBER SERVICES
1-855-433-6825
ADMINISTRATION LINKS:
KAISER
Group Number: 04085
Base Plan ($3,000 Ded): Sub-Group 201
Buy-Up Plan ($1,500 Ded): Sub-Group 202
Voluntary Dental Plan: Sub-Group TBD
Kaiser Member Cancellation
Kaiser Administrative Guide
Kaiser - Employer Sign-In
Kaiser State Continuation Notice Template
Kaiser Continuation of Coverage Brochure
Kaiser State Continuation Election Form
WILLAMETTE DENTAL
Plan Ends 11/30/2025
Group Number: WA525
Section 125/Wrap - HRService
ELIGIBILITY:
Employees Working 30+ Hours per Week
WAITING PERIOD:
Medical and Dental: Per Employer Guidelines, Not to Exceed 90 Days
MEDICAL EMPLOYER CONTRIBUTION:
Base Plan
100% Employee Premium
Employees Pay For Dependents
Buy-Up Plan
Employees Pay the Difference
Between Base Plan and Buy-Up Plan
Employees Pay For Dependents
DENTAL EMPLOYER CONTRIBUTION:
None. This is a Voluntary Plan.
Employees Pay 100% of the Premium.
NOTE:
- Although your group contract renews November 1st each year, your personal deductible and out-of-pocket maximum accumulate on a calendar year basis.
- Deductible and out-of-pocket maximum accumulations from January 1st through October 31st will be credited to your plan through the end of December.
- Your deductible and out-of-pocket maximum reset each January 1st.
Please protect your confidential data
by SECURELY UPLOADING DOCUMENTS HERE
when sending documents with personal information.
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Please let us know!
Send us a Note!
Your Agent:
Donna Quintana
The Quintana Group
503-699-7770
donna@thequintanagroup.com