Hawaii Team Members

If you are a newly hired full-time team member in Hawaii you are eligible for and automatically enrolled in the Kaiser Hawaii High Option after 30 days of employment.  If you are a part-time hourly team member in Hawaii consistently working more than 20 hours per week for 4 consecutive weeks you are eligible for and automatically enrolled in the Kaiser Hawaii Standard Option. Review the eligibility and plan details for the Standard Option.

High Option

High Option Overview
High Option Plan Details

An Overview

  • The Kaiser Permanente High Option is available in Hawaii.
  • You must use in-network providers to receive benefits.
  • There is no deductible.
  • Preventive care is covered 100%.
  • Full-time team members in Hawaii have the same Aetna dental plan choices as the rest of the Company. If you want dental coverage, you will need to make an election during Annual Enrollment or when you first enroll.
  • You pay a copay for office visits and a percentage of the expenses for other covered services—up to the out-of-pocket maximum.
  • You are covered in an emergency anywhere in the world.  However, except in an emergency, if you use providers outside the network, you will be responsible for the full cost of your care.
  • You may learn more about Kaiser Permanente plans for "R" Us team members at http://my.kp.org/toysrus or you may log on directly to kp.org for general information about Kaiser Permanente.
  • Feel free to take Virtual Tours of Kaiser Permanente: "Experience My Health Manager" and "How KP Is Different".  
  • You can participate in the Limited-Purpose Health Care Flexible Spending Account to save money on eligible expenses.

Plan Details

   FeatureWhat You Pay with the Kaiser Permanente High Option (Hawaii)
Premium                                 Contact the "R"Benefits Service Center for details (844-TRU-BENS)                              
Network                                 In-network doctors, hospitals and pharmacies                                
Annual medical deductible                                 None                                
Compatible with HSA or Limited-Purpose Health Care Flexible Spending Account?                                 Limited-Purpose Health Care Flexible Spending Account                                
Company contribution to Health Savings Account (HSA)                                 None                                
Wellness Rebate                                 N/A                                
Preventive care                              No cost; 100% covered                                
Office visit                                 $20 copay                                
Inpatient hospital                                 10% coinsurance                                
Annual out-of-pocket maximum
(per person/maximum per family)                                
$2,500 per member/$7,500 per family unit (3 or more members)                                
Retail Pharmacy (up to a 30-day supply)                                
Generic drug                                 $10 copay                                
Formulary brand name drug                                 $20 copay                                
Nonformulary brand name drug                                 Not covered                                
Mail Service (up to a 90-day supply)                                
Generic drug                                 $20 copay                                
Formulary brand name drug                                 $40 copay                                
Nonformulary brand name drug                                 Not covered                                
Annual prescription drug maximum benefit                                 N/A                                
Lifetime maximum benefit                                 N/A                                

 For annual amounts, the plan considers expenses dated from January 1 to December 31.

 See more details on the High Option .

Standard Option

Standard Option Overview
Standard Option Plan Details

If you do not meet the eligibility requirements for the High Option, you may be eligible for the Standard Option according to Hawaii state eligibility requirements.

The Prepaid Health Care Act requires Hawaii employers to provide health care coverage for all eligible employees. You become eligible if you work 20 hours or more per week for 4 consecutive weeks. The level of coverage you are eligible for depends on your work status.

Click here for more information on the Hawaii Prepaid Health Care Act.

Part time work status: When eligible, you automatically will be enrolled in the Kaiser Hawaii Standard Option Medical Plan. Coverage will be effective the beginning of the month following your date of eligibility. If you fall below the required hours during any week you will lose eligibility and coverage will be dropped.

  • If you have eligible dependents you want to cover you must call the “R"Benefits Service Center within 30 days of the effective date of coverage to enroll.
  • If you choose to decline coverage, you must complete a Hawaii HC-5 Waiver Form. To access, click here.

Full time work status or salaried team members: You are eligible for the Kaiser Hawaii High Option Medical Plan after 30 days of full-time employment. 

  • You may enroll in all benefits as a New Hire and add eligible dependents. Your Medical Coverage will be effective following 30 days of employment. 
  • If you take no action within 30 days, you will default into the Kaiser Hawaii High Option Medical Plan with Team Member Only coverage effective the following 30 days of employment.
  • If you are defaulted into medical coverage and want to add dependents or need to make any changes you must call the “R"Benefits Service Center within 30 days of the effective date of coverage.
  • If you choose to decline coverage, you must complete a Hawaii HC-5 Waiver Form. To access, click here.

An Overview

  • The Kaiser Permanente—Standard Option is available in Hawaii.
  • You must use in-network providers to receive benefits.
  • There is no deductible.
  • Preventive care is covered 100%.
  • Prescription drugs are not covered.
  • You pay a copay for office visits and a percentage of the expenses for other covered services—up to the out-of-pocket maximum.
  • You are covered in an emergency anywhere in the world.  However, except in an emergency, if you use providers outside the network, you will be responsible for the full cost of your care.
  • You may learn more about Kaiser Permanente plans for "R" Us team members at http://my.kp.org/toysrus or you may log on directly to kp.org for general information about Kaiser Permanente.
  • Feel free to take Virtual Tours of Kaiser Permanente: "Experience My Health Manager" and "How KP Is Different".  

Plan Details

  FeatureWhat You Pay with the Kaiser Permanente Standard Option (Hawaii)
Premium                                 Contact the "R"Benefits Service Center for details (844-TRU-BENS)                                
Network                                 In-network doctors and hospitals                                  
Annual medical deductible                               None                                
Preventive care                          No cost; 100% covered                                
Office visit                                 $15 copay                                
Inpatient hospital                                 No charge                               
Annual out-of-pocket maximum
(per person/maximum per family)                                
$2,000 per member/$6000 per family unit (3 or more members)                                
Prescription drugs                               Not covered                              

For annual amounts, the plan considers expenses dated from January 1 to December 31.

See more details on the Standard Option .

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