KP OR Gold 0
Starting at
$604
/month before subsidy
KP OR Gold 0 is a 2026 Gold EPO health insurance plan from Kaiser Permanente, sold on the ACA Marketplace in Oregon under plan ID 71287OR0420001. The monthly premium starts at $604 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $8,200 ($16,400 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 71287OR0420001
- Plan year
- 2026
- State
- Oregon
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$0
Family: $0
Out-of-Pocket Max
$8,200
Family: $16,400
Coinsurance
30%
You pay after deductible
Network Type
EPO
ORN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$2,860
your estimated cost
- Deductible
- $0
- Copays
- $300
- Coinsurance
- $2,500
Managing type 2 diabetes
A year of routine care
$1,020
your estimated cost
- Deductible
- $0
- Copays
- $1,000
- Coinsurance
- $20
A simple fracture
ER visit + follow-up
$1,200
your estimated cost
- Deductible
- $0
- Copays
- $800
- Coinsurance
- $400
Enter your ZIP code first to search nearby doctors.
This Gold EPO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,287/month
Annual Premium
$7,248
OOP Maximum
$8,200
💡 What this means:
With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $8,200 total. Then insurance covers everything else for the year.
More plans from Kaiser Permanente in Oregon
Frequently asked questions about KP OR Gold 0
How much does KP OR Gold 0 cost per month?
KP OR Gold 0 from Kaiser Permanente starts at $604 per month before any subsidy in Oregon. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for KP OR Gold 0?
The individual medical deductible is $0. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for KP OR Gold 0?
The most you would pay in a year for covered in-network care is $8,200 for an individual and $16,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is KP OR Gold 0 HSA-eligible?
No. KP OR Gold 0 is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does KP OR Gold 0 use?
KP OR Gold 0 is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.