Kaiser Permanente preventive care

What Kaiser actually covers at $0.

Kaiser Permanente is an integrated delivery system — your insurance, your doctors, and your hospitals are all part of one organisation. Most appointments are at Kaiser facilities or with Permanente Medical Group physicians.

Under the Affordable Care Act, every Kaiser plan covers dozens of preventive services at no cost when you use an in-network provider. Most members claim less than half of what they're entitled to — leaving roughly $600–$1500+ on the table every year.

Plan types

Which Kaiser plan are you on?

Kaiser is HMO-only. You pick a Kaiser primary care physician and almost all care happens in-network with Kaiser providers. Preventive services follow ACA rules at $0; out-of-network is generally not covered except in emergencies.

$0 services

Free preventive services on your Kaiser plan

These services are mandated by the ACA and covered in-network at $0 — no copay, no deductible — on every Kaiser Permanenteplan we've seen. Approximate retail values shown so you can see what you're paying for through your premiums.

Annual wellness visit

~$200

Schedule via kp.org or the Kaiser app — same-week availability is common.

Mental health visits

~$200

Initial mental health screening covered as preventive. Follow-up therapy may have copay depending on plan.

Cancer screenings

~$200–500

Mammogram, colonoscopy, cervical, skin — booked through your KP PCP.

Vaccinations

~$40–250

All ACIP-recommended vaccines available at Kaiser pharmacies or clinics.

Pregnancy / lactation support

~$300

Prenatal visits, breastfeeding support, breast pumps covered.

Tobacco cessation

~$100

Free cessation classes and FDA-approved drugs.

💡

Want the personalised list? Scan your Kaiser card in benefit and we'll tailor the recommendations to your age, gender, plan type, and life stage — and surface anything that's typical for your specific Kaiser plan but missing from a generic list.

FAQ

Kaiser preventive care, answered

Do I need a referral to see a Kaiser specialist for preventive screening?

Within Kaiser, most specialists work as one team with your PCP — many screenings (e.g. dermatology spot checks) are accessible without a formal referral. Speciality screenings like colonoscopies are typically scheduled through your Kaiser PCP.

Can I see a non-Kaiser doctor for preventive care?

Generally no — Kaiser is HMO-only and out-of-network preventive care isn't covered except in emergency or specific approved circumstances. Use kp.org to find Kaiser providers.

How does Kaiser handle e-visits for preventive care?

Kaiser is one of the strongest insurers for telehealth and e-visits. Many preventive consultations (mental health screening, contraception consult, lifestyle counselling) can be done via video at $0. Schedule through the Kaiser app.

Built for Kaiser Permanentemembers who deserve to know what they're paying for

Your next Kaiser visit
could cost you nothing.

Scan your Kaisercard in benefit and we'll tell you exactly which services you can get for free — right now, this year, with your current plan.

Start for free — takes 5 minutes

No credit card required · Your data stays private

Kaiser by city

See Kaiser coverage in your metro

Localised guides for major US metros where Kaiseroperates — what's covered, in-network density, and how to book a preventive visit in your city.

Other insurers