Can someone please help me understand my Medical Benefits?

Can someone please help me understand my Medical Benefits?Ok guys and gals. I need some help understanding my medical benefits.

I am looking to get Rotator Cuff Surgery but need to understand how much I am looking to pay.

If it helps anyone I have the Kaiser "KP Classic" Plan.

Here are the details of my plan:
Type of Service Copay or Coinsurance
Professional Services (Plan Provider Office Visits)
Primary/Specialty Care $ 15.00 copay
No Payment
Provider Group Visit $ 7.00 copay
No Payment
Routine Physical $ 15.00 copay
No Payment
Well Baby/Child (0-23 Months) $ 5.00 copay
No Payment
Eye (Refraction) Exam $ 15.00 copay
No Payment
Hearing Exam/Test $ 15.00 copay
No Payment
Family Planning Counseling $ 15.00 copay
No Payment
Scheduled Prenatal Care Visits $ 5.00 copay
No Payment
First Postpartum Visit $ 5.00 copay
No Payment
Physical, Occupational, and Speech Therapy Visit $ 15.00 copay
No Payment
Dialysis Related Office Visit No Payment
Care Management Visit No Payment
Case Management Visit No Payment
Outpatient Services
Allergy Injections $ 3.00 copay
No Payment
Allergy Testing $ 15.00 copay
No Payment
Chemotherapy No Payment
Day Surgery Transgender Not Covered
Dialysis Care $ 15.00 copay
No Payment
Imaging (X-rays) No Payment
Immunizations No Payment
Infusion Therapy Services No Payment
Laboratory Services for Preventative Care No Payment
Laboratory Tests No Payment
MRI, PET, CT Scan No Payment
Outpatient Surgery (including Conscious Sedation) $ 15.00 copay
No Payment
Radiation Therapy Pre 2008 No Payment
Special Procedures No Payment
Tuberculosis Testing (PPD) No Payment
Ultraviolet Light Treatment No Payment
Preventative Services
Routine Physical $ 15.00 copay
No Payment
Well Baby/Child (0-23 Months) $ 5.00 copay
No Payment
Audiology and Vision Screening No Payment
Eye (Refraction) Exam $ 15.00 copay
No Payment
Family Planning Counseling $ 15.00 copay
No Payment
Hearing Exam/Test $ 15.00 copay
No Payment
Immunizations No Payment
Laboratory Services for Preventative Care No Payment
Office Dispensed Contraceptive No Payment
Preventative Services Imaging (includes Preventative Mammograms) No Payment
Scheduled Prenatal Care Visits $ 5.00 copay
No Payment
Sigmoidoscopy Screening $ 15.00 copay
No Payment
Tuberculosis Testing (PPD) No Payment
Imaging and Laboratory
Imaging (X-rays) No Payment
Preventative Services Imaging (includes Preventative Mammograms) No Payment
MRI, PET, CT Scan No Payment
Laboratory Services for Preventative Care No Payment
Laboratory Tests No Payment
Therapy/Rehab
Multidisciplinary Rehabilitation - Inpatient No Payment
Multidisciplinary Rehabilitation - Outpatient $ 15.00 copay
No Payment
Musculoskeletal Therapy Not Covered
Physical, Occupational, and Speech Therapy Visit $ 15.00 copay
No Payment
Respiratory Therapy $ 15.00 copay
No Payment
Vision Service
Eye (Refraction) Exam $ 15.00 copay
No Payment
Primary/Specialty Care $ 15.00 copay
No Payment
Lenses for Aniridia No Payment
Lens Fitting for Aniridia No Payment
Lenses for Aphakia (0-9 yrs) No Payment
Lens Fitting for Aphakia No Payment
Women's Health Services
Primary/Specialty Care $ 15.00 copay
No Payment
Office Dispensed Contraceptive No Payment
Scheduled Prenatal Care Visits $ 5.00 copay
No Payment
Fetal Non Stress Test No Payment
First Postpartum Visit $ 5.00 copay
No Payment
Elective Termination of Pregnancy $ 15.00 copay
No Payment
Therapeutic Abortion $ 15.00 copay
No Payment
Inpatient Obstetrical Care and Delivery No Payment
Family Planning Services
Family Planning Counseling $ 15.00 copay
No Payment
Office Dispensed Contraceptive No Payment
Sterilization (Outpatient Hospital Setting) $ 15.00 copay
No Payment
Elective Termination of Pregnancy $ 15.00 copay
No Payment
Infertility Treatment
Infertility Office Visits 50.00% coins
Infertility Imaging (X-rays) 50.00% coins
Infertility Laboratory Tests 50.00% coins
Infertility Special Procedures 50.00% coins
Infertility Outpatient Surgery 50.00% coins
Infertility Hospital Inpatient Care 50.00% coins
Health Education
Health Education Group Visit No Payment
Health Education Individual Visit $ 15.00 copay
No Payment
Smoking Cessation No Payment
Hospitalization Services
Hospital Inpatient Care No Payment
Inpatient Obstetrical Care and Delivery No Payment
Multidisciplinary Rehabilitation - Inpatient No Payment
Hospital Inpatient Care Transgender Not Covered
Inpatient Detoxification No Payment
Inpatient Psychiatric Care (Parity) No Payment
Inpatient Psychiatric Care (Non-Parity) No Payment
Emergency Health Coverage
Emergency Care (waived if admitted) $ 50.00 copay
No Payment
Emergency Department Observation Only $ 50.00 copay
No Payment
Urgent Care $ 15.00 copay
No Payment
Mental Health Service
Medication Management $ 15.00 copay

Posted by daochild
About $ 15,000

Enjoy.

Posted by robert y
Here's a neat suggestion! Pick up your telephone & dial the toll free number for Kaiser Insurance Company. Listen to all the information to decide which number to push for the information you need. That's what high premium costs for health insurance are for - to pay people to give out that information to it's policy holders!

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