Medical – California

California team members only.

Pella offers various medical plans in California, including an HMO medical plan administered by Kaiser Permanente. Anthem plans provide medical coverage through the BlueCard PPO network, and Quantum Health is available for help with benefits, claims and healthcare support.

Kaiser Permanente Medical Plan

Pella team members based in California have the option to enroll in an HMO medical plan administered by Kaiser Permanente. Kaiser Permanente offers various health and wellness resources on their portal at kp.org.

Kaiser

kp.org
Kaiser CA: 800-464-4000

Anthem and Quantum Health

Healthcare can be confusing, but you don't have to navigate it alone. Quantum Health is your first point of contact for help choosing a provider, understanding your benefits, reviewing a bill or claim, planning treatment and resolving issues. Their Care Coordinators understand Pella's medical plans and will guide you through next steps.

Anthem administers your medical plan, including the provider network and claims processing. Instead of contacting Anthem directly, start with Quantum Health for questions or support.

Contact Quantum Health whenever you need:

Help finding in-network providers
Answers about claims or medical bills
Cost estimates before receiving care
Help understanding coverage
Support for ongoing or complex health conditions
Assistance with prior authorizations
Replacement ID cards
Guidance on treatment options

Less time on healthcare. More time on life.

Quantum Health/Anthem

pella.quantum-health.com
866-678-3330
8:30 a.m. - 10 p.m. ET, Monday - Friday

Register Your Quantum Health Account

Create your account to access benefits information, send secure messages and manage your healthcare.

Get started by:

Downloading the Quantum Health app or visiting the Quantum Health website.
Selecting Register.
Completing the requested information.
Setting up two-factor authentication.

Visit Quantum

Medical Plans Overview - California

The summary below assumes in-network benefits only and does not contain all of the provisions or limitations which apply to your Medical and Prescription Drug coverage. For out of-network and additional coverage details, please refer to your summary plan description (SPD) booklet.

	Kaiser Permanente CA HMO
Calendar Year Deductible
Individual	None
Family	None
Calendar Year Out-of-Pocket Maximum (includes deductible)
Individual	$1,500
Family	$3,000
Coinsurance / Copays	You Pay
Professional Services	In-Network
Preventive Care Exams	Covered at 100%
Office Visit (Prim. / Spec.)	$15 copay
Diagnostic Test / Lab	No charge
Diagnostic X-Ray	No charge
Advanced Imaging - Inpatient	No charge
Advanced Imaging - Outpatient	No charge
Telemedicine	No charge
Inpatient	No charge
Outpatient Surgery	$15 copay
Urgent Care	$15 copay
Emergency Room	$50 copay
Prescription Drugs
Deductible	N/A
Retail (30-day supply)
Generic	$10 copay
Preferred Brand	$25 copay
Non-Preferred Brand	$25 copay
Mail Order (100-day supply)
Generic	$20 copay
Preferred Brand	$50 copay
Non-Preferred Brand	$50 copay
Specialty Prescriptions
Specialty (30-day supply only)	20% up to $150 copay

Anthem Medical Plans	Anthem PPO Plus**	Anthem HDHP	Anthem PPO
Calendar Year Deductible (In/Out-of-Network)
	(In/Out-of-Network)	(In/Out-of-Network)	(In/Out-of-Network)
Individual	$1,000/$2,000	$2,500/$5,000	$3,500/$7,000
Family	$2,500/$5,000	$5,000/$10,000	$7,000/$14,000
Calendar Year Out-of-Pocket Maximum (includes deductible)
	(In/Out-of-Network)	(In/Out-of-Network)	(In/Out-of-Network)
Individual	$4,000/$8,000	$4,500/$9,000	$6,000/$12,000
Family	$8,000/$16,000	$9,000/$18,000	$12,000/$24,000
Coinsurance / Copays	You Pay	You Pay	You Pay
Professional Services	In-Network	In-Network	In-Network
Preventive Care	Covered at 100%	Covered at 100%	Covered at 100%
Office Visit (Prim. / Spec.)	$25 / $50 copay	20%*	$40 / $60 copay
Diagnostic Test / Lab	Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%*	20%*	20%*
Diagnostic X-Ray	Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%*	20%*	20%*
Advanced Imaging - Inpatient	Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived)	20%*	20%*
Advanced Imaging - Outpatient	Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived)	20%*	20%*
Virtual Primary Care (VPC)	$15 copay	$15 copay	$15 copay
Inpatient	30%*	20%*	20%*
Outpatient Surgery	30%*	20%*	20%*
Urgent Care	$50 copay	20%*	$50 copay
Emergency Room	$250 copay then 30%	20%*	$250 copay then 20%
Prescription Drugs
Deductible	N/A	Combined w/ medical	N/A
Retail (31-day supply)
Generic	$15 copay	20%*	$15 copay
Brand (Preferred/Non-Preferred)	$35 copay/$80 copay	20%*	$35 copay/$80 copay
Retail-90/Mail Order (90-day supply)
Generic	$45 copay	20%*	$45 copay
Brand (Preferred/Non-Preferred)	$105 copay/$240 copay	20%*	$105 copay/$240 copay
Specialty Prescriptions
Specialty (30-day supply only)	Preferred: $250 Non-Preferred: 50%*	20%*	Preferred: $250 Non-Preferred: 50%*
* After deductible ** Anthem PPO Plus plan is also available to team members who reside in the Des Moines/Pella, Iowa area.

Anthem Medical Plans	Anthem PPO Plus**	Anthem HDHP	Anthem PPO
Calendar Year Deductible (In/Out-of-Network)
	(In/Out-of-Network)	(In/Out-of-Network)	(In/Out-of-Network)
Individual	$1,000/$2,000	$2,500/$5,000	$3,500/$7,000
Family	$2,500/$5,000	$5,000/$10,000	$7,000/$14,000
Calendar Year Out-of-Pocket Maximum (includes deductible)
	(In/Out-of-Network)	(In/Out-of-Network)	(In/Out-of-Network)
Individual	$4,000/$8,000	$4,500/$9,000	$6,000/$12,000
Family	$8,000/$16,000	$9,000/$18,000	$12,000/$24,000
Coinsurance / Copays	You Pay	You Pay	You Pay
Professional Services	In-Network	In-Network	In-Network
Preventive Care	Covered at 100%	Covered at 100%	Covered at 100%
Office Visit (Prim. / Spec.)	$25 / $50 copay	20%*	$40 / $60 copay
Diagnostic Test / Lab	Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%*	20%*	20%*
Diagnostic X-Ray	Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%*	20%*	20%*
Advanced Imaging - Inpatient	Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived)	20%*	20%*
Advanced Imaging - Outpatient	Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived)	20%*	20%*
Virtual Primary Care (VPC)	$15 copay	$15 copay	$15 copay
Inpatient	30%*	20%*	20%*
Outpatient Surgery	30%*	20%*	20%*
Urgent Care	$50 copay	20%*	$50 copay
Emergency Room	$250 copay then 30%	20%*	$250 copay then 20%
Prescription Drugs
Deductible	N/A	Combined w/ medical	N/A
Retail (31-day supply)
Generic	$15 copay	20%*	$15 copay
Brand (Preferred/Non-Preferred)	$35 copay/$80 copay	20%*	$35 copay/$80 copay
Retail-90/Mail Order (90-day supply)
Generic	$45 copay	20%*	$45 copay
Brand (Preferred/Non-Preferred)	$105 copay/$240 copay	20%*	$105 copay/$240 copay
Specialty Prescriptions
Specialty (30-day supply only)	Preferred: $250 Non-Preferred: 50%*	20%*	Preferred: $250 Non-Preferred: 50%*
* After deductible ** Anthem PPO Plus plan is also available to team members who reside in the Des Moines/Pella, Iowa area.

Anthem Medical Plans	Anthem PPO Plus**	Anthem HDHP	Anthem PPO
Calendar Year Deductible (In/Out-of-Network)
	(In/Out-of-Network)	(In/Out-of-Network)	(In/Out-of-Network)
Individual	$1,000/$2,000	$2,500/$5,000	$3,500/$7,000
Family	$2,500/$5,000	$5,000/$10,000	$7,000/$14,000
Calendar Year Out-of-Pocket Maximum (includes deductible)
	(In/Out-of-Network)	(In/Out-of-Network)	(In/Out-of-Network)
Individual	$4,000/$8,000	$4,500/$9,000	$6,000/$12,000
Family	$8,000/$16,000	$9,000/$18,000	$12,000/$24,000
Coinsurance / Copays	You Pay	You Pay	You Pay
Professional Services	In-Network	In-Network	In-Network
Preventive Care	Covered at 100%	Covered at 100%	Covered at 100%
Office Visit (Prim. / Spec.)	$25 / $50 copay	20%*	$40 / $60 copay
Diagnostic Test / Lab	Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%*	20%*	20%*
Diagnostic X-Ray	Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%*	20%*	20%*
Advanced Imaging - Inpatient	Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived)	20%*	20%*
Advanced Imaging - Outpatient	Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived)	20%*	20%*
Virtual Primary Care (VPC)	$15 copay	$15 copay	$15 copay
Inpatient	30%*	20%*	20%*
Outpatient Surgery	30%*	20%*	20%*
Urgent Care	$50 copay	20%*	$50 copay
Emergency Room	$250 copay then 30%	20%*	$250 copay then 20%
Prescription Drugs
Deductible	N/A	Combined w/ medical	N/A
Retail (31-day supply)
Generic	$15 copay	20%*	$15 copay
Brand (Preferred/Non-Preferred)	$35 copay/$80 copay	20%*	$35 copay/$80 copay
Retail-90/Mail Order (90-day supply)
Generic	$45 copay	20%*	$45 copay
Brand (Preferred/Non-Preferred)	$105 copay/$240 copay	20%*	$105 copay/$240 copay
Specialty Prescriptions
Specialty (30-day supply only)	Preferred: $250 Non-Preferred: 50%*	20%*	Preferred: $250 Non-Preferred: 50%*
* After deductible ** Anthem PPO Plus plan is also available to team members who reside in the Des Moines/Pella, Iowa area.

HDHP and HSA

The HDHP Plan is paired with a Health Savings Account (HSA). See the Health Savings Account page for HDHP-linked HSA details.