PEBB Continuation Coverage premiums (non-Medicare)

Find out the monthly cost of your non-Medicare continuation coverage insurance plans.

Medical plan premiums

2019

Members not eligible for Medicare (or enrolled in Part A only)

Subscriber only

Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse1, and child(ren)

Kaiser Permanente NW Classic2

$710.65

$1,415.33 $1,239.16 $1,943.84

Kaiser Permanente NW CDHP2

$604.16

$1,196.38 $1,062.91 $1,596.81

Kaiser Permanente WA Classic

$733.39

$1,460.80 $1,278.95 $2,006.37

Kaiser Permanente WA CDHP

$600.44

$1,189.46 $1,056.79 $1,587.47

Kaiser Permanente WA SoundChoice

$603.21 $1,200.44 $1,051.13 $1,648.37

Kaiser Permanente WA Value

$656.25

$1,306.54 $1,143.96 $1,794.25

UMP Classic

$674.85

$1,343.72 $1,176.50

$1,845.38

UMP CDHP

$600.54

$1,189.65 $1,056.96 $1,587.74

UMP Plus-Puget Sound High Value Network

$618.07

$1,230.18 $1,077.15 $1,689.25
UMP Plus-UW Medicine ACN $618.07 $1,230.18 $1,077.15 $1,689.25

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington, and select counties in Oregon. 

2018

Members not eligible for Medicare (or enrolled in Part A only) Subscriber only Subscriber and spouse1 Subscriber and child(ren) Full family
Kaiser Permanente NW Classic2 $692.66 $1,380.30 $1,208.39 $1,896.03
Kaiser Permanente NW CDHP2 $590.87 $1,170.25 $1,039.99 $1,561.04
Kaiser Permanente WA Classic $718.39 $1,431.76 $1,253.42 $1,966.79
Kaiser Permanente WA CDHP $589.18 $1,167.37 $1,037.41 $1,557.27
Kaiser Permanente WA SoundChoice $607.11 $1,209.20 $1,058.68 $1,660.77
Kaiser Permanente WA Value $633.52 $1,262.02 $1,104.90 $1,733.40
UMP Classic $657.86 $1,310.70 $1,147.49 $1,800.33
UMP CDHP $588.91 $1,166.83 $1,036.93 $1,556.52
UMP Plus-Puget Sound High Value Network $600.56 $1,196.10 $1,047.22 $1,642.76
UMP Plus-UW Medicine ACN $600.56 $1,196.10 $1,047.22 $1,642.76

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington, and select counties in Oregon.

Dental plan premiums (with medical plan)

2019

 

DeltaCare

Uniform Dental Plan Willamette Dental Group

Subscriber only

$39.53

$45.87 $44.45

Subscriber and spouse1

$79.06

$91.74 $88.90

Subscriber and child(ren)

$79.06

$91.74 $88.90

Subscriber, spouse1, and child(ren)

$118.59

$137.61 $133.35

2018

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber only $39.53 $45.82 $42.37
Subscriber and spouse1 $79.06 $91.64 $84.74
Subscriber and child(ren) $79.06 $91.64 $84.74
Full family $118.59 $137.46 $127.11

1or state-registered domestic partner

Dental plan premiums (dental only)

2019

 

DeltaCare

Uniform Dental Plan Willamette Dental Group

Subscriber only

$45.50

$51.84 $50.42

Subscriber and spouse1

$85.03

$97.71 $94.87

Subscriber and child(ren)

$85.03 $97.71 $94.87

Subscriber, spouse1, and child(ren)

$124.56

$143.58 $139.32

 1or state-registered domestic partner

2018

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber only $44.55 $50.84 $47.39
Subscriber and spouse1 $84.08 $96.66 $89.76
Subscriber and child(ren) $84.08 $96.66 $89.76
Full family $123.61 $142.48 $132.13

1or state-registered domestic partner

Before you enroll

  1. Make sure you live in the plan's service area.
  2. Contact the plan or check the plan's provider directory to make sure your providers are in the plan's network.

Surcharges in addition to medical plan premiums

You will pay the following surcharges in addition to your medical plan premium if they apply to you.

  • A monthly $25-per-account premium surcharge will apply if you or any dependent (age 13 and older) enrolled in PEBB medical uses tobacco products.
  • A monthly $50 premium surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical and your spouse or state-registered domestic partner has chosen not to enroll in other employer-based group medical that is comparable to Uniform Medical Plan (UMP) Classic.

For more details, visit Surcharges.