Kaiser Permanente NW plans

Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.

Please note—this webpage uses tables: To see all columns in a table, especially on mobile, you may need to scroll or swipe left and right.

What are my plan options?

In general, PEBB Continuation Coverage subscribers, you may choose from the plans listed below. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B).

Non-Medicare

  • Kaiser Permanente NW Classic
  • Kaiser Permanente NW Consumer-Directed Health Plan (CDHP)

Medicare (COBRA only)

  • Kaiser Permanente NW Senior Advantage

Learn more about the plans.

How do I find a provider?

Visit one of Kaiser Permanente NW's online provider directories.

What are the full benefits of each plan?

The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. For a summary of benefits and costs, see Is there a quick way to see benefits and costs?

Certificates of Coverage: non-Medicare

2020

2019

Certificates of Coverage: Medicare (COBRA only)

2020

2019

Is there a quick way to see benefits and costs?

The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan?

Summaries of Benefits and Coverage: non-Medicare

2020

2019

What are the monthly plan costs?

Medicare (COBRA only)

Members enrolled in Medicare Part A and Part B:

Kaiser Permanente NW Senior Advantage

Subscriber only

$342.75

Subscriber and spouse1
(1 Medicare eligible)

$1,053.352

Subscriber and spouse1
(2 Medicare eligible)

$680.44

Subscriber and child(ren)
(1 Medicare eligible)

$875.702

Subscriber and child(ren)
(2 Medicare eligible)

$680.44

Subscriber, spouse1, and child(ren)
(1 Medicare eligible)

$1,586.292

Subscriber, spouse1, and child(ren)
(2 Medicare eligible)

$1,213.392

Subscriber, spouse1, and child(ren)
(3 Medicare eligible)

$1,018.13

Members enrolled in Medicare Part A and Part B

Kaiser Permanente NW Senior Advantage

Subscriber only

$333.64

Subscriber and spouse1
(1 Medicare eligible)

$1,038.322

Subscriber and spouse1
(2 Medicare eligible)
$661.31
Subscriber and child(ren)
(1 Medicare eligible)
$862.152
Subscriber and child(ren)
(2 Medicare eligible)
$661.31
Subscriber, spouse,1 and child(ren)
(1 Medicare eligible)
$1,566.832
Subscriber, spouse,1 and child(ren)
(2 Medicare eligible)
$1,189.822
Subscriber, spouse,1 and child(ren)
(3 Medicare eligible)
$988.98

1or state-registered domestic partner

2If a Kaiser Permanente NW subscriber is enrolled in Medicare Part A and Part B and covers a dependent not eligible for Medicare, the family member will be enrolled in Kaiser Permanente NW Classic. The subscriber will pay the combined Medicare and non-Medicare rate shown for Kaiser Permanente NW Senior Advantage. 

Non-Medicare

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

Subscriber

Subscriber and spouse1 Subscriber and child(ren) Subscriber, spouse1, and child(ren)

Kaiser Permanente NW Classic

$715.66

$1,426.25 $1,248.60 $1,959.20

Kaiser Permanente NW CDHP

$608.85

$1,206.99 $1,072.04 $1,611.85

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

Subscriber only

Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse,1 and child(ren)

Kaiser Permanente NW Classic

$710.65

$1,415.33

$1,239.16

$1,943.84

Kaiser Permanente NW CDHP

$604.16

$1,196.38

$1,062.91

$1,596.81

1or state-registered domestic partner

Do I live in the medical plan's service area?

In most cases, you must live in a medical plan’s service area to join the plan. Use the tables below to make sure you live in the plan's service area. If you move out of your plan's service area, you may need to change plans. You must report your new address to the PEBB Program no later than 60 days after your move.

Washington

Plan County A-K County L-S County T-Z

Kaiser Permanente NW Classic

Kaiser Permanente NW CDHP

These plans not available to
Medicare members.

Clark

Cowlitz

None. None.

Kaiser Permanente NW
Senior Advantage

Clark

Cowlitz

Skamania

Wahkiakum (ZIP Codes: 98612 and 98647)

Oregon

Plan County A-K County L-S County T-Z

Kaiser Permanente  NW Classic
Kaiser Permanente NW CDHP

These plans not available to Medicare members.

 

Benton (ZIP Codes: 97330, 97331, 97333, 97339, 97370 and 97456)

Clackamas 

  • 2019 ZIP Codes: 97004, 97009, 97011, 97013, 97015, 97017, 97022, 97023,97027, 97034, 97035, 97036, 97038,
    97042, 97045, 97049, 97055, 97067, 97068, 97070, 97086, 97089, 97222, 97267, 97268, and 97269 (97028 not covered)
  • 2020 all ZIP Codes

Columbia

Hood River (ZIP Code: 97014)

Lane (ZIP Codes: 97401, 97402, 97403, 97404, 97405, 97408, 97409, 97419, 97424, 97426, 97431, 97437, 97438, 97440, 97448, 97451, 97452, 97454, 97455, 97461, 97475, 97477, 97478, 97487, and 97489)

Linn

  • 2019 all ZIP Codes
  • 2020 ZIP Codes: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, 97389, and 97446)

Marion

  • 2019 ZIP Code: 97002, 97020, 97026, 97032, 97071, 97137, 97301, 97302, 97303,  97305, 97306, 97307,  97308, 97309,
    97310, 97311, 97312, 97313, 97314, 97317, 97325, 97342, 97346, 97352, 97362, 97373, 97375, 97381, 97383, 97384, 97385, and 97392 (97350 not covered)
  • 2020 all ZIP Codes

Multnomah

Polk

Washington

Yamhill

Kaiser Permanente NW
Senior Advantage

Benton (ZIP Codes: 97330, 97331, 97333, 97339, and 97370)

Clackamas

Columbia

Hood River

Linn (ZIP Codes: 97321, 97322, 97335, 97355, 97358, 97360, 97374, and 97389)

Marion

Multnomah

Polk

Washington

Yamhill

Contact

Kaiser Foundation Health Plan of the Northwest
Online: Kaiser Permanente NW for PEBB
Phone: 503-813-2000 or 1-800-813-2000
TTY: 711