Kaiser Permanente NW plans

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

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

2018

2019

Certificates of Coverage: Medicare (COBRA only)

2018

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

2018

2019

What are the monthly plan costs?

Medicare (COBRA only)

2019

Members enrolled in Medicare Part A and Part B

Kaiser Permanente NW Senior Advantage

Subscriber only

$333.64

Subscriber and spouse1
(1 Medicare eligible)

$1,038.32

Subscriber and spouse1
(2 Medicare eligible)
$661.31
Subscriber and child(ren)
(1 Medicare eligible)
$661.31
Subscriber and child(ren)
(2 Medicare eligible)
$862.15
Subscriber, spouse,1 and child(ren)
(1 Medicare eligible)
$1,566.83
Subscriber, spouse,1 and child(ren)
(2 Medicare eligible)
$1,189.82
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.

2018

Members enrolled in Medicare Part A and Part B: Kaiser Permanente NW Senior Advantage
Subscriber only $323.07
Subscriber and spouse1

(1 Medicare eligible)

$1,010.712

Subscriber and spouse1
(2 Medicare eligible)

$641.12

Subscriber and child(ren)
(1 Medicare eligible)

$838.802

Subscriber and child(ren)
(2 Medicare eligible)

$641.12

Full family
(1 Medicare eligible)

$1,526.442

Full family
(2 Medicare eligible)

$1,156.852

Full family
(3 Medicare eligible)

$959.17

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

2019

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

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 Classic

$692.66 $1,380.30 $1,208.39 $1,896.03

Kaiser Permanente NW CDHP

$590.87 $1,170.25 $1,039.99 $1,561.04

1 or 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

Lewis

  • 2018 ZIP Codes: 98591, 98593, and 98596
  • 2019: not covered.

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

  • 2018 ZIP Codes: 97330, 97331, 97333, 97339, and 97370
  • 2019 ZIP Codes: 97330, 97331, 97333, 97339, 97370 and 97456

Clackamas

  • 2018 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
  • 2019 ZIP Code: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).

Columbia

Hood River (ZIP Code: 97014)

Lane

  • 2018: not covered
  • 2019 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

  • 2018 ZIP Codes: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, and 97389
  • 2019 ZIP Codes: all

Marion

  • 2018 ZIP Codes:  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
  • 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).

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