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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.
On this page
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
2019
Certificates of Coverage: Medicare (COBRA only)
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
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 |
$1,038.32 |
| 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.
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 |
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 These plans not available to Medicare members.
|
Benton (ZIP Codes: 97330, 97331, 97333, 97339, 97370 and 97456) Clackamas (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)) 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 Marion (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