Kaiser Permanente WA plans

A one-stop-shop for Kaiser Permanente WA plan information for PEBB Continuation Coverage.

What are my plan options?

In general, PEBB Continuation Coverage subscribers may choose from the plans listed below. Your options are limited to the plans available in your county and by 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

Medicare (COBRA only)

  • Kaiser Permanente WA Medicare Advantage
  • Kaiser Permanente WA Original Medicare

Learn more about the plans.

How do I find a provider?

Visit one of Kaiser Permanente WA'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

The 2018 Kaiser Permanente WA certificates of coverage have been revised to address and clarify a bariatric surgery benefit. The corrected booklet was updated November 7, 2017.

2018

Certificates of Coverage: Medicare

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

Summaries of Benefits: Medicare (COBRA only)

2018

What are the monthly plan costs?

Medicare (COBRA only)

2019

Members enrolled in Medicare Part A and Part B

Kaiser Permanente WA Medicare Plan

Kaiser Permanente WA Classic

Kaiser Permanente WA SoundChoice

Kaiser Permanente WA Value

Subscriber only

$329.85

N/A2

N/A2

N/A2

Subscriber and spouse1
(1 Medicare eligible)

N/A2

$1,057.27

$927.09

$980.13

Subscriber and spouse1
(2 Medicare eligible)

$653.73

N/A2

N/A2

N/A2

Subscriber and child(ren)
(1 Medicare eligible)

N/A2

875.41

$777.78

$817.56

Subscriber and child(ren)
(2 Medicare eligible)

653.73

N/A2

N/A2

N/A2

Subscriber, spouse,1 and child(ren)
(1 Medicare eligible)
N/A2 $1,602.83 $1,375.01 $1,467,84
Subscriber, spouse,1 and child(ren)
(2 Medicare eligible)
N/A2 $1,199.29 $1,101.66

$1,141.44

Subscriber, spouse,1 and child(ren)
(3 Medicare eligible)
977.61 N/A2 N/A2 N/A2

1or state-registered domestic partner

2If a Kaiser Permanente WA subscriber is enrolled in Medicare Part A and Part B and covers a dependent who is not eligible for Medicare, the family member must enroll in a Kaiser Permanente WA Classic or Value plan and the subscriber will pay a combined Medicare and non-Medicare rate.

 

2018

Members enrolled in Medicare Part A and Part B: Kaiser Permanente WA Medicare Plan Kaiser Permanente WA Classic Kaiser Permanente WA SoundChoice Kaiser Permanente WA Value
Subscriber only $325.40 N/A2 N/A2 N/A2
Subscriber and spouse1
(1 Medicare eligible)
N/A2 $1,038.77 $927.49 $953.90
Subscriber and spouse1
(2 Medicare eligible)
645.78 N/A2 N/A2 N/A2
Subscriber and child(ren)
(1 Medicare eligible)
N/A2 $860.43 $776.97 $796.78
Subscriber and child(ren)
(2 Medicare eligible)
$645.78 N/A2 N/A2 N/A2
Subscriber, spouse1, and child(ren)
(1 Medicare eligible)
N/A2 $1,573.80 $1,379.06 $1,425.28
Subscriber, spouse1, and child(ren)
(2 Medicare eligible)
N/A2 $1,180.81 $1,097.35 $1,117.16
Subscriber, spouse1, and child(ren)
(3 Medicare eligible)
$966.16 N/A2 N/A2 N/A2

1or state-registered domestic partner

2If a Kaiser Permanente WA subscriber is enrolled in Medicare Part A and Part B and covers a dependent who is not eligible for Medicare, the family member must enroll in a Kaiser Permanente WA Classic or Value plan and the subscriber will pay a combined Medicare and non-Medicare rate.

Non-Medicare

2019

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

Subscriber only

Subscriber and spouse* Subscriber and child(ren) Subscriber, spouse,1 and child(ren)

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

2018

Members not eligible for Medicare
(or enrolled in Part A only)
Subscriber only Subscriber and spouse* Subscriber and child(ren) Subscriber, spouse1, and child(ren)
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

*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 WA Classic
Kaiser Permanente WA CDHP
Kaiser Permanente WA Value

Benton

Columbia

Franklin

Grays Harbor (ZIP Codes: 98541,98557, 98559,
and 98568)

Island

King

Kitsap

Kittitas

Lewis

Lincoln (ZIP Codes: 99008, 99029, 99032, and 99122)

Mason

Pend Oreille

  • 2018 ZIP Codes: 99009 and 99180
  • 2019 ZIP Code: 99180

Pierce

San Juan

Skagit

Snohomish

Spokane

Stevens

  • 2018 ZIP Codes: 99006, 99013, 99026, 99034, 99040, 99110, 99148, and 99173
  • 2019 ZIP Codes: 99013, 99034, 99040, 99110, 99148, and 99173

Thurston

Walla Walla

Whatcom

Whitman

Yakima

Kaiser Permanente WA Medicare Advantage Grays Harbor (ZIP Codes: 98541, 98557, 98559, and 98568)

Island

King

Kitsap

Lewis

Mason (ZIP Codes: 98524, 98528, 98546, 98548, 98555, 98584, 98588, and 98592)

Pierce

San Juan

Skagit

Snohomish

Spokane

Thurston

Whatcom

Kaiser Permanente WA Original Medicare Benton

Columbia

Franklin

Kittitas

Lincoln (ZIP Codes: 99008, 99029, 99032, and 99122)

Mason (Zip Code: 98560)

Pend Oreille

  • 2018 ZIP Codes: 99009 and 99180
  • 2019 ZIP Code: 99180

Stevens

  • 2018 ZIP Codes: 99006, 99013, 99026, 99034, 99040, 99110, 99148, and 99173
  • 2019 ZIP Codes: 99013, 99034, 99040, 99110, 99148, and 99173

Walla Walla

Whitman

Yakima

Kaiser Permanente WA SoundChoice

King

Kitsap

  • 2018: not covered
  • 2019: covered

Pierce

Snohomish

Spokane

  • 2018: not covered
  • 2019: covered
Thurston

Oregon

Plan County A-Z

Kaiser Permanente WA Classic
Kaiser Permanente WA CDHP
Kaiser Permanente WA Original Medicare
Kaiser Permanente WA Value

Umatilla (ZIP Codes: 97810, 97813, 97835, 97862, 97882, and 97886)

Idaho 

Plan County A-Z
Kaiser Permanente WA Classic
Kaiser Permanente WA CDHP
Kaiser Permanente WA Original Medicare
Kaiser Permanente WA Value

Kootenai

Latah

Contact

Kaiser Foundation Health Plan of Washington 
Online: Kaiser Permanente WA for PEBB
Phone: 206-630-4636 or 1-888-901-4636
TTY: 711 or 1-800-833-6388