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Kaiser Permanente WA plans
A one-stop-shop for Kaiser Permanente WA plan information for PEBB Continuation Coverage.
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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
- Kaiser Permanente WA Classic
- Kaiser Permanente WA Consumer-Directed Health Plan (CDHP)
- Kaiser Permanente WA SoundChoice
- Kaiser Permanente WA Value
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.
- For Medicare Advantage retirees
- For Original Medicare retirees
- For Classic, CDHP, and Value subscribers
- For SoundChoice subscribers
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
- Kaiser Permanente WA Classic (2018)
- Kaiser Permanente WA CDHP (2018)
- Kaiser Permanente WA SoundChoice (2018)
- Kaiser Permanente WA Value (2018)
2019
- Kaiser Permanente WA Classic (2019)
- Kaiser Permanente WA CDHP (2019)
- Kaiser Permanente WA SoundChoice (2019)
- Kaiser Permanente WA Value (2019)
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
- Kaiser Permanente WA Classic (2018)
- Kaiser Permanente WA CDHP - Family (2018)
- Kaiser Permanente WA CDHP - Individual (2018)
- Kaiser Permanente WA SoundChoice (2018)
- Kaiser Permanente WA Value (2018)
2019
- Kaiser Permanente WA Classic (2019)
- Kaiser Permanente WA CDHP (2019)
- Kaiser Permanente WA SoundChoice (2019)
- Kaiser Permanente WA Value (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 |
N/A2 |
$1,057.27 |
$927.09 |
$980.13 |
|
Subscriber and spouse1 |
$653.73 |
N/A2 |
N/A2 |
N/A2 |
|
Subscriber and child(ren) |
N/A2 |
875.41 |
$777.78 |
$817.56 |
|
Subscriber and child(ren) |
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 |
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 |
Benton Columbia Franklin Grays Harbor (ZIP Codes: 98541,98557, 98559, Island King Kitsap Kittitas |
Lewis Lincoln (ZIP Codes: 99008, 99029, 99032, and 99122) Mason Pend Oreille
Pierce San Juan Skagit Snohomish Spokane Stevens
|
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
Stevens
|
Walla Walla Whitman Yakima |
| Kaiser Permanente WA SoundChoice |
King Kitsap
Pierce |
Snohomish Spokane
|
Thurston |
Oregon
| Plan | County A-Z |
|---|---|
|
Kaiser Permanente WA Classic |
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
