In crisis?
If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.
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.
On this page
What are my plan options?
In general, PEBB retirees 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
- Kaiser Permanente NW Senior Advantage
Learn more about the plans.
How do I enroll?
To enroll in a Kaiser Permanente NW medical plan, you need to complete the following forms:
- Retiree Coverage Election form (form A)
- Medicare Advantage plan election form (form C) - only if you are enrolling in Kaiser Permanente NW Senior Advantage
Do you need help completing the Retiree Coverage Election form (form A)? Use the tutorial.
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
Certificates of Coverage: Medicare
2020
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 benefits of each plan?
Summaries of Benefits and Coverage: non-Medicare
2020
What are the monthly plan costs?
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.
Washington
| Members not eligible for Medicare (or enrolled in Part A only) |
County A-K | County L-S | County T-Z |
|---|---|---|---|
|
Kaiser Permanente NW Classic (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 |
Benton (ZIP Codes: 97330, 97331, 97333, 97339, 97370, and 97456) Clackamas 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 (ZIP Codes: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, 97389, and 97446) Marion 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: 97321-22, 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
