The PEBB Program’s annual open enrollment is November 1 through 30. Learn more.

Kaiser Permanente WA plans

A one-stop-shop for Kaiser Permanente WA plan information for retirees.

Please note—this webpage uses tables: To see all columns in a table, especially on mobile, you may need to scroll or swipe left and right.

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 WA Classic
  • Kaiser Permanente WA Consumer-Directed Health Plan (CDHP)
  • Kaiser Permanente WA SoundChoice
  • Kaiser Permanente WA Value

Medicare

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

Learn more about the plans.

How do I enroll?

To enroll in a Kaiser Permanente WA medical plan, you need to complete the following forms:

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 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

2019

Certificates of Coverage: Medicare

2019

Is there a quick way to see benefits and cost?

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

2020

2019

Summaries of Benefits and Coverage: Medicare

What are the monthly plan costs?

Medicare

Note: Medicare rates shown below have been reduced by the state-funded contribution up to the lesser of $183 or 50 percent of plan premium per retiree per month.

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

$174.55

N/A

N/A

N/A

Subscriber and spouse1
(1 Medicare eligible)

N/A2

$921.64

$787.98

$845.20

Subscriber and spouse1
(2 Medicare eligible)

$344.04

N/A2

N/A2

N/A2

Subscriber and child(ren)
(1 Medicare eligible)

N/A2

$734.87

$634.62

$677.54

Subscriber and child(ren)
(2 Medicare eligible)

$344.04

N/A2

N/A2

N/A2

Subscriber, spouse,1and child(ren)
(1 Medicare eligible)

N/A2

$1,481.96

$1,248.06

$1,348.19

Subscriber, spouse,1and child(ren)
(2 Medicare eligible)

N/A2

$904.36

$804.11

$847.03

Subscriber, spouse,1and child(ren)
(3 Medicare eligible)

$513.53

N/A2

N/A2

N/A2

Note: Medicare rates shown below have been reduced by the state-funded contribution up to the lesser of $168 or 50 percent of plan premium per retiree per month.

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

$167.91

N/A

N/A

N/A

Subscriber and spouse1
(1 Medicare eligible)

N/A2

$895.33

$765.15

$818.19

Subscriber and spouse1
(2 Medicare eligible)

$329.85

N/A2

N/A2

N/A2

Subscriber and child(ren)
(1 Medicare eligible)

N/A2

$713.47

$615.84

$655.62

Subscriber and child(ren)
(2 Medicare eligible)

$329.85

N/A2

N/A2

N/A2

Subscriber, spouse,1 and child(ren)
(1 Medicare eligible)
N/A2 $1,440.89 $1,213.07 $1,305.90
Subscriber, spouse,1 and child(ren)
(2 Medicare eligible)
N/A2 $875.41 $777.78 $817.56
Subscriber, spouse,1 and child(ren)
(3 Medicare eligible)
$491.79 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

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

Subscriber

Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse1, and child(ren)

Kaiser Permanente WA Classic

$752.15

$1,499.24

$1,312.47

$2,059.55

Kaiser Permanente WA CDHP

$610.16

$1,210.10

$1,074.70

$1,616.32

Kaiser Permanente WA SoundChoice $618.49 $1,231.92 $1,078.57 $1,692.00
Kaiser Permanente WA Value $675.71 $1,346.36 $1,178.70 $1,849.35
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 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

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.

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

  • 2019 ZIP Codes: 98541,98557, 98559, and 98568
  • 2020 not available

Island

King

Kitsap

Kittitas

Lewis

Lincoln

  • 2019 ZIP Codes: 99008, 99029, 99032, and 99122
  • 2020 not available

Mason

Pend Oreille

  • 2019 ZIP Code: 99180
  • 2020 not available

Pierce

San Juan

  • 2019 available
  • 2020 not available

Skagit

Snohomish

Spokane

Stevens

  • 2019 ZIP Codes: 99013, 99034, 99110, 99148, and 99173
  • 2020 not available

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

  • 2019 available
  • 2020 not available

Skagit

Snohomish

Spokane

Thurston

Whatcom

Kaiser Permanente WA Original Medicare

Benton

Columbia

Franklin

Kittitas

Lincoln

  • 2019 ZIP Codes: 99008, 99029, 99032, and 99122
  • 2020 not available

Mason (ZIP Code: 98560)

Pend Oreille

  • 2019 ZIP Code: 99180
  • 2020 not available

Stevens

  • 2019 ZIP Codes: 99013, 99034, 99110, 99148, and 99173
  • 2020 not available

Walla Walla

Whitman

Yakima

Kaiser Permanente WA SoundChoice

King

Kitsap

Pierce

Snohomish

Spokane

Thurston

Oregon

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

Umatilla

  • 2019 ZIP Codes: 97810, 97813, 97835, 97862, 97882, and 97886
  • 2020 not available

Idaho

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

Kootenai

  • 2019 available
  • 2020 not available

Latah

  • 2019 available
  • 2020 not available

Contact

Kaiser Foundation Health Plan of Washington
Online:
Kaiser Permanente WA for PEBB retirees
Phone: 1-866-648-1928
Medicare members: 206-630-4600
TTY: 711 or 1-800-833-6388