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

Non-Medicare plan premiums

Find out the monthly cost of your non-Medicare insurance plans.

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.

Medical plan premiums

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 NW2 Classic

$715.66

$1,426.25 $1,248.60 $1,959.20

Kaiser Permanente NW2 CDHP

$608.85

$1,206.99 $1,072.04 $1,611.85
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
UMP Classic $679.72 $1,354.37 $1,185.71 $1,860.37
UMP CDHP $608.35 $1,206.48 $1,071.53 $1,611.34
UMP Plus–Puget Sound High Value Network $644.97 $1,284.88 $1,124.91 $1,764.82

UMP Plus–UW Medicine Accountable Care Network

$644.97 $1,284.88 $1,124.91 $1,764.82

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 NW2  Classic

$710.65

$1,415.33

$1,239.16

$1,943.84

Kaiser Permanente NW2 CDHP

$604.16

$1,196.38

$1,062.91

$1,596.81

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

UMP Classic

$674.85

$1,343.72

$1,176.50

$1,845.38

UMP CDHP $600.54 $1,189.65 $1,056.96 $1,587.74
UMP Plus–Puget Sound High Value Network $618.07 $1,230.18 $1,077.15 $1,689.25
UMP Plus–UW Medicine Accountable Care Network $618.07 $1,230.18 $1,077.15 $1,689.25

1 or state-registered domestic partner
2 Kaiser Foundation Health Plan of the Northwest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon.

Dental plan premiums

 

DeltaCare

Uniform Dental Plan

 Willamette Dental Group

 Subscriber

$39.53

$47.01

$44.45

Subscriber and spouse1

$79.06

$94.02

$88.90

Subscriber and child(ren)

$79.06

$94.02

$88.90

Subscriber, spouse1, and child(ren)

$118.59

$141.03

$133.35

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber Only $39.53 $45.87 $44.45
Subscriber and spouse1 $79.06 $91.74 $88.90
Subscriber and child(ren) $79.06 $91.74 $88.90
Subscriber, spouse,1 and child(ren) $118.59 $137.61 $133.35

1or state-registered domestic partner

Before you enroll

  1. Make sure you live in the plan's service area.
  2. Contact the plan or check the plan's provider directory to make sure your providers are in the plan's network.

Surcharges in addition to medical plan premiums

You will pay the following surcharges in addition to your medical plan premium if they apply to you.

  • A monthly $25-per-account surcharge will apply if you or any dependent (age 13 and older) enrolled in PEBB medical uses tobacco products.
  • A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical and your spouse or state-registered domestic partner has chosen not to enroll in other employer-based group medical that is comparable to Uniform Medical Plan (UMP) Classic.

For more details, visit Surcharges.