Medical plan premiums
Find out the monthly cost of your medical plan.
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Medical plan premiums
2023
- Kaiser Permanente NW
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Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children Kaiser Permanente NW 1 $31 $62 $54 $93 Kaiser Permanente NW 2 $57 $114 $100 $171 Kaiser Permanente NW 3 $89 $178 $156 $267 - Kaiser Permanente WA
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Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children Kaiser Permanente WA Core 1 $38 $76 $67 $114 Kaiser Permanente WA Core 2 $43 $86 $75 $129 Kaiser Permanente WA Core 3 $120 $240 $210 $360 Kaiser Permanente WA SoundChoice $74 $148 $130 $222 Kaiser Permanente WA Options Summit PPO 1 $77 $154 $135 $231 Kaiser Permanente WA Options Summit PPO 2 $106 $212 $186 $318 Kaiser Permanente WA Options Summit PPO 3 $142 $284 $249 $426 - Premera
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Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children Premera Blue Cross High PPO $97 $194 $170 $291 Premera Blue Cross HMO $25 $50 $44 $75 Premera Blue Cross Standard PPO $49 $98 $86 $147 - Uniform Medical Plan (UMP)
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Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children UMP Achieve 1 $42 $84 $74 $126 UMP Achieve 2 $105 $210 $184 $315 UMP High Deductible $28 $56 $49 $84 UMP Plus–PSHVN $83 $166 $145 $249 UMP Plus–UW Medicine ACN $83 $166 $145 $249
Before you enroll
- Make sure you live in the plan's service area.
- Contact the plan or check the plan's provider director 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 monthly medical premium if they apply to you.
- A $25-per-account surcharge will apply if you or any dependent enrolled in SEBB medical coverage uses tobacco products.
- A $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in SEBB medical coverage and your spouse or domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to the PEBB Program's Uniform Medical Plan (UMP) Classic.
For more details, visit Surcharges.
Premiums for other benefits
There are no employee premiums for dental, vision, basic life, basic accidental death and dismemberment (AD&D) insurance, and employer-paid long-term (LTD) disability insurance benefits.