Kaiser Permanente Northwest

Learn about the Kaiser Permanente NW plans.

On this page: Full benefits | Summary of benefits | Costs | Find providers | Plan options | About Kaiser Permanente NW
Return to Medical plans and benefits: School employees | SEBB Continuation Coverage

    Full benefits

    The following documents—called an Evidence of Coverage (EOC)—provide in-depth descriptions of the health care benefits for each plan.

    Summary of benefits

    The following documents—called a Summary of Benefits and Coverage (SBC)—provide summaries of what each plan covers and what it costs.

    Costs

    Find providers

    Visit Kaiser Permanente NW's online provider directory.

    Plan options

    Kaiser Permanente NW 1

    Plan 1 has the highest annual medical deductible and annual out-of-pocket maximum and the lowest monthly premium of our three plans.

    Annual costs

    • Medical deductible: $1,250 for individuals / $2,500 for families.
    • Out-of-pocket limit: $4,500 for individuals / $9,000 for families.

    Key features

    • Preventive care, such as health screenings, physical exams, vaccinations, and scheduled phone and video visits, are no additional cost to you.
    • Access to exclusive wellness resources such as healthy lifestyle programs, a diabetes prevention program, self-care mental health apps, online wellness tools, and personal wellness coaching.
    • Schedule appointments and view lab test results online or through the Kaiser Permanente app.
    • Skip the trip to the pharmacy and get most prescriptions mailed directly to you with no-cost shipping.

    Available counties

    In most cases, you must live or work in the medical plan’s service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.

    This plan is available in:

    • Washington counties: Clark and Cowlitz
    • Oregon counties
      • Benton (ZIP codes: 97330, 97331, 97333, 97339, and 97370)
      • Clackamas
      • Columbia
      • Lane
      • Linn (ZIP codes: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, and 97389)
      • Marion
      • Multnomah
      • Polk
      • Washington
      • Yamhill

    If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.

      Kaiser Permanente NW 2

      Plan 2 has a lower annual medical deductible and lower annual out-of-pocket maximum than Plan 1, and a lower monthly premium than Plan 3.

      Annual costs

      • Medical deductible: $750 for individuals / $1,500 for families.
      • Out-of-pocket limit: $4,000 for individuals / $8,000 for families.

      Key features

      • Preventive care, such as health screenings, physical exams, vaccinations, and scheduled phone and video visits, are no additional cost to you.
      • Access to exclusive wellness resources such as healthy lifestyle programs, a diabetes prevention program, self-care mental health apps, online wellness tools, and personal wellness coaching.
      • Schedule appointments and view lab test results online or through the Kaiser Permanente app.
      • Skip the trip to the pharmacy and get most prescriptions mailed directly to you with no-cost shipping.

      Available counties

      In most cases, you must live or work in the medical plan’s service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.

      This plan is available in:

      • Washington counties: Clark and Cowlitz
      • Oregon counties
        • Benton (ZIP codes: 97330, 97331, 97333, 97339, and 97370)
        • Clackamas
        • Columbia
        • Lane
        • Linn (ZIP codes: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, and 97389)
        • Marion
        • Multnomah
        • Polk
        • Washington
        • Yamhill

      If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.

      Kaiser Permanente NW 3

      Plan 3 offers more predictable costs with a low annual medical deductible. The monthly premium is higher than Plans 1 and 2, but it will help you have peace of mind knowing that you’ll pay less for many services when you receive care.

      • Medical deductible: $125 for individuals / $250 for families.
      • Out-of-pocket limit: $2,500 for individuals / $5,000 for families.

      Key features

      • Preventive care, such as health screenings, physical exams, vaccinations, and scheduled phone and video visits, are no additional cost to you.
      • Access to exclusive wellness resources such as healthy lifestyle programs, a diabetes prevention program, self-care mental health apps, online wellness tools, and personal wellness coaching.
      • Schedule appointments and view lab test results online or through the Kaiser Permanente app.
      • Skip the trip to the pharmacy and get most prescriptions mailed directly to you with no-cost shipping.

      Available counties

      In most cases, you must live or work in the medical plan’s service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.

      This plan is available in:

      • Washington counties: Clark and Cowlitz
      • Oregon counties
        • Benton (ZIP codes: 97330, 97331, 97333, 97339, and 97370)
        • Clackamas
        • Columbia
        • Lane
        • Linn (ZIP codes: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, and 97389)
        • Marion
        • Multnomah
        • Polk
        • Washington
        • Yamhill

      If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.

      About Kaiser Permanente NW

      Kaiser Permanente is one of the nation’s largest health care providers and nonprofit health plans. Our expert and caring medical teams strive to focus on members’ total health and are dedicated to high-quality health care services. We work to improve the health of our members and the communities we serve in Clark and Cowlitz counties in Washington and select counties in Oregon.

      Our SEBB plan options let you decide whether you prefer a higher monthly premium with lower costs when you receive care, or a lower monthly premium with higher costs when you receive care.

      We combine care and coverage — which makes us different. Your doctors, hospitals, pharmacy, labs, specialty care providers, virtual care providers, and health plan all work together to help make getting the right care more convenient. Your care meets you and your family where you are because it’s centered around you.

      View and download a range of materials including:

      • A guide to healthy resources available exclusively to Kaiser Permanente members.
      • Facilities locations.
      • How to get care while traveling, and more.