Kaiser Permanente of Washington

2023 information

About Kaiser Permanente of Washington

Kaiser Permanente is one of the nation’s largest nonprofit health plans, providing high-quality, affordable health care services, and working to improve the health of our members and the communities we serve.

Quality care with you at the center. Your personal physician is a key advocate for your health. You can choose your own doctor with Kaiser Permanente or a contracted community physician and, working together, you’ll make decisions about your health and coordinate your care journey.

Specialty care. When you’re dealing with a serious health issue, your health becomes the center of your world. That’s why you’re at the center of everything we do. With our plans, you get excellent care from top-notch doctors across a wide range of specialties.

Your care, your way. With Kaiser Permanente, you can choose how, when, and where to get care for yourself and your family. Visit our walk-in clinics, or access virtual care options, including 24/7 online chat, a 24/7 advice line, and video and phone visits available anytime 24/7 or by appointment. You can also choose an e-visit or email your Kaiser Permanente care team for nonurgent issues. 

2023 information

Plan details

• Service areas
• Travel flyer
• Enrollment guide
• Prescription drug benefit information
  • First Fill flyer
  • 4-tier formulary
  • Maintenance medication list

Kaiser Permanente WA Core 1

To be healthy, you need high-quality care that’s affordable, convenient, and hassle-free. Our health plans offer extensive family-friendly and cost-saving coverage, and our physician-led care teams work together to help keep you healthy.

This plan uses the Core network. The Core network consist of our high-quality Kaiser Permanente medical groups and connected community providers. This is the lowest cost monthly premium among Kaiser Permanente WA plans with great upfront coverage.

Deductibles

• Annual deductible: $1,250 per person ($3,750 per family)
• No cost share for primary care visits for kids under 18. Specialty cost shares apply.
• Deductible does not apply to office visits or prescriptions.

Key features of the plan

First $500 of x-ray and lab paid in full, then deductible and coinsurance apply. Acupuncture, chiropractic, and massage therapy each have 20 visits per calendar year, rehabilitation has 60 visits per calendar year, naturopath has unlimited visits, orthotics $300 plan allowance per calendar year, and one hearing aid, covered in full, per ear every 60 consecutive months.

Good health goes beyond the doctor’s office. As a member of our plan, you’ll have access to wellness resources including online tips, videos, podcasts, and wellness coaching by phone.

Available counties

You can choose this plan if you live or work in one of these counties: Benton, Columbia, Franklin, Island, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima.

Coverage documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)
• Plan comparison: Core 1, 2, and 3 
• Plan comparison: SoundChoice and Core 1 and 2
• Core network flyer

Kaiser Permanente WA Core 2

To be healthy, you need high-quality care that’s affordable, convenient, and hassle-free. Our health plans offer extensive family-friendly and cost-saving coverage, and our physician-led care teams work together to help keep you healthy. Get help choosing a doctor, transitioning your care and coverage, and finding resources to meet your needs. We make joining Kaiser Permanente WA easy.

This plan uses the Core network. The Core network consist of our high-quality Kaiser Permanente medical groups and connected community providers.

Deductibles

• Annual deductible: $750 per person ($2,250 per family)
• No cost share for primary care visits for kids under 18. Specialty cost shares apply.
• Deductible does not apply to office visits or prescriptions.

Key features of the plan

First $500 of x-ray and lab paid in full, then deductible and coinsurance apply. Acupuncture, chiropractic, and massage therapy each have 20 visits per calendar year, rehabilitation has 60 visits per calendar year, naturopath has unlimited visits, orthotics $300 plan allowance per calendar year, and one hearing aid, covered in full, per ear every 60 consecutive months.

Good health goes beyond the doctor’s office. As a member of our plan, you’ll have access to wellness resources including online tips, videos, podcasts, and wellness coaching by phone.

Available counties

You can choose this plan if you live or work in one of these counties: Benton, Columbia, Franklin, Island, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima.

Coverage documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)
• Plan comparison: Core 1, 2, and 3 
• Plan comparison: SoundChoice and Core 1 and 2
• Core network flyer

Kaiser Permanente WA Core 3

To be healthy, you need high-quality care that’s affordable, convenient, and hassle-free. Our health plans offer extensive family-friendly and cost-saving coverage and our physician-led care teams work together to help keep you healthy. Get help choosing a doctor, transitioning your care and coverage, and finding resources to meet your needs. We make joining Kaiser Permanente WA easy.

This plan uses the Core network. The Core network consist of our high-quality Kaiser Permanente medical groups and connected community providers.

Deductibles

• Annual deductible: $250 per person ($750 per family), one of the lowest deductible plans offered in your region.
• No cost share for primary care visits for kids under 18. Specialty cost shares apply.
• Deductible does not apply to office visits or prescriptions.

Key features of the plan

Acupuncture, chiropractic, and massage therapy each have 20 visits per calendar year, rehabilitation has 60 visits per calendar year, naturopath has unlimited visits, orthotics $300 plan allowance per calendar year, and one hearing aid, covered in full, per ear every 60 consecutive months.

Good health goes beyond the doctor’s office. As a member of our plan, you’ll have access to wellness resources including online tips, videos, podcasts, and wellness coaching by phone.

Available counties

You can choose this plan if you live or work in one of these counties: Benton, Columbia, Franklin, Island, Lewis, Mason, Walla Walla, Whatcom, Whitman, and Yakima.

Coverage documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)
• Plan comparison: Core 1, 2, and 3 
• Core network flyer

Kaiser Permanente WA SoundChoice

To be healthy, you need high-qualify care that's affordable, convenient, and hassle-free. Our health plans offer extensive family-friendly and cost-saving coverage, and our physician-led care teams work together to help keep you healthy. Get help choosing a doctor, transitioning your care and coverage, and finding resources to meet your needs. We make joining Kaiser Permanente WA easy.

This plan uses the SoundChoice network. The SoundChoice network, consists of our high-quality Kaiser Permanente medical groups and connected community providers.

Deductibles

• Annual deductible: $125 per person ($375 per family).
• Lowest out-of-pocket maximum of $2,000 per person ($4,000 per family).
• No cost share for primary care visits. Specialty cost shares apply.
• Deductible does not apply to office visits or prescriptions.

Key features of the plan

Acupuncture, chiropractic, and massage therapy each have 20 visits per calendar year, rehabilitation has 60 visits per calendar year, naturopath has unlimited visits, orthotics $300 plan allowance per calendar year, and one hearing aid, covered in full,  per ear every 60 consecutive months.

Good health goes beyond the doctor's office. As a member of this plan, you'll have access to wellness resources including online tips, videos, podcasts, and wellness coaching by phone.

Available counties

You can choose this plan if you live or work in one of these counties: King, Kitsap, Pierce, Snohomish, Spokane, and Thurston.

Coverage documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)
• Plan comparison: SoundChoice and Core 1 and 2
• SoundChoice network flyer