Kaiser Permanente of Washington Options

2024 information | 2023 information

About Kaiser Permanente WA Options, Inc.

Summit PPO gives you the best value with a maximum choice of providers throughout the state and the country.

Our 3-tier plans offer high-quality care that’s affordable, convenient, and hassle-free. Get access to more than 1 million in-network health professionals anywhere in the United States.

Choose care from:

• Tier 1: The providers who practice at Kaiser Permanente Washington locations and pharmacies; preferred contracted specialists and hospitals; and
• Tier 2: An extensive network of contracted community providers in Washington; First Choice Health network in Washington, Oregon, Idaho, Montana, and Alaska; or First Health network (in all other states); and
• Tier 3: Care from any licensed provider in the United States.

Summit PPO also includes Kaiser Permanente Washington pharmacies, as well as the OptumRx network of pharmacies throughout the United States. You’ll have lower copays for office visits and most prescriptions if you use Kaiser Permanente Washington providers and pharmacies, and our community of specialists and hospitals systems.

Choose any provider you like. Your personal physician is a key advocate for your health. You can choose your own doctor and, working together, make decisions about your health and coordinate your care journey.

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

2024 information

Plan details

• Service area map
• Plan comparison
• Enrollment guide
• Summit PPO network flyer
• Travel flyer
• Prescription drug benefit information:
  • Five tier formulary
• Find a provider:
  • Tier 1, preferred in-network: Summit PPO network or Washington Permanente Medical Group Provider
  • Tier 2, in-network: Summit PPO network, First Choice Health network or First Health network

Kaiser Permanente WA Options Summit PPO 1

Summit PPO plans have 3 tiers of coverage for different networks of providers.

You receive the best value when you choose high-quality care from Kaiser Permanente providers. When choice is most important, you have access to more than one million in-network health professionals anywhere in the United States. You’ll have lower copays for office visits and most prescriptions if you use Kaiser Permanente Washington providers and pharmacies, and our community of specialists and hospitals systems.

Providers

This plan uses the Summit PPO network.

Deductibles

• Annual deductible: $1,250 per person ($2,500 per family) for Tier 1 and Tier 2 providers; $3,750 per person ($7,500 per family) for Tier 3 providers.
• Deductible does not apply to preventive care, telehealth or prescriptions.

Key features of the plan

Acupuncture, chiropractic and massage therapy each have 24 visits per calendar year, rehabilitation has 60 combined visits per calendar year, naturopath has unlimited visits, orthotics benefit is $300 plan allowance per calendar year, and one hearing aid per ear, covered up to $3,000 every 36 consecutive months. You also don't need a referral for most specialty care, and if a specialist procedure requires preauthorization, your physician will work with Kaiser Permanente so you receive care at the right place, at the right time. (Specialty care cost shares may apply.)

Available counties

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

Plan documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)

Kaiser Permanente WA Options Summit PPO 2

Summit PPO plans have 3 tiers of coverage for different networks of providers.

You receive the best value when you choose high-quality care from Kaiser Permanente providers. When choice is most important, you have access to more than one million in-network health professionals anywhere in the United States. You’ll have lower copays for office visits and most prescriptions if you use Kaiser Permanente Washington providers and pharmacies, and our community of specialists and hospitals systems.

Providers

This plan uses the Summit PPO network.

Deductibles

• Annual deductible: $750 per person ($1,500 per family) for Tier 1 and Tier 2 providers; $2,250 per person ($4,500 per family) for Tier 3 providers.
• Deductible does not apply to preventive care, telehealth or prescriptions.

Key features of the plan

Acupuncture, chiropractic and massage therapy each have 24 visits per calendar year, rehabilitation has 60 combined visits per calendar year, naturopath has unlimited visits, orthotics benefit is $300 plan allowance per calendar year, and one hearing aid per ear, covered up to $3,000 every 36 consecutive months. You also don't need a referral for most specialty care, and if a specialist procedure requires preauthorization, your physician will work with Kaiser Permanente so you receive care at the right place, at the at time. (Specialist care cost shares may apply.)

Available counties

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

Plan documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)

Kaiser Permanente WA Options Summit PPO 3

Summit PPO plans have 3 tiers of coverage for different networks of providers.

When choice is most important, you have access to more than 1 million in-network health professionals anywhere in the United States. You’ll have lower copays for office visits and most prescriptions if you use Kaiser Permanente Washington providers and pharmacies, and our community of specialists and hospitals systems.

Providers

This plan uses the Summit PPO network.

Deductibles

• Annual deductible: $250 per person ($500 per family) for Tier 1 and Tier 2 providers; $750 per person ($1,500 per family) for Tier 3 providers.
• Deductible does not apply to preventive care, telehealth, or prescriptions.

Key features of the plan

Acupuncture, chiropractic and massage therapy each have 24 visits per calendar year, rehabilitation has 60 combined visits per calendar year, naturopath has unlimited visits, orthotics benefit is $300 plan allowance per calendar year, and one hearing aid per ear, covered up to $3,000 every 36 consecutive months. You also don't need a referral for most specialty care, and if a specialist procedure requires preauthorization, your physicians will work with Kaiser Permanente so you receive care at the right place, at the right time. (Specialist care cost shares may apply.)

Available counties

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

Plan documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)

2023 information

Plan details

• Service area map
• Plan comparison
• Enrollment guide
• Summit PPO network flyer
• Travel flyer
• Prescription drug benefit information:
  • First Fill flyer
  • Five tier formulary
  • Maintenance medication list
• Find a provider:
  • Tier 1, preferred in-network: Summit PPO network or Washington Permanente Medical Group Provider
  • Tier 2, in-network: Summit PPO network, First Choice Health network or First Health network

Kaiser Permanente WA Options Summit PPO 1

Summit PPO plans have 3 tiers of coverage for different networks of providers.

You receive the best value when you choose high-quality care from Kaiser Permanente providers. When choice is most important, you have access to more than one million in-network health professionals anywhere in the United States.

This plan uses the Summit PPO network.

Deductibles

• Annual deductible: $1,250 per person ($2,500 per family) for Tier 1 and Tier 2 providers; $3,750 per person ($7,500 per family) for Tier 3 providers.
• No cost share for primary care visits for kids under 18. Specialty cost shares apply.
• Deductibles do 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 benefit is $300 plan allowance per calendar year, and one hearing aid, covered in full, per ear every 60 consecutive months.

You also don't need a referral for most specialty care, and if a specialist procedure requires preauthorization, your physician will work with Kaiser Permanente.

Available counties

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

Plan documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)

Kaiser Permanente WA Options Summit PPO 2

Summit PPO plans have 3 tiers of coverage for different networks of providers.

You receive the best value when you choose high-quality care from Kaiser Permanente providers. When choice is most important, you have access to more than one million in-network health professionals anywhere in the United States.

This plan uses the Summit PPO network.

Deductibles

• Annual deductible: $750 per person ($1,500 per family) for Tier 1 and Tier 2 providers; $2,250 per person ($4,500 per family) for Tier 3 providers.
• No cost share for primary care visits for kids under 18. Specialty cost shares apply.
• Deductibles do 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 benefit is $300 plan allowance per calendar year, and one hearing aid, covered in full, per ear every 60 consecutive months.

You also don't need a referral for most specialty care, and if a specialist procedure requires preauthorization, your physician will work with Kaiser Permanente.

Available counties

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

Plan documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)

Kaiser Permanente WA Options Summit PPO 3

Summit PPO plans have 3 tiers of coverage for different networks of providers.

You receive the best value when you choose high-quality care from Kaiser Permanente providers. When choice is most important, you have access to more than one million in-network health professionals anywhere in the United States.

This plan uses the Summit PPO network.

Deductibles

• Annual deductible: $250 per person ($500 per family) for Tier 1 and Tier 2 providers; $750 per person ($1,500 per family) for Tier 3 providers.
• No cost share for primary care visits for kids under 18. Specialty cost shares apply.
• Deductibles do 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 benefit is $300 plan allowance per calendar year, and one hearing aid, covered in full, per ear every 60 consecutive months.

You also don't need a referral for most specialty care, and if a specialist procedure requires preauthorization, your physician will work with Kaiser Permanente.

Available counties

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

Plan documentation

• Summary of Benefits and Coverage (SBC)
• Evidence of Coverage (EOC)