Kaiser Permanente of Washington

Learn about the Kaiser Permanente WA Medicare plans.

On this page: Full benefits | Prescription drugs | Costs | Find providers | Plan options | About Kaiser Permanente WA
Return to Medical plans and benefits: Retirees | PEBB Continuation Coverage

Retired couple

Full benefits

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

2027

2026

Prescription drugs

See list of covered drugs.

Costs

2027

2026

Find providers

Visit one of Kaiser Permanente WA's online provider directories.

Plan option 2027

Kaiser Permanente WA Medicare Advantage with Part D (2027)

This plan offers comprehensive benefits and access to care from our award-winning physicians and providers. You'll benefit from low out-of-pocket costs, including affordable copays and cost-sharing for most covered services.

Annual costs

  • Deductible: $0
  • Medical out-of-pocket limit: $2,500
  • Prescription out-of-pocket limit: $2,400

Key features

  • Predictable copays for most services
  • Up to 100-day supply of eligible retail and mail-order medications
  • No referral needed for most specialty care, and if a specialist or procedure requires preauthorization, your physicians work together
  • 24/7 line for real-time advice
  • Coverage for emergencies and urgent care while traveling
  • Access to self-care apps for health, behavioral health, and wellness
  • Up to 10 round trips per year, to get you to and from a network provider when provided by the designated transportation provider
  • Fitness membership with access to a variety of in-network gyms

Available counties

Visit plans by county for retirees or PEBB Continuation Coverage.

This plan is available if you live in:

  • Grays Harbor (ZIP codes: 98541, 98557, 98559, and 98568)
  • Island
  • King
  • Kitsap
  • Lewis
  • Mason (ZIP codes: 98524, 98528, 98546, 98548, 98555, 98588 and 98592)
  • Pierce
  • Skagit
  • Snohomish
  • Spokane
  • Thurston
  • Whatcom

In most cases, you must live in a medical plan’s service area to join the plan. If you move out of your plan's service area and your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new permanent residence address and any request to change plans to the PEBB Program no later than 60 days after your move.

Plan option 2026

Kaiser Permanente WA Medicare Advantage with Part D (2026)

When you choose Kaiser Permanente’s Medicare Advantage plan, you get high-quality care and coverage — all in a single plan that offers great value.

Annual costs

  • Deductible: $0
  • Medical out-of-pocket limit: $2,500
  • Prescription out-of-pocket limit: $2,100

Key features

  • Predictable copays for most services
  • No referral needed for most specialty care, and if a specialist or procedure requires preauthorization, your physicians work together
  • 24/7 advice and Care Chat for real-time advice
  • Coverage for emergencies and urgent care while traveling
  • Access to self-care apps for health, behavioral health, and wellness
  • Fitness center memberships, which include access to a network of premium fitness centers for select plans and counties.

Available counties

Visit plans by county for retirees or PEBB Continuation Coverage.

This plan is available if you live in:

  • Grays Harbor (ZIP codes: 98541, 98557, 98559, and 98568)
  • Island
  • King
  • Kitsap
  • Lewis
  • Mason (ZIP codes: 98524, 98528, 98546, 98548, 98555, 98588 and 98592)
  • Pierce
  • Skagit
  • Snohomish
  • Spokane
  • Thurston
  • Whatcom

In most cases, you must live in a medical plan’s service area to join the plan. If you move out of your plan's service area and your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new permanent residence address and any request to change plans to the PEBB Program no later than 60 days after your move.

About Kaiser Permanente WA

Kaiser Permanente is among the nation’s leading nonprofit health plans, providing high-quality, affordable health care services and advancing initiatives that improve the health of our members and the communities we proudly serve.

Quality care with you at the center. We believe health care works best when it is personal, connected, and coordinated. Your chosen physician, whether a Kaiser Permanente provider or a contracted community physician, will partner with you to make informed health care decisions, coordinate your care, and support your overall well-being every step of the way.

Connected care. Our physicians, care teams, medical facilities, pharmacies, laboratories, and health plan services are integrated within one organization. Connected through a comprehensive electronic health record system, they work together to provide coordinated, informed, and personalized care, helping ensure you receive the right care at the right time.

Your care, your way. We offer flexible care options designed to fit your life. Choose when, where, and how you receive care for yourself and your family, with access to virtual care services, including online chat, a 24/7 advice line, and video and phone visits available. This convenient access helps ensure you receive timely care and support wherever you are.