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Medical benefits
PEBB retiree members and their dependents have several medical insurance carriers to choose from—depending on whether you are a Medicare recipient or not (non-Medicare): Kaiser Permanente NW, Kaiser Permanente WA, Premera, Uniform Medical Plan (UMP), and UnitedHealthcare. Find out what plans are available to you, what’s covered with each plan, and how much each plan costs. If you cover dependents, everyone must enroll in the same medical plan.
On this page
Get a side-by-side comparison of common medical benefits and costs for service.
Before you begin
Not all medical plans are available in all counties. Before you review and compare plans, find out which are offered where you live.
Plan options
The plans you can choose from not only depend on where you live, but also on whether you are a Medicare recipient or not (non-Medicare).
Medicare plans
Visit the following Medicare plan webpages to find information on benefits coverage (full, summary, and high-level) and monthly premiums for each of the carrier’s plans. To see in-depth benefits coverage options, review each plan's benefits booklet (Evidence of Coverage or Certificate of Coverage).
- Kaiser Permanente NW Senior Advantage with Part D
- Kaiser Permanente WA Medicare Advantage with Part D
- Medicare Supplement Plan F (Administered by Premera. Closed to new enrollment as of January 1, 2020.)
- Medicare Supplement Plan G (Administered by Premera.)
- Uniform Medical Plan (UMP) Classic Medicare with Part D (PDP)
- UnitedHealthcare Medicare Advantage Prescription Drug (MAPD) plans
Learn more about the Medicare Part D plans offered by the PEBB Program.
If you choose Medicare Supplement Plan F or Plan G, and want drug coverage (Medicare Part D), you will need to sign up for it separately. Please contact us for assistance.
Non-Medicare plans
Visit the following non-Medicare plan webpages to find information on benefits coverage (full, summary, and high-level) and monthly premiums for each of the carrier’s plans. To see in-depth benefits coverage options, review each plan's benefits booklet (Evidence of Coverage or Certificate of Coverage).
- Kaiser Permanente NW plans: KPNW Classic and CDHP plans.
- Kaiser Permanente WA plans: KPWA Classic, CDHP, SoundChoice, and Value plans.
- Uniform Medical Plan (UMP) plans: Classic, Select, and CDHP plans, administered by Regence BlueShield and ArrayRx.
Compare medical plans and benefits
Explore the differences between the medical plans.
- High-level plan comparison: Use our online Medical Benefit Comparison tool.
- Additional comparison information: Visit the Compare plan benefits and costs webpage.
Still have benefit questions?
Visit the plan websites to learn more about what they offer, or contact the plans directly with questions.
- Kaiser Permanente NW
- Kaiser Permanente WA
- Premera Medicare Supplement Plans
- Uniform Medical Plan (UMP)
- UnitedHealthcare
Premiums
Monthly premiums depend on your plan. See premiums and learn more about surcharges and how to pay.
Find providers
Check each medical plan's provider directory to learn about their providers and see if your current provider is in network.
Insurance ID cards
Generally, you’ll receive your medical insurance ID cards after your coverage becomes active. Learn more about insurance ID cards.
Plan resources
The following resource are available to help you make an informed decision.
- Contact the plans. Each carrier can provide thorough answers to all your questions about their plans, including benefits, costs, and provider information.
- Benefits and coverage by plan lists the plans' benefits booklets, Summaries of Benefits and Coverage (SBC), and preauthorization criteria.
- Behavioral health services by plan. Find out what behavioral health services are available from your plan.
- Benefits while traveling. Learn how your benefits work when you travel.
- Health plans with health savings accounts (HSA) (non-Medicare subscribers only). Things to consider when choosing a high-deductible health plan.
Wellness programs
The following wellness programs are available as part of your benefits package. Learn more about what they have to offer.
Contact
The PEBB Program
Phone: 1-800-200-1004
TRS: 711
Hours: 8 a.m. to 4:30 p.m., Monday through Friday
HCA Support (secure, login portal with your personal account)
Send us a secure message / Submit your forms through HCA Support, a secure website that allows you to log into your own account to communicate with us. You will need to set up a SecureAccess Washington (SAW) account to use this option.