COBRA and continuation coverage premiums (Medicare)

Find out the monthly cost of your Medicare COBRA and continuation coverage (formerly LWOP) insurance plans.

Qualify for the Medicare rate

To qualify for the Medicare rate:

  1. At least one covered family member must be enrolled in both Medicare Part A and Part B. (Medicare rates are not available to continuation coverage (formerly Leave Without Pay) members.)
  2. Medicare-enrolled subscribers in Kaiser Permanente WA's (formerly Group Health) Medicare Advantage plan or Kaiser Permanente NW Senior Advantage must complete and sign the Medicare Advantage Plan Election Form (Form C) to enroll in one of these plans.

2017 Medical plan premiums

Members enrolled in Part A and Part B of Medicare: Kaiser Permanente WA Medicare Plan (formerly Group Health Medicare Plan) Kaiser Permanente WA Classic (formerly Group Health Classic) Kaiser Permanente WA SoundChoice (formerly Group Health SoundChoice) Kaiser Permanente WA Value (formerly Group Health Value) Kaiser Permanente NW Senior Advantage UMP Classic
Subscriber Only $326.17 N/A2 N/A2 N/A2 $313.63 $428.13
Subscriber and spouse1
(1 Medicare eligible)
N/A2 $997.97 $897.25 $920.26 $970.013 $1,047.06
Subscriber and spouse1
(2 Medicare eligible)
$647.62 N/A2 N/A2 N/A2 $622.54 $851.54
Subscriber and child(ren)
(1 Medicare eligible)
N/A2 $830.02 $754.48 $771.74 $805.923 $892.33
Subscriber and child(ren)
(2 Medicare eligible)
$647.62 N/A2 N/A2 N/A2 $622.54 $851.54
Full family
(1 Medicare eligible)
N/A2 $1,501.82 $1,325.56 $1,365.83 $1,462.303 $1,511.26
Full family
(2 Medicare eligible)
N/A2 $1,151.47 $1,075.93 $1,093.19 $1,114.833 $1,315.74
Full family
(3 Medicare eligible)
$969.07 N/A2 N/A2 N/A2 $931.45 $1,274.95

1 or state-registered domestic partner

2 If a Kaiser Permanente WA (formerly Group Health) subscriber is enrolled in Medicare Part A and Part B and covers a family member who is not eligible for Medicare, the family member must enroll in a Kaiser Permanente WA Classic or Value (formerly Group Health Classic or Value) plan and the subscriber will pay a combined Medicare and non-Medicare rate.

3 If a Kaiser Permanente NW subscriber is enrolled in Medicare Part A and Part B and covers a family member not eligible for Medicare, the family member will be enrolled in Kaiser Permanente NW Classic. The subscriber will pay the combined Medicare and non-Medicare rate shown for Kaiser Permanente NW Senior Advantage.

Medicare Supplement Plan F premiums

Administered by Premera Blue Cross

  Plan F (age 65 or older, eligible by age) Plan F (Under age 65, eligible by disability)
Subscriber only $209.74 $356.55
Subscriber and spouse* (1 Medicare eligible)** $833.39 $980.20
Subscriber and spouse* (2 Medicare eligible - 1 retired, 1 disabled) $566.29 $566.29
Subscriber and spouse* (2 Medicare eligible) $419.48 $713.10
Subscriber and child(ren) (1 Medicare eligible)** $678.66 $825.47
Full family (1 Medicare eligible)** $1,297.59 $1,444.40
Full family (2 Medicare eligible - 1 retired, 1 disabled)** $1,035.21 $1,035.21
Full family (2 Medicare eligible)** $888.40 $1,182.02

* or state-registered domestic partner

** If a Medicare supplement plan is selected, non-Medicare eligible dependents are enrolled in Uniform Medical Plan (UMP) Classic. The rates shown reflect the total due, including premiums for both plans.

Dental plan premiums (with medical plan)

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber only $39.53 $45.07 $42.37
Subscriber and spouse* $79.06 $90.14 $84.74
Subscriber and child(ren) $79.06 $90.14 $84.74
Full family $118.59 $135.21 $127.11

* or state-registered domestic partner

Before you enroll

  1. Make sure you live in the plan's service area.
  2. Contact the plan or check the plan's provider directory to make sure your providers are in the plan's network.

Surcharges in addition to medical plan premiums

You will pay the following surcharges in addition to your medical plan premium if they apply to you.

  • A monthly $25-per-account surcharge will apply if you or any family member (age 13 and older) enrolled in PEBB medical uses tobacco products.
  • A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical and your spouse or state-registered domestic partner has chosen not to enroll in other employer-based group medical that is comparable to Uniform Medical Plan (UMP) Classic.

For more details, visit Surcharges.