Kaiser Permanente WA (formerly Group Health) plans

A one-stop-shop for Kaiser Permanente WA (formerly Group Health) plan information for retirees.

Notice: Kaiser Permanente of Washington changed their mailing address (for claims and other documents: Kaiser Permanente, 601 Union St STE 3100, Seattle, WA 98101-1374

What are my plan options?

In general, PEBB retirees may choose from the plans listed below. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B).

Non-Medicare

  • Kaiser Permanente WA (formerly Group Health) Classic
  • Kaiser Permanente WA (formerly Group Health) Consumer-Directed Health Plan (CDHP)
  • Kaiser Permanente WA (formerly Group Health) SoundChoice (Note: At least one family member must not be enrolled in Medicare Part A and Part B.)
  • Kaiser Permanente WA (formerly Group Health) Value

Medicare

  • Kaiser Permanente WA (formerly Group Health) Medicare Advantage
  • Kaiser Permanente WA (formerly Group Health) Original Medicare

Learn more about the plans.

How do I enroll?

To enroll in a Kaiser Permanente NW medical plan, you need to complete the following forms:

Do you need help completing the Retiree Coverage Election/Change form (form A)? Download instructions.

How do I find a provider?

Visit one of Kaiser Permanente WA's (formerly Group Health) online provider directories.

What are the full benefits of each plan?

The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. For a summary of benefits and costs, see Is there a quick way to see benefits and costs?

Certificates of Coverage: non-Medicare

The 2018 Kaiser Permanente WA certificates of coverage have been revised to address and clarify a bariatric surgery benefit. The corrected booklet was updated November 7, 2017.

2017

2018

Certificates of Coverage: Medicare

2017

2018

Is there a quick way to see benefits and cost?

The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan?

Summaries of Benefits and Coverage: non-Medicare

2017

2018

Summaries of Benefits and Coverage: Medicare

What are the 2018 Monthly plan costs?

Do you need 2017 premiums? View the retiree monthly premiums for 2017.

Medicare

Members enrolled in Part A and Part B of Medicare: Kaiser Permanente WA (formerly Group Health) Medicare Plan Kaiser Permanente WA (formerly Group Health) Classic Kaiser Permanente WA (formerly Group Health) SoundChoice Kaiser Permanente WA (formerly Group Health) Value
Subscriber only $175.40 N/A2 N/A2 N/A2
Subscriber and spouse1
(1 Medicare eligible)
N/A2 $888.77 $777.49 $803.90
Subscriber and spouse1
(2 Medicare eligible)
$345.78 N/A2 N/A2 N/A2
Subscriber and child(ren)
(1 Medicare eligible)
N/A2 $710.43 $626.97 $646.78
Subscriber and child(ren)
(2 Medicare eligible)
$345.78 N/A2 N/A2 N/A2
Full family
(1 Medicare eligible)
N/A2 $1,423.80 $1,229.06 $1,275.28
Full family
(2 Medicare eligible)
N/A2 $880.81 $797.35 $817.16
Full family
(3 Medicare eligible)
$516.16 N/A2 N/A2 N/A2

1or state-registered domestic partner

2If 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 Group Health Classic or Value plan and the subscriber will pay a combined Medicare and non-Medicare rate.

Non-Medicare

Members not eligible for Medicare
(or enrolled in Part A only)
Subscriber only Subscriber and spouse* Subscriber and child(ren) Full family
Kaiser Permanente WA (formerly Group Health) Classic $718.39 $1,431.76 $1,253.42 $1,966.79
Kaiser Permanente WA (formerly Group Health) CDHP $589.18 $1,167.37 $1,037.41 $1,557.27
Kaiser Permanente WA (formerly Group Health) SoundChoice $607.11 $1,209.20 $1,058.68 $1,660.77
Kaiser Permanente WA (formerly Group Health) Value $633.52 $1,262.02 $1,104.90 $1,733.40

*or state-registered domestic partner

Do I live in the medical plan's service area?

In most cases, you must live in a medical plan’s service area to join the plan. Use the tables below to make sure you live in the plan's service area.

Washington

Plan County A-K County L-S County T-Z
Kaiser Permanente WA (formerly Group Health) Classic
Kaiser Permanente WA (formerly Group Health) CDHP
Kaiser Permanente WA (formerly Group Health) Value
 

Benton

Columbia

Franklin

Grays Harbor (ZIP Codes: 98541,98557, 98559,
and 98568)

Island

King

Kitsap

Kittitas

Lewis

Lincoln (ZIP Codes: 99008, 99029, 99032, and 99122)

Mason

Pend Oreille (ZIP Code: 99009)

Pierce

San Juan

Skagit

Snohomish

Spokane

Stevens (ZIP Codes: 99006, 99013, 99026, 99034, 99040, 99110, 99148, and 99173)

Thurston

Walla Walla

Whatcom

Whitman

Yakima

Kaiser Permanente WA (formerly Group Health) Medicare Advantage

Grays Harbor (ZIP Codes: 98541, 98557, 98559, and 98568)

Island

King

Kitsap

Lewis

Mason (ZIP Codes: 98524, 98528, 98546, 98548, 98555, 98584, 98588, and 98592)

Pierce

San Juan

Skagit
Snohomish

Spokane

Thurston

Whatcom

Kaiser Permanente WA (formerly Group Health) Original Medicare

Benton

Columbia

Franklin

Kittitas

Lincoln (ZIP Codes: 99008, 99029, 99032, and 99122)

Mason*

Pend Oreille (ZIP Code: 99009)

Stevens (ZIP Codes: 99006, 99013, 99026, 99034, 99040, 99110, 99148, and 99173)

Walla Walla

Whitman

Yakima

Kaiser Permanente WA (formerly Group Health) SoundChoice

King

Pierce

Snohomish

Thurston

* Original Medicare is available in ZIP Codes where Medicare Advantage is not available.

Oregon

Plan County A-Z
Kaiser Permanente WA (formerly Group Health) Classic
Kaiser Permanente WA (formerly Group Health) CDHP
Kaiser Permanente WA (formerly Group Health) Original Medicare
Kaiser Permanente WA (formerly Group Health) Value
Umatilla (ZIP Codes: 97810, 97813, 97835, 97862, 97882, and 97886)

Idaho

Plan County A-Z
Kaiser Permanente WA (formerly Group Health) Classic
Kaiser Permanente WA (formerly Group Health) CDHP
Kaiser Permanente WA (formerly Group Health) Original Medicare
Kaiser Permanente WA (formerly Group Health) Value

Kootenai

Latah

Contact

Kaiser Foundation Health Plan of Washington (formerly Group Health)
Online:
Kaiser Permanente WA for PEBB retirees
Phone: 206-630-4636 or 1-888-901-4636
TTY: 711 or 1-800-833-6388
Claims mailing address:
Kaiser Permanente
601 Union St STE 3100
Seattle, WA 98101-1374