Plans that give you peace of mind

Your health care plan with Kaiser Permanente is a partnership in health. It connects you to a group of providers, services, and tools that help you live your healthy best.

Features of these plans include:

  • No copays for preventive care, with no deductible
  • Savings and convenience with our mail-order pharmacy
  • Convenient virtual care options like 24/7 care chat, 24/7 advice line, phone and video appointments, and more
  • The ability to manage your health anytime, anywhere via the Kaiser Permanente app
  • An integrated team of primary care and specialty care providers who are connected to each other, and you, through your electronic health record

Different plans are available to you depending on where you live and work. PEBB members in King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties can choose from the Classic Plan, Value Plan, CDHP Plan listed below with providers from our Core network.

PEBB members in these counties also have the option to choose the SoundChoice Plan with providers from our SoundChoice Provider Network.


2025 Plan options

In King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties


Annual Deductible Rx Deductible Primary Care Office Visit
$125 individual,
$375 family
$100 individual,
$300 family

(Does not apply to Value and Tier 1 drugs)

$20*

Annual Deductible Rx Deductible Primary Care Office Visit
$175 individual,
$525 family
$100 individual,
$300 family
$15 copay

Annual Deductible Rx Deductible Primary Care Office Visit
$250 individual,
$750 family
$100 individual,
$300 family

(Does not apply to Value and Tier 1 drugs)

$30 copay

Annual Deductible Rx Deductible Primary Care Office Visit
$1,650 individual,
$3,300 family
Combined with annual medical deductible 10%

New for 2025

  • A member will pay no more than $35, not subject to deductible for a 30-day supply of one inhaled corticosteroid, or one inhaled corticosteroid combination
  • Human Immunodeficiency Virus Post-Exposure Prophylaxis (PEP) Drugs or Therapies: No cost share or preauthorization required for at least one of each PEP drug
  • Dialysis patients: Members who are undergoing end stage renal dialysis treatment and qualify for Medicare coverage will be reimbursed for their cost of the standard Medicare Part B monthly premium
  • Advance care at Home (home care in lieu of inpatient hospital care) will now apply to deductible, copayment, and coinsurance
  • CDHP: Annual deductible increased to $1,650 for individual CDHP plan / $3,300 for family CDHP plan
  • Vision exam and vision hardware benefits removed from PEBB’s non-Medicare medical plans and now available through vision plans

2024 Plan documents

In Clark and Cowlitz counties

In King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties

Annual Deductible Rx Deductible Primary Care Office Visit
$125 individual,
$375 family
$100 individual,
$300 family

(Does not apply to Value and Tier 1 drugs)

$20

Annual Deductible Rx Deductible Primary Care Office Visit
$175 individual,
$525 family
$100 individual,
$300 family
$15 copay

Annual Deductible Rx Deductible Primary Care Office Visit
$250 individual,
$750 family
$100 individual,
$300 family

(Does not apply to Value and Tier 1 drugs)

$30 copay

Annual Deductible Rx Deductible Primary Care Office Visit
$1,600 individual,
$3,200 family
Combined with annual medical deductible 10%


Premium surcharges

You (the subscriber) may be charged a premium surcharge in addition to your monthly medical premium:

Tobacco use premium surcharge

If you or a dependent age 13 or older enrolled on your PEBB medical coverage uses a tobacco product. To avoid the premium surcharge, you and your dependents — ages 18 and older — who use tobacco products can enroll in the Quit for Life Program. Dependents ages 13 to 17 can use the resources at teen.smokefree.gov/.

Spouse or state-registered domestic partner coverage premium surcharge

If your spouse or state-registered domestic partner is enrolled on your PEBB medical coverage and they have elected not to enroll in their employer-based group medical insurance that is comparable to the PEBB Program’s Uniform Medical Plan (UMP) Classic. The comparison must be to the PEBB Program’s UMP Classic, even if you are not enrolled in that plan.

*Source: Public Employees Benefits Board (PEBB) Program

Note: Monthly premiums are for public employees. If you are a PEBB Continuation Coverage subscriber, visit HCA's website to see your premiums.