Non-Medicare Retiree plans

For retirees who are not yet Medicare eligible, you can remain on a Kaiser Permanente PEBB plan. These are the same benefits you have as an employee; however, the monthly premiums you pay are different.

Kaiser Permanente WA Plans

Different plans are available to you depending on where you live and work. PEBB members in Benton, Columbia, Franklin, Island, Lewis, Mason, Skagit, Walla Walla, Whatcom, Whitman, and Yakima counties can choose from the Core Plans, Value Plan or CDHP Plan.

These plans offer a wide array of benefits and care from our highly trained providers through the Core network.

Annual Deductible	Rx Deductible
$175 individual, $525 family	$100 individual, $300 family (Does not apply to Value or Tier 1 drugs)

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

Classic Summary of Benefits and Coverage (PDF)

Classic Evidence of Coverage (PDF)

Enrollment Guide (PDF)

Plan Comparison (PDF)

Annual Deductible	Rx Deductible	Primary Care Office Visit
$175 individual, $525 family	$100 individual, $300 family (Does not apply to Value or Tier 1 drugs)	$15 copay

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

Classic Summary of Benefits and Coverage (PDF)

Classic Evidence of Coverage (PDF)

Plan Comparison (PDF)

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

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

Value Plan Summary of Benefits and Coverage (PDF)

Value Plan Evidence of Coverage (PDF)

Enrollment Guide (PDF)

Plan Comparison (PDF)

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

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

Value Summary of Benefits and Coverage (PDF)

Value Evidence of Coverage (PDF)

Plan Comparison (PDF)

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

For more information on this health savings account, refer to our HSA and CDHP FAQ.

Please click here for the Non-Medicare plan premiums from the Washington State Health Care Authority.

CDHP Summary of Benefits and Coverage (PDF)

CDHP Evidence of Coverage (PDF)

Enrollment Guide (PDF)

Plan Comparison (PDF)

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

For more information on this health savings account, refer to our HSA and CDHP FAQ.

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

CDHP Summary of Benefits and Coverage (PDF)

CDHP Evidence of Coverage (PDF)

Plan Comparison (PDF)

PEBB members in King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties can choose from the Core Plans, Value Plan, CDHP Plan with providers from our Core network listed above. PEBB members in these counties also have the option to choose the SoundChoice Plan with providers from our SoundChoice Provider Network.

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

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

SoundChoice Summary of Benefits and Coverage (PDF)

SoundChoice Evidence of Coverage (PDF)

Enrollment Guide (PDF)

Plan Comparison (PDF)

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

Please click here for the Non-Medicare plan premiums | Washington State Health Care Authority

SoundChoice Summary of Benefits and Coverage (PDF)

SoundChoice Evidence of Coverage (PDF)

Plan Comparison

Kaiser Permanente SW WA Plans

Again, different plans are available to you depending on where you live and work. PEBB members in Clark and Cowlitz counties can pick from our Classic plan or a Consumer-Directed Health Plan (CDHP).