Original Medicare Coordination of Benefits plan

If you are eligible for Medicare and have enrolled in Medicare Part A and Part B, you can enroll in our PEBB retiree Original Medicare plan.

To enroll in the Original Medicare Coordination of Benefits plan, you must live in:

Mason (ZIP code 98560), Yakima, Benton, Franklin, Walla Walla, Columbia or Whitman County

View a map of our Medicare service area ›

Original Medicare

Annual Deductible Primary Care Office Visit
$250 individual,
$750 family
$15 copay

Original Medicare Coordination of Benefits plan

Review the Prescription Drug Formulary ›

To find Original Medicare providers in our Core network, visit our Provider Directory.

You must continue to pay your Medicare Part B premium and any other applicable Medicare premium(s), if not otherwise paid by Medicaid or another third party. To qualify for the "Retiree & Spouse" rate, BOTH must be enrolled in Parts A and B. To see more rate combinations, including the retiree rate table as well as full family rates, visit the Public Employees Benefits Board (PEBB) Program website.