Core HMO Plans
Our affordable plans that feature our Core HMO and SoundChoice networks bring care and coverage together, so you get everything you need to help keep you and your family healthy, all in one package.
Here are some plan highlights:
- Family-friendly plans with competitive rates and no primary care copays for kids up to age 18
- No deductibles applied for office visits, including primary and specialty care, outpatient mental health, and urgent care
- No deductible for prescription drugs
- Preventive care covered at 100%
In King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties
Kaiser Permanente WA SoundChoice
This plan has the lowest deductible ($125 per person) and access to excellent providers through the SoundChoice provider network. The plan’s rich benefits, such as $0 copay for primary care office visits, a low deductible for medical services, and no deductible for prescription drugs, make it a great option for those interested in trying Kaiser Permanente WA.
| Annual Deductible | Rx Deductible | Primary Care Office Visit |
|---|---|---|
| $125 individual $375 family |
$0 | $0 |
| Employee | $74 |
| Employee & spouse/SRDP* | $148 |
| Employee & child(ren) | $130 |
| Employee, spouse/SRDP*, and child(ren) | $222 |
*(SRDP) state-registered domestic partner
Kaiser Permanente WA Core 2
This is an affordable plan that offers a competitive monthly employee contribution, deductible, and annual out-of-pocket maximum. The deductible does not apply to most office visits, the first $500 in labs/X-rays is covered in full, and preventive care is covered at 100%.
| Annual Deductible | Rx Deductible | Primary Care Office Visit |
|---|---|---|
| $750 individual $2,250 family |
$0 | $25 |
| Employee | $43 |
| Employee & spouse/SRDP* | $86 |
| Employee & child(ren) | $75 |
| Employee, spouse/SRDP*, and child(ren) | $129 |
*(SRDP) state-registered domestic partner
Kaiser Permanente WA Core 1
This plan has the lowest monthly premium of all Kaiser Permanente plans and may be an attractive option for people who don’t expect to need a lot of care in the coming year. The basic coverage this plan provides is great for the average user as the deductible does not apply to most office visits and prescription drugs. In addition, preventive care is covered at 100% and the first $500 in labs/x-rays is covered in full.
| Annual Deductible | Rx Deductible | Primary Care Office Visit |
|---|---|---|
| $1,250 individual $3,750 family |
$0 | $30 |
| Employee | $38 |
| Employee & spouse/SRDP* | $76 |
| Employee & child(ren) | $67 |
| Employee, spouse/SRDP*, and child(ren) | $114 |
*(SRDP) state-registered domestic partner
In Benton, Columbia, Franklin, Island, Lewis, Mason, Skagit, Walla Walla, Whatcom, Whitman, and Yakima counties
Kaiser Permanente WA Core 3
This plan offers excellent coverage for individuals as well as families. The plan features a modest out-of-pocket maximum, low deductible for medical services – which doesn’t apply to most office visits – and no deductible for prescription drugs. Preventive care is covered at 100%. It is a great option for those interested in trying Kaiser Permanente WA.
| Annual Deductible | Rx Deductible | Primary Care Office Visit |
|---|---|---|
| $250 individual $750 family |
$0 | $20 |
| Employee | $120 |
| Employee & spouse/SRDP* | $240 |
| Employee & child(ren) | $210 |
| Employee, spouse/SRDP*, and child(ren) | $360 |
*(SRDP) state-registered domestic partner
Kaiser Permanente WA Core 2
This is an affordable plan that offers a competitive monthly employee contribution, deductible, and annual out-of-pocket maximum. The deductible does not apply to most office visits, the first $500 in labs/x-rays is covered in full, and preventive care is covered at 100%.
| Annual Deductible | Rx Deductible | Primary Care Office Visit |
|---|---|---|
| $750 individual $2,250 family |
$0 | $25 |
| Employee | $43 |
| Employee & spouse/SRDP* | $86 |
| Employee & child(ren) | $75 |
| Employee, spouse/SRDP*, and child(ren) | $129 |
*(SRDP) state-registered domestic partner
Kaiser Permanente WA Core 1
This plan has the lowest monthly premium of all Kaiser Permanente plans and may be an attractive option for people who don’t expect to need a lot of care in the coming year. The basic coverage this plan provides is great for the average user as the deductible does not apply to most office visits and prescription drugs. In addition, preventive care is covered at 100% and the first $500 in labs/x-rays is covered in full.
| Annual Deductible | Rx Deductible | Primary Care Office Visit |
|---|---|---|
| $1,250 individual $3,750 family |
$0 | $30 |
| Employee | $38 |
| Employee & spouse/SRDP* | $76 |
| Employee & child(ren) | $67 |
| Employee, spouse/SRDP*, and child(ren) | $114 |
*(SRDP) state-registered domestic partner
Premium surcharges
You (the subscriber) may be charged a premium surcharge in addition to your monthly medical premium:
If you or a dependent age 13 or older enrolled on your SEBB 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 SEBB medical coverage and they have elected not to enroll in their employer-based group medical insurance.
*Source: School Employees Benefits Board (SEBB) Program
Note: Monthly premiums are for school employees. If you are a SEBB Continuation Coverage subscriber, visit HCA's website to see your premiums.
Quick links
Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. You can compare benefit information, networks, and monthly premiums.
Questions?
Please call Member Services to speak with a representative Monday through Friday, 8 a.m. to 6 p.m.
1-888-901-4636 (TTY 711)
Provider Directories
Find a Provider for our Core HMO plans ›
Find a Provider for our SoundChoice HMO plan ›
Find a Provider for Summit PPO plans:
Drug Formulary
Core & SoundChoice Drug Formulary (4-Tier In-Network Pharmacy Benefit)
Summit PPO Drug Formulary (5-Tier In-Network Pharmacy Benefit)