Summit PPO
Kaiser Permanente Summit PPO plans give you the best value with a maximum choice of providers throughout the state and the country.
Summit PPO includes 3 tiers of coverage for different groups of clinicians. You receive the best value when you choose high-quality care from Kaiser Permanente clinicians. When choice is most important, you have access to more than one million in-network health professionals anywhere in the United States.
Note: Kaiser Permanente WA Options Summit PPO plans are available in the following counties: King, Kitsap, Pierce, Snohomish, Spokane, and Thurston.
Tier 1: Preferred in-network
Kaiser Permanente providers and pharmacies, and preferred contracted providers
Available in King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties.
Tier 2: In-network
Directly contracted in-network providers and First Choice Health network
Available in Alaska, Idaho, Montana, Oregon, and Washington.
First Health network
Available anywhere else in the United States.
Tier 3: Out-of-network
Includes all providers throughout the United States that are not contracted with Kaiser Permanente, First Choice Health network, or First Health network.
Summit PPO also includes Kaiser Permanente Washington pharmacies, as well as the OptumRx network of pharmacies throughout the nation. Note: You’ll have lower copays for office visits and most prescriptions if you use Kaiser Permanente Washington providers and pharmacies.
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Note: Monthly premiums are for school employees. If you are a SEBB Continuation Coverage subscriber, visit HCA's website to see your premiums.
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 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.
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)