2017 Rates and Benefits

In 2017, Kaiser Foundation Health Plan of Washington is offering our SoundChoice plan, which offers the lowest monthly premium available for non-CDHP plans.*** This plan is available to members living in Snohomish, King, Pierce and Thurston Counties. Our Value plan, with its predictable copayments continues to be an economical option for PEBB members and the Classic Plan offers the same comprehensive services with lower copays. We also offer a consumer-directed health plan (CDHP) with an even lower premium than our other plans, balanced with a higher deductible and out-of-pocket maximum. The CDHP is an Access PPO plan offering a greater choice of providers.

Rates***

PEBB Active Employees: Kaiser Foundation Health Plan of Washington SoundChoice Plan* 2017 Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$46$102$81$137

PEBB Active Employees: Kaiser Foundation Health Plan of Washington Value Plan* 2017 Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$69$148$121$200

PEBB Active Employees: Kaiser Foundation Health Plan of Washington Classic Plan* 2017 Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$147$304$257$414

PEBB Active Employees: Kaiser Foundation Health Plan of Washington Options, Inc. CDHP** 2017 Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$25$60$44$79

PEBB Medicare Retirees: Kaiser Foundation Health Plan of Washington Medicare Plans**** 2017 Monthly Rates

RetireeRetiree & Spouse
$176.17$347.62

Benefits***

PEBB Active Employees: Kaiser Foundation Health Plan of Washington SoundChoice* 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$250 individual
$750 family
20% coinsuranceView documentView documentView document

PEBB Non-Medicare Retirees: Kaiser Foundation Health Plan of Washington SoundChoice* 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$250 individual
$750 family
20% coinsuranceView documentView documentView document

PEBB Active Employees: Kaiser Foundation Health Plan of Washington Value Plan* 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$250 individual
$750 family
$30 copayView documentView documentView document

PEBB Non-Medicare Retirees: Kaiser Foundation Health Plan of Washington Value Plan* 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$250 individual
$750 family
$30 copayView documentView documentView document

PEBB Active Employees: Kaiser Foundation Health Plan of Washington Classic Plan* 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$250 individual
$750 family
$15 copayView documentView documentView document

PEBB Non-Medicare Retirees: Kaiser Foundation Health Plan of Washington Classic Plan* 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$250 individual
$750 family
$15 copayView documentView documentView document

PEBB Active Employees: Kaiser Foundation Health Plan of Washington CDHP** 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$1,400 individual
$2,800 family
10% in network
30% extended network
View document

View document (Individual)
View document (Family)

View document

PEBB Non-Medicare Retirees: Kaiser Foundation Health Plan of Washington Options, Inc. CDHP** 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFSummary of Benefits and Coverage PDFCertificate of Coverage PDF
$1,400 individual
$2,800 family
10% in network
30% extended
View document

View document (Individual)
View document (Family)

View document

PEBB Medicare Retirees: Kaiser Foundation Health Plan of Washington Medicare Advantage Plan**** 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFEvidence of Coverage PDF
None$20 copayView documentView document

PEBB Medicare Retirees: Kaiser Permanente Original Medicare Plan**** 2017 Benefits

Annual DeductibleOffice VisitSummary of Benefits PDFEvidence of Coverage PDF
$250 individual
$750 family
$15 copayView documentView document

Note: School district and employer group employees need to contact their payroll or personnel office regarding 2017 rates. Source: Public Employees Benefits Board (PEBB) Program.

*Coverage is provided by Kaiser Foundation Health Plan of Washington

**Coverage is provided by Kaiser Foundation Health Plan of Washington Options, Inc.

***Source: Public Employees Benefits Board (PEBB) Program. School district and employer group employees need to contact their payroll or personnel office regarding 2017 rates.

****To qualify for the "Retiree" rate, a PEBB retiree must be enrolled in both Parts A and B of Medicare. 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.

STATE EMPLOYEES AND RETIREES INDEX