Medical plan premiums
Find out the monthly cost of your medical plan.
On this page
Medical plan premiums
2024
- Kaiser Permanente NW
-
Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children Kaiser Permanente NW 1 $67 $134 $117 $201 Kaiser Permanente NW 2 $105 $210 $184 $315 Kaiser Permanente NW 3 $196 $392 $343 $588 - Kaiser Permanente WA
-
Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children Kaiser Permanente WA Core 1 $48 $96 $84 $144 Kaiser Permanente WA Core 2 $98 $196 $172 $294 Kaiser Permanente WA Core 3 $149 $298 $261 $447 Kaiser Permanente WA SoundChoice $115 $230 $201 $345 Kaiser Permanente WA Options Summit PPO 1 $100 $200 $175 $300 Kaiser Permanente WA Options Summit PPO 2 $143 $286 $250 $429 Kaiser Permanente WA Options Summit PPO 3 $237 $474 $415 $711 - Premera Blue Cross
-
Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children Premera High PPO $115 $230 $201 $345 Premera HMO $20 $40 $35 $60 Premera Standard PPO $64 $128 $112 $192 - Uniform Medical Plan (UMP)
-
Plan Employee Employee and spouse/SRDP Employee and children Employee, spouse/SRDP, and children UMP Achieve 1 $44 $88 $77 $132 UMP Achieve 2 $113 $226 $198 $339 UMP High Deductible $21 $42 $37 $63 UMP Plus–PSHVN $86 $172 $151 $258 UMP Plus–UW Medicine ACN $86 $172 $151 $258
Before you enroll
- Make sure you live in the plan's service area.
- Contact the plan or check the plan's provider director to make sure your providers are in the plan's network.
Surcharges in addition to medical plan premiums
You will pay the following surcharges in addition to your monthly medical premium if they apply to you. For more details, visit Surcharges.
- A $25-per-account surcharge will apply if you or any dependent enrolled in SEBB medical coverage uses tobacco products.
- A $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in SEBB medical coverage and your spouse or domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to the PEBB Program's Uniform Medical Plan (UMP) Classic.
Premiums for other benefits
There are no employee premiums for dental, vision, basic life, basic accidental death and dismemberment (AD&D) insurance, and employer-paid long-term (LTD) disability insurance benefits.
How to pay
You pay for coverage with pretax dollars from your paycheck under the state's premium payment plan.
For details and contact information, see How do I pay? on the Paying for benefits page.