Premera Blue Cross

Learn about the Medicare Supplement Plan G. 

On this page: Full benefits | Outline of coverage | Costs | Find providers | Plan option | About Premera
Return to Medical plans and benefits: Retirees | PEBB Continuation Coverage

Full benefits

The following documents — called a Certificate of Coverage (COC) — provide in-depth descriptions of the health care benefits for each plan.

Plan G

2025

• Plan G Certificate - Disability (2025)
• Plan G Certificate - Age (2025)

2024

• Plan G Certificate - Disability (2024)
• Plan G Certificate - Age (2024)

Outline of coverage

2025

• Outline of Supplemental Coverage (2025)

2024

• Outline of Supplemental Coverage (2024)

Costs

2025

• Retiree monthly premiums (2025)
• PEBB Continuation Coverage monthly premiums (2025)

2024

• Retiree monthly premiums (2024)
• PEBB Continuation Coverage monthly premiums:
  • COBRA and Unpaid Leave (2024)
  • Employer Group Ended Participation (2024)

Find providers

Medicare Supplement Plan G allows the use of any Medicare contracted physician or hospital nationwide. You can visit Medicare's website to search online for doctors or other healthcare professionals that participate in Medicare.

Plan option

Plan G

This plan is designed to supplement your Medicare coverage by reducing your out-of-pocket expenses and providing additional benefits. It pays some Medicare deductibles and coinsurances, but primarily supplements only those services covered by Medicare. Benefits such as vision, hearing exams, and routine physical exams may have limited coverage or may not be covered at all.

Medicare Supplement Plan G does not include prescription drug coverage. If you select this plan, you may have to enroll in Medicare Part D to get your prescriptions, unless you have other creditable prescription drug coverage (e.g., VA benefits).

Premera offers member discounts for hearing care, vision care, fitness, and more. Visit Premera's website to learn more.

Annual costs

You will need to pay the Medicare Part B deductible, which for 2024 is $240. 

Available counties

Visit plans by county for retirees or PEBB Continuation Coverage.

This plan is available in:

• All Washington State counties and nationwide.

In most cases, you must live in a medical plan’s service area to join the plan. If you move out of your plan's service area, and you medical plan is no longer available, you must select a new plan. If you do not, the PEBB Program will enroll you in a plan. You must report your new address to your payroll or benefits office no later than 60 days after your move.

About Premera Blue Cross

As the largest health plan based in the Pacific Northwest, Premera provides health benefits to more than 2.8 million people nationwide—from individuals and families to employees of Fortune 100 companies.

Premera Blue Cross is headquartered in Washington State. The company and its predecessors have operated in Washington since 1933 and in Alaska since 1952.

Our PEBB health plans are designed for retiree Medicare-eligible members and are backed by best-in-class customer service and the Blue Cross Blue Shield Association.