Retiree open enrollment

Review information to help you make benefits decisions for 2025. Enrollments, changes, and premiums are effective January 1, 2025.

If you have questions about your retiree open enrollment letter, see How much will it cost? 

Ready to make changes?

Submit Form A-OE. The PEBB Program must receive your form during open enrollment, October 28 through November 25, 2024. Benefits 24/7 will be available to make changes on October 28.

Important changes to benefits and plans

There are many important changes to 2025 benefits and plans. See everything that's changing.

Regence changing Medicare Advantage service areas. UMP Classic Medicare not affected.

Regence will be making changes to some of their Medicare Advantage plan service areas. These changes do not affect UMP Classic Medicare.

Resources

UMP Classic Medicare will include Medicare Part D

UMP Classic Medicare will be called UMP Classic Medicare with Part D (PDP).

If you are currently enrolled in UMP Classic Medicare, you will be automatically enrolled in UMP Classic Medicare with Part D (PDP), unless you change your plan during open enrollment or permanently live outside the U.S. Learn more about UMP Classic Medicare with Part D (PDP).

Kaiser Permanente NW and Kaiser Permanente WA Medicare plan changes

Kaiser Permanente NW Senior Advantage is changing from Medicare Advantage to Medicare Advantage plus Medicare Part D for prescription drugs. The name will change to Kaiser Permanente NW Senior Advantage with Part D. Learn more about KPNW Senior Advantage with Part D.

If you are currently enrolled in KPNW Senior Advantage, you will automatically be enrolled in Kaiser Permanente NW Senior Advantage with Part D, unless you change your plan during open enrollment or permanently live outside the service area.

Kaiser Permanente WA Medicare Advantage is changing from Medicare Advantage to Medicare Advantage plus Medicare Part D for prescription drugs. The name will change to Kaiser Permanente WA Medicare Advantage with Part D. Learn more about KPWA Medicare Advantage with Part D.

If you are currently enrolled in KPWA Medicare Advantage, you will automatically be enrolled in Kaiser Permanente WA Medicare Advantage with Part D, unless you change your plan during open enrollment or permanently live outside the service area.

Hearing aid coverage for Kaiser Permanente and UnitedHealthcare Medicare plans

Kaiser Permanente NW, Kaiser Permanente WA, and UnitedHealthcare: Increased hearing aid benefit to $3,000 per ear, every 36 months.

Vision plans for non-Medicare retirees

Routine vision coverage will be removed from the medical plan for non-Medicare plans. There will be three separate vision plans to choose coverage from. Learn more about your vision coverage options.

Medicare plans will continue to include routine vision coverage, excluding Premera Plan F and Plan G.

Vision hardware benefit will increase up to $200 (from $150) for prescription eyeglasses or contact lenses and will reset in odd years (2025, 2027, etc.) This benefit is for members enrolling in standalone vision coverage in 2025.

UMP Plus–Puget Sound High Value Network service areas

UMP Plus–PSHVN is leaving Chelan and Douglas counties. Members in Chelan and Douglas counties must choose a new plan.

Confluence Health will no longer be part of UMP Plus–PSHVN.

Deductible for consumer-directed health plans

The IRS raised the minimum deductible for consumer-directed health plans to $1,650 for single subscribers and $3,300 for families.

This affects Kaiser Permanente NW CDHP, Kaiser Permanente WA CDHP, and UMP CDHP.

Health savings account annual maximum contribution increase

The IRS raised the health savings account annual maximum contribution to $4,300 for single subscribers and $8,550 for families.

How much will it cost?

If you pay your premiums by pension deduction, make sure your pension will cover your 2025 premiums.

Find monthly premiums

Retiree open enrollment letter clarifications

  • If your letter showed "UMP Classic" and you are on Medicare, the 2025 premium is listed as "UMP Classic Medicare with Part D (PDP)."
  • If your letter showed "Kaiser NW Classic" and you are on Medicare, the 2025 premium is listed as "Kaiser NW Senior Advantage with Part D."
  • If your letter showed dental coverage and you are not currently paying for it, this is an error and can be ignored.

What do I need to do?

  • If your plan will no longer be available in 2025, you need to choose a new plan.
  • You may need to respond to the spouse or state-registered domestic partner (SRDP) coverage premium surcharge. You will receive a letter if you need to respond.
What changes can I make?

Open enrollment is your chance to:

  • Change medical and dental plans.
  • Enroll in a vision plan if you are not enrolled in Medicare Part A and Part B.
  • Add or remove a dependent from your coverage.
  • Defer your retiree insurance coverage due to other qualifying coverage.
  • Enroll in retiree insurance coverage if you previously deferred your enrollment.
  • Reattest to the spouse or state-registered domestic partner coverage premium surcharge. Note: This does not apply to subscribers enrolled in Medicare Part A and Part B.
How do I make changes?

Use Benefits 24/7 (available to make changes on October 28) or submit Form A-OE.

The PEBB Program must receive your forms by November 25.

Changes made through Benefits 24/7 must be submitted by midnight on November 25.

How to return your form

Return your form one of the following ways:

  • Secure message using HCA Support. After signing in, select the Retiree/Continuation coverage option.
  • Mail it to the PEBB Program.

    Washington State Health Care Authority

    PEBB Program

    PO Box 42684

    Olympia, WA 98504-2684
  • Fax it to 360-725-0771.
  • Bring it to the HCA Olympia office.

    626 8th Avenue SE

    Olympia, WA 98501

The PEBB Program must receive your form by November 25.

Do I need to attest to the premium surcharges?

If you cover your spouse or state-registered domestic partner, you may need to respond to the spouse or state-registered domestic partner coverage premium surcharge. You will receive a letter if you need to respond. Learn more about the premium surcharges.

Medical, dental, and vision plan information

Remember, you are not required to stay in the same plan every year. You can change plans. Exception: If you switch out of Premera Plan F you will not be able to enroll back in Plan F in a future open enrollment.

How do I compare medical plans?

Compare up to three medical plans side-by-side with the Online Medical Benefits Comparison.

You can also use the printable Benefits At-a-Glance for PEBB Medicare plans and the Medical Benefits At-a-Glance.

What medical plans are available to me?

In most cases, you must live in a medical plan's service area to join the plan. Exception: to enroll in a UMP Plus plan, you must live in one of the counties where it is offered. View plans available to retirees.

Be sure to call the plans you are interested in to ask about provider availability in your county. If you move out of your plan's service area and your 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 and request a plan change to the PEBB Program no later than 60 days after your move.

Summary of Benefits and Coverage (SBC)

Summaries of Benefits and Coverage (SBCs) are required under the federal Affordable Care Act to help members understand plan benefits and medical terms. SBCs are not available for Medicare plans. View the SBCs for non-Medicare retiree medical plans.

How do I compare dental plan benefits?

The PEBB Program offers three dental plans.

  • DeltaCare
  • Willamette Dental Plan
  • Uniform Dental Plan

Use the Dental Benefits At-a-Glance comparison (printable) to compare them.

There are some differences between them that are important to keep in mind.

  • There are two managed-care plans: DeltaCare (administered by Delta Dental of Washington) and Willamette Dental. These plans require you choose a primary care dentist from within their network. You need referrals from the primary care dentist to see a specialist.
  • There is one preferred-provider plan (PPO), Uniform Dental Plan. You can see any provider without a referral. You can see providers outside of the network but you will pay more out-of-pocket.
How do I compare vision plan benefits?

The PEBB Program offers three vision plans, available to members not enrolled in Medicare. Vision coverage for Medicare members is included with the medical plan, excluding Premera Plan G.

  • Davis Vision by MetLife
  • EyeMed
  • MetLife Vision

Use the Vision Benefits At-a-Glance comparison (printable) to compare them.

How do I find providers?

Check the plans' provider portals to check if your current providers are in the plans' networks. You can also call the plan's customer service to ask about a provider's network.

More to explore

For Your Benefit newsletter

The October For Your Benefit newsletter is your source for information about open enrollment. Read the Retiree edition.

Webinars

Learn more about the medical plans available by attending a webinar.

Virtual benefits fair

Visit and explore to learn more about all the benefits available.

Contact

If you have questions about open enrollment or language assistance services (available free of charge)

The PEBB Program
Phone: 1-800-200-1004, Monday through Friday, 8 a.m. to 4:30 p.m. (Pacific) 
TRS: 711
Online: Send us a secure message