Learn about the Kaiser Permanente WA Medicare plans.
On this page: Full benefits | Costs | Find providers | Plan options | About Kaiser Permanente WA
Return to Medical plans and benefits: Retirees | PEBB Continuation Coverage
Full benefits
The following documents — called an Evidence of Coverage (EOC) — provide in-depth descriptions of the health care benefits for each plan.
2025
2024
Costs
2025
2024
Find providers
Visit one of Kaiser Permanente WA's online provider directories.
2025
2024
Plan option 2025
- Kaiser Permanente WA Medicare Advantage with Part D
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When you choose Kaiser Permanente’s Medicare Advantage plan, you get high-quality care and coverage — all in a single plan that offers great value.
Annual costs
- Deductible: $0
- Medical out-of-pocket limit: $2,500
- Prescription out-of-pocket limit: $2,000
Key features
- 24/7 consulting nurse helpline and Care Chat for real-time advice online at no cost.
- Fitness center memberships, which include access to a network of premium fitness centers for select plans and counties.
- Acupuncture, chiropractic, and massage therapy benefits.
- Coverage for emergency and urgent care while traveling.
- Vision and hearing benefits.
Available counties
Visit plans by county for retirees or PEBB Continuation Coverage.
This plan is available if you live in:
- Grays Harbor (ZIP codes: 98541, 98557, 98559, and 98568)
- Island
- King
- Kitsap
- Lewis
- Mason (ZIP codes: 98524, 98528, 98546, 98548, 98555, 98588 and 98592)
- Pierce
- Skagit
- Snohomish
- Spokane
- Thurston
- Whatcom
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 your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new address and any request to change plans to the PEBB Program no later than 60 days after your move.
Plan options 2024
- Kaiser Permanente WA Original Medicare
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When you choose Kaiser Permanente’s Original Medicare (HMO) plan, you get high-quality care and coverage — all in a single plan that offers great value. The Core network consists of our high-quality Kaiser Permanente medical groups and connected community providers.
Annual costs
- Deductible: $250
- Medical out-of-pocket limit: $2,000
Key features
- 24/7 consulting nurse helpline and Care Chat for real-time advice online with no copay.
- Acupuncture, chiropractic, and massage therapy benefits.
- Coverage for emergency and urgent care while traveling.
- Vision and hearing benefits.
Available counties
Visit plans by county for retirees or PEBB Continuation Coverage.
This plan is available if you live in these counties:
- Benton
- Columbia
- Franklin
- Mason (ZIP code 98560)
- Walla Walla
- Whitman
- Yakima
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 your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new address and any request to change plans to the PEBB Program no later than 60 days after your move.
- Kaiser Permanente WA Medicare Advantage
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When you choose Kaiser Permanente’s Medicare Advantage plan, you get high-quality care and coverage — all in a single plan that offers great value.
Annual costs
- Deductible: $0
- Medical out-of-pocket limit: $2,500
Key features
- 24/7 consulting nurse helpline and Care Chat for real-time advice online at no cost.
- Silver & Fit fitness center memberships, which include access to a network of premium fitness centers for select plans and counties.
- Acupuncture, chiropractic, and massage therapy benefits.
- Coverage for emergency and urgent care while traveling.
- Vision and hearing benefits.
Available counties
Visit plans by county for retirees or PEBB Continuation Coverage.
This plan is available if you live in these counties:
- Grays Harbor (ZIP codes: 98541, 98557, 98559, 98568)
- Island
- King
- Kitsap
- Lewis
- Mason (ZIP codes: 98524, 98528, 98546, 98548, 98555, 98588 and 98592)
- Pierce
- Skagit
- Snohomish
- Spokane
- Thurston
- Whatcom
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 your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new address and any request to change plans to the PEBB Program no later than 60 days after your move.
About Kaiser Permanente WA
Kaiser Permanente is one of the nation’s largest nonprofit health plans, providing high-quality, affordable health care services and working to improve the health of our members and the communities we serve.
Quality care with you at the center. Your personal physician is a key advocate for your health. You can choose your own Kaiser Permanente doctor or a contracted community physician and, working together, you’ll make decisions about your health and coordinate your care journey.
Connected care. Our doctors, medical facilities, pharmacies, labs, and health plans are all part of one organization. They’re connected to each other, and to you, through an electronic health record system so you get informed, personalized care. We also work closely with our community network providers to provide our members a similar level of coordinated high-quality care.
Your care, your way. With Kaiser Permanente, you can choose how, when, and where to get care. Access virtual care options 24/7, including online chat, an advice line, and video and phone visits available anytime or by appointment.