Non-Medicare plan premiums

Medical and dental plan premiums

See the non-Medicare medical plan premiums on page 2:

• Retiree monthly premiums (2024)

Before you enroll

1. Make sure you live in the plan's service area.
2. Contact the plan or check the plan's provider directory 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 medical plan premium if they apply to you.

• A $25-per-account surcharge will apply if you or any dependent (age 13 and older) enrolled in PEBB medical uses tobacco products.
• A $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical and your spouse or state-registered domestic partner has chosen not to enroll in other employer-based group medical that is comparable to Uniform Medical Plan (UMP) Classic.

For more details, visit Surcharges.

How to pay for your benefits

You have several options to pay for your benefits.

• By automatic deduction from your pension
• By automatic bank withdrawal
• By check
• By VEBA MEP reimbursement

For details and contact information, see How do I pay? on the Paying for benefits page.