2018 PEBB Medicare and Pre-65 Retirees

Retirement is an exciting time, but it can also be a challenge. The last thing you want to worry about is health care. Kaiser Permanente WA offers coverage for both Medicare eligible retirees as well as those retiring before they are Medicare eligible – typically before age 65.

If you are eligible for Medicare and have enrolled in Medicare Part A and Part B, you can enroll in our PEBB Retiree Medicare Advantage plan. For those who are not yet Medicare eligible, you can remain on one of the Kaiser Permanente WA PEBB plans as a retiree.

If you have questions about eligibility and enrollment, go to the Health Care Authority’s “For Retirees” page.

Retiree Benefits and Rates**

Medicare Advantage

2019 Benefits

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Resources for Medicare Advantage

2019 Medicare Advantage Part D Comprehensive Formulary (PDF)

To find Providers, visit our Provider Directory Select Medicare Advantage HMO

Non-Medicare/Pre-65 Retiree Benefits and Rates*

2019 Rates1 & Benefits

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2019 Rate & Benefits

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2019 Rate & Benefits

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2019 Rate & Benefits

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Resources for Medicare Advantage

2019 Medicare Advantage Part D Comprehensive Formulary (PDF)

To find Providers, visit our Provider Directory Select Medicare Advantage HMO

Provider Networks for Fully Insured Large Groups

Our HMO and PPO customizable plans incorporate value-based benefit design plus access to high-performing providers to drive better health outcomes and lower costs. Employees are engaged and incented to pursue healthy behaviors and make smarter health care choices.

Many physician practices are aspiring to meet the criteria for a high-performing health system set by the American Medical Group Association. Kaiser Permanente medical offices already does. That's why our plans are designed to steer employees to use our medical offices, and other high-performing providers.

Instead of managing multiple vendors, your clients can get what they need from Kaiser Permanente—including care management services for chronic and complex health conditions, a cutting-edge wellness program, and advanced self-service capability for employees online. Even better, at Kaiser Permanente Medical Centers these services are integrated with employees' medical care and records for a seamless experience.

While the extent of services varies based on group size, all groups benefit from wellness program support, expert advice on health care reform and benefit design, updates on new products, and population-based reports that include data about care, not just claims. Our objective: Your clients have the information to design an effective action plan that promotes better health and lower costs.

1 You must continue to pay your Medicare Part B premium and any other applicable Medicare premium(s), if not otherwise paid by Medicaid or another third party.

You must reside in the Kaiser Permanente WA Medicare Advantage health plan service area in which you enroll. The counties that service this health plan are: Grays Harbor (ZIP codes 98541, 98557, 98559, 98568), Island, King, Kitsap, Lewis, Mason (ZIP codes 98524, 98528, 98546, 98548, 98555, 98584, 98588, and 98592), Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, and Whatcom counties.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year.

Almost eligible for Medicare?

For retirees, COBRA, and PEBB Continuation of Coverage members only: When you receive your Medicare card, send a copy of it to the Public Employees Benefits Board (PEBB) Program indicating the effective dates of your Medicare Parts A & B coverage. You will also need to send a Medicare Advantage election form (PDF) to Kaiser Permanente WA or the PEBB Program. You won't need to enroll in Medicare Part D, since your PEBB plan provides comparable prescription drug benefits.

Questions?

Kaiser Permanente has set up a special Customer Service line just for active PEBB employees.

Speak with a representative Mon. – Fri. 8 a.m. – 6 p.m.

Call 1-866-648-1928

For Medicare questions

Medicare members call to speak with a licensed Kaiser Permanente WA representative:

1-800-581-8252 (TTY 711)

Provider Directories

Find a Provider For SoundChoice Subscribers

Find a Provider For Classic, CDDHP, and Value Subscribers)

Find a Provider Medicare Advantage Retirees

Frequently Asked Questions

Find answers to frequently asked questions about our online services to manage your care, including paying premiums or bills, refilling prescriptions, emailing your doctor, and more.