{"id":4403,"date":"2017-11-24T09:11:46","date_gmt":"2017-11-24T17:11:46","guid":{"rendered":"http:\/\/hr.uw.edu\/benefits\/?page_id=4403"},"modified":"2025-10-20T10:27:51","modified_gmt":"2025-10-20T17:27:51","slug":"kaiser-wa","status":"publish","type":"page","link":"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/kaiser-wa\/","title":{"rendered":"Kaiser WA plans"},"content":{"rendered":"

Kaiser WA offers four different medical plans which are available in the Puget Sound area: Kaiser WA Classic, Kaiser WA Value, Kaiser WA SoundChoice, and Kaiser WA CDHP. Another division of Kaiser Permanente also offers PEBB health plans which are only available in SW Washington and northern Oregon. This division is called Kaiser Permanente NW to distinguish it from the Puget Sound Kaiser WA plans.<\/p>\n

Use the information on this page for help choosing the plan that\u2019s best for you and your family. You can find step-by-step instructions for enrolling in benefits<\/a> at Employee Workday Help.<\/p>\n

Provider networks<\/h4>\n

In general, when you have a Kaiser WA plan, you\u2019ll visit Kaiser Permanente Medical Centers to receive care and get prescriptions. Kaiser Permanente has locations throughout Puget Sound and encompasses a wide array of doctors and other professionals. However, you don\u2019t receive coverage if you use a provider outside the plan\u2019s network.<\/p>\n

To browse each plan\u2019s network or to find a specific provider, either call the plan directly or use the plan\u2019s web search tool.<\/p>\n

\n\n\n\n\n\n\n\n
Plan<\/th>\nNetwork<\/th>\nFind a provider online<\/th>\n<\/tr>\n
Kaiser Fdn Hlth Plan WA CDHP<\/a><\/td>\nCore<\/td>\nCDHP network search<\/a><\/td>\n<\/tr>\n
Kaiser Fdn Hlth Plan WA Classic<\/td>\nCore<\/td>\nClassic plan network search<\/a><\/td>\n<\/tr>\n
Kaiser Fdn Hlth Plan WA SoundChoice<\/td>\nPEBB SoundChoice<\/td>\nSoundChoice network search<\/a><\/td>\n<\/tr>\n
Kaiser Fdn Hlth Plan WA Value<\/td>\nCore<\/td>\nValue plan network search<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Cost overview<\/h4>\n

Copayments or coinsurance?<\/h5>\n

With coinsurance<\/b>, the costs you pay for services are calculated as a percentage (for example, 20 percent). Insurance pays the remaining percentage of the cost. With copayments<\/b>, on the other hand, you pay a fixed amount (for example, $20).<\/p>\n

Generally, you\u2019ll pay coinsurance after your visit the doctor, when the bill arrives in the mail. Copayments are usually made at the doctor\u2019s office, when you receive the service.<\/p>\n

While plans using coinsurance are more common, some people prefer plans with copayments because costs are more predictable.<\/p>\n

\n

2025<\/h4>\n
\n\n\n\n\n\n\n\n
Plan<\/th>\nEmployee only premium
\n(per month)<\/th>\n		Employee only
\nDeductible
\n(per year)<\/th>\n		Primary care visit
\n(your cost)<\/th>\n<\/tr>\n
Kaiser WA Classic<\/td>\n$128<\/td>\n$175<\/td>\n$15 copayment<\/td>\n<\/tr>\n
Kaiser WA Value<\/td>\n$119<\/td>\n$250<\/td>\n$30 copayment<\/td>\n<\/tr>\n
Kaiser WA SoundChoice<\/td>\n$73<\/td>\n$125<\/td>\n$20 copayment<\/td>\n<\/tr>\n
Kaiser WA CDHP<\/td>\n$25<\/td>\n$1,650<\/td>\n\u00a010% coinsurance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Complete table of Employee monthly medical premiums 2025<\/a>.<\/p>\n

2026<\/h4>\n
\n\n\n\n\n\n\n\n
Plan<\/th>\nEmployee only premium
\n(per month)<\/th>\n		Employee only
\nDeductible
\n(per year)<\/th>\n		Primary care visit
\n(your cost)<\/th>\n<\/tr>\n
Kaiser WA Classic<\/td>\n$141<\/td>\n$175<\/td>\n$15 copayment<\/td>\n<\/tr>\n
Kaiser WA SoundChoice<\/td>\n$102<\/td>\n$125<\/td>\n$20 copayment<\/td>\n<\/tr>\n
Kaiser WA Value<\/td>\n$150<\/td>\n$250<\/td>\n$30 copayment<\/td>\n<\/tr>\n
Kaiser WA CDHP<\/td>\n$25<\/td>\n$1,700<\/td>\n\u00a010% coinsurance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Complete table of Employee monthly medical premiums 2026<\/a>.<\/p>\n

\n<\/div>\n

Coverage overview<\/h4>\n

While all plans cover the same basic health care services, you may want to know whether or not a certain service is covered by the plan. The most direct way to find out is to call the plan and ask. Alternatively, you can read the plan\u2019s Certificate of Coverage (also called the benefits booklet), which describes the plan in detail. These booklets are long, but they can be helpful if you need to know something specific.<\/p>\n

If you simply want an overview of a plan\u2019s coverage and costs, take a look at the plan Summary of Benefits and Coverage, an easy-to-read summary that lets you quickly review health plans. You can compare options based on price, benefits, and other features that may be important to you.<\/p>\n

To view plan details side by side and directly compare coverage and costs, use the state\u2019s medical benefit comparison tool<\/a>.<\/p>\n

\n

2025 plan summaries<\/h4>\n
\n\n\n\n\n\n\n\n
Plan<\/th>\nCertificate of Coverage<\/th>\nSummary of Benefits
\nand Coverage<\/th>\n<\/tr>\n
Kaiser WA CDHP<\/td>\nView PDF<\/a><\/td>\nView\u00a0PDF<\/a><\/td>\n<\/tr>\n
Kaiser WA Classic<\/td>\nView PDF<\/a><\/td>\nView PDF<\/a><\/td>\n<\/tr>\n
Kaiser WA SoundChoice<\/td>\nView PDF<\/a><\/td>\nView PDF<\/a><\/td>\n<\/tr>\n
Kaiser WA Value<\/td>\nView PDF<\/a><\/td>\nView PDF<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

2026 plan summaries<\/h4>\n
\n\n\n\n\n\n\n\n
Plan<\/th>\nCertificate of Coverage<\/th>\nSummary of Benefits
\nand Coverage<\/th>\n<\/tr>\n
Kaiser WA Classic<\/td>\nView PDF<\/a><\/td>\nView\u00a0PDF<\/a><\/td>\n<\/tr>\n
Kaiser WA CDHP<\/td>\nView PDF<\/a><\/td>\nView PDF<\/a><\/td>\n<\/tr>\n
Kaiser WA SoundChoice<\/td>\nView PDF<\/a><\/td>\nView PDF<\/a><\/td>\n<\/tr>\n
Kaiser WA Value<\/td>\nView PDF<\/a><\/td>\nView PDF<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n
\n
Prescription drug coverage<\/h5>\n

With Kaiser Permanente, you\u2019re required to use network pharmacies for prescription drugs; otherwise, you\u2019ll pay full price for prescriptions. There is a deductible for prescriptions with the Kaiser Permanente Classic, SoundChoice, and Value plans. This deductible does not apply to value or tier prescriptions. Mail-order drugs are available in all plans.<\/p>\n

Coverage is tiered: the amount you pay increases as you move up the tiers from the least expensive, generic drugs, to the more expensive, specialty drugs.<\/p>\n

You can find complete details about prescription drug coverage by reviewing the plan\u2019s Certificate of Coverage.<\/p>\n

Plan ID Cards<\/h4>\n

After you enroll, your health plan will send you an identification (ID) card to show to providers when you receive care. If you have questions about your ID card, contact your plan directly.<\/p>\n

Other resources<\/h4>\n

How CDHPs and HSAs work<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP.<\/p>\n","protected":false},"author":49,"featured_media":0,"parent":4399,"menu_order":20,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"class_list":["post-4403","page","type-page","status-publish","format-standard","hentry","search_bucket-health-insurance","search_bucket-page"],"acf":[],"yoast_head":"\nKaiser WA plans - Benefits<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/kaiser-wa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kaiser WA plans - Benefits\" \/>\n<meta property=\"og:description\" content=\"Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/kaiser-wa\/\" \/>\n<meta property=\"og:site_name\" content=\"Benefits\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-20T17:27:51+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/kaiser-wa\/\",\"url\":\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/kaiser-wa\/\",\"name\":\"Kaiser WA plans - 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