All Kaiser Permanente health plans are competitively priced and cover the medical benefits you and your family need — with an emphasis on preventive care and your overall wellness.
Our plans offer you a wide range of choices in monthly premiums and cost shares, such as copays and coinsurance, to fit your budget and your needs.
Browse the summary of plan rates and benefits on this page, then get a quote and enroll directly through Kaiser Permanente.
If you qualify for financial help with your cost of coverage (use our tool to find out), then you'll need to enroll through the exchange, Washington Healthplanfinder.
Plans direct from Kaiser Permanente
Scroll to see information about all 5 plans.
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider
Network
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX BRONZE
Flex Bronze (PDF) (page 6)
$5,500 individual / $11,000 family
$7,150 individual / $14,300 family
Primary: $40 for first 3 primary care office
visits*, additional visits 20% after deductible
Specialty: 20% after deductible
Specialty: 20% after deductible
$40 for first 3 primary care office visits*, additional visits 20%
after deductible
Specialty: 20% after deductible
Specialty: 20% after deductible
20% after deductible
Tier 1:
Preferred generic - $25
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $25
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Evidence of Coverage
(PDF)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
CORE BRONZE HSA
Core Bronze HSA
(PDF) (page 6)
$5,000 individual / $10,000 family
$6,750 individual / $13,500 family
Primary: 20% after deductible
Specialty: 20% after deductible
Specialty: 20% after deductible
20% after deductible
20% after deductible
Tier 1:
Preferred generic - 20% after deductible
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - 20% after deductible
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Evidence of Coverage
(PDF)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX SILVER HD
Flex Silver HD
(PDF) (page 7)
$3,000 individual / $6,000 family
$7,900 individual / $15,800 family
Primary: $20 for first 3 office visits*, additional
visits $20 after deductible
Specialty: $45 for first 3 office visits*, additional visits $45 after deductible
Specialty: $45 for first 3 office visits*, additional visits $45 after deductible
$20 primary / $45 specialty for first 3 office visits*, additional
visits $20 / $45 after deductible
30% after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $10
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Evidence of Coverage
(PDF)
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider
Network (continued)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
CORE SILVER HSA
Core Silver HSA
(PDF) (page 6)
$3,000 individual / $6,000 family
$5,750 individual / $11,500 family
Primary: 10% after deductible
Specialty: 10% after deductible
10% after deductible
10% after deductible
Tier 1:
Preferred generic - 10% after deductible
Tier 2:
Preferred brand - 30% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - 10% after deductible
Tier 2:
Preferred brand - 30% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Evidence of Coverage
(PDF)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX GOLD
Flex Gold
(PDF) (page 7)
$1,150 individual / $2,300 family
$6,500 individual / $13,000 family
Primary: $15 for first 5 office visits*, additional
visits $15 after deductible
Specialty: $40 for first 5 office visits*, additional visits $40 after deductible
Specialty: $40 for first 5 office visits*, additional visits $40 after deductible
$15 primary / $40 specialty for first 5 office visits*, additional
visits $15 / $40 after deductible
20% after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand - $35
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Preferred generic - $10
Tier 2:
Preferred brand - $35
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Evidence of Coverage
(PDF)
Plans Through Washington Healthplanfinder
Scroll to see information about all 12 plans.
Plans Through Washington Healthplanfinder
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
CORE BASICS PLUS
Core Basics Plus (PDF) (page 6)
$8,150 individual / $16,300 family
$8,150 individual / $16,300 family
Primary: No charge for first 3 office visits*,
additional visits no charge after deductible
Specialty: No charge after deductible
additional visits no charge after deductible
Specialty: No charge after deductible
No charge for first 3 primary care office visits*, additional
visits no charge after deductible; no charge after deductible for
specialty visits
No charge after deductible
Tier 1:
Preferred generic - No charge after deductible
Tier 2:
Preferred brand - No charge after deductible
Tier 3:
Non-preferred generic & brand - No charge after deductible
Tier 4:
Specialty - No charge after deductible
Preferred generic - No charge after deductible
Tier 2:
Preferred brand - No charge after deductible
Tier 3:
Non-preferred generic & brand - No charge after deductible
Tier 4:
Specialty - No charge after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX BRONZE
Flex Bronze
(PDF) (page 6)
$5,500 individual / $11,000 family
$7,150 individual / $14,300 family
Primary: $40 for first 3 office visits*,
additional visits 20% after deductible
Specialty: 20% after deductible
Specialty: 20% after deductible
$40 for first 3 primary care office visits*, additional visits 20%
after deductible
Specialty: 20% after deductible
Specialty: 20% after deductible
20% after deductible
Tier 1:
Preferred generic - $25
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $25
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
CORE BRONZE HSA
Core Bronze HSA
(PDF) (page 6)
$5,000 individual / $10,000 family
$6,750 individual / $13,500 family
Primary: 20% after deductible
Specialty: 20% after deductible
Specialty: 20% after deductible
20% after deductible
20% after deductible
Tier 1:
Preferred generic - 20% after deductible
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - 20% after deductible
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Plans Through Washington Healthplanfinder
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network (continued)
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network (continued)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
VISITSPLUS SILVER HD
VisitsPlus Silver HD
(PDF) (page 7)
$7,150 individual / $14,300 family
$7,150 individual / $14,300 family
Primary:
$30
Specialty: $55
$30
Specialty: $55
$30 primary / $55 specialty
No charge after deductible
Tier 1:
Preferred generic - $12
Tier 2:
Preferred brand - $55
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $12
Tier 2:
Preferred brand - $55
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX SILVER
Flex Silver
(PDF) (page 7)
$2,000 individual / $4,000 family
$7,900 individual / $15,800 family
Primary: $20 for first 4 office visits*,
additional visits $20 after deductible
Specialty: $45 for first 4 office visits*, additional visits $45 after deductible
Specialty: $45 for first 4 office visits*, additional visits $45 after deductible
$20 primary / $45 specialty for first 4 office visits*, additional
visits $20 / $45 after deductible
30% after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $10
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX GOLD
Flex Gold
(PDF) (page 7)
$1,150 individual / $2,300 family
$6,500 individual / $13,000 family
Primary: $15 for first 5 office visits*,
additional visits $15 after deductible
Specialty: $40 for first 5 office visits*, additional visits $40 after deductible
Specialty: $40 for first 5 office visits*, additional visits $40 after deductible
$15 primary / $40 specialty for first 5 office visits*, additional
visits $15 / $40 after deductible
20% after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand: $35
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Preferred generic - $10
Tier 2:
Preferred brand: $35
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Plans Through Washington Healthplanfinder
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network (continued)
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network (continued)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
VISITSPLUS SILVER 73 HD
VisitsPlus Silver 73 HD
(PDF) (page 8)
$6,250 individual / $12,500 family
$6,500 individual / $13,000 family
Primary: $20
Specialty: $45
Specialty: $45
$20 primary / $45 specialty
No charge after deductible
Tier 1:
Preferred generic - $12
Tier 2:
Preferred brand - $50
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $12
Tier 2:
Preferred brand - $50
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
VISITSPLUS SILVER 87 HD
VisitsPlus Silver 87 HD
(PDF) (page 8)
$1,900 individual / $3,800 family
$2,150 individual / $4,300 family
Primary: $10
Specialty: $20
Specialty: $20
$10 primary / $20 specialty
No charge after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand - $45
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Preferred generic - $10
Tier 2:
Preferred brand - $45
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
VISITSPLUS SILVER 94 HD
VisitsPlus Silver 94 HD
(PDF) (page 8)
$775 individual / $1,550 family
$850 individual / $1,700 family
Primary: $5
Specialty: $10
Specialty: $10
$5 primary / $10 specialty
No charge after deductible
Tier 1:
Preferred generic - $7
Tier 2:
Preferred brand - $30
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Preferred generic - $7
Tier 2:
Preferred brand - $30
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Plans Through Washington Healthplanfinder
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network (continued)
2020 Kaiser Foundation Health Plan of Washington Plans: Core Provider Network (continued)
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX SILVER 73
Flex Silver 73
(PDF) (page 9)
$1,900 individual / $3,800 family
$6,350 individual / $12,700 family
Primary: $20 for first 4 office visits*,
additional visits $20 after deductible
Specialty: $45 for first 4 office visits*, additional visits $45 after deductible
Specialty: $45 for first 4 office visits*, additional visits $45 after deductible
$20 primary / $45 specialty for first 4 office visits*, additional
visits $20 / $45 after deductible
30% after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
Preferred generic - $10
Tier 2:
Preferred brand - 40% after deductible
Tier 3:
Non-preferred generic & brand - 50% after deductible
Tier 4:
Specialty - 50% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX SILVER 87
Flex Silver 87
(PDF) (page 9)
$600 individual / $1,200 family
$2,700 individual / $5,400 family
Primary: $10 for first 4 office visits*,
additional visits $10 after deductible
Specialty: $30 for first 4 office visits*, additional visits $30 after deductible
Specialty: $30 for first 4 office visits*, additional visits $30 after deductible
$10 primary / $30 specialty for first 4 office visits*, additional
visits $10 / $30 after deductible
10% after deductible
Tier 1:
Preferred generic - $10
Tier 2:
Preferred brand - 30% after deductible
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Preferred generic - $10
Tier 2:
Preferred brand - 30% after deductible
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
BENEFIT
Benefits Overview
Annual Deductible
Out-of-Pocket Maximum
Office Visits
Adult Vision (routine eye exam)
Lab/X-ray Services
Prescription Drugs
Coverage Document
FLEX SILVER 94
Flex Silver 94
(PDF) (page 9)
$150 individual / $300 family
$2,700 individual / $5,400 family
Primary: No charge for first 4 office visits*,
additional visits no charge after deductible
Specialty: $5 for first 4 office visits*, additional visits $5 after deductible
Specialty: $5 for first 4 office visits*, additional visits $5 after deductible
No charge primary / $5 specialty for first 4 office visits,*
additional visits no charge / $5 after deductible
5% after deductible
Tier 1:
Preferred generic - $7
Tier 2:
Preferred brand - 10% after deductible
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
Preferred generic - $7
Tier 2:
Preferred brand - 10% after deductible
Tier 3:
Non-preferred generic & brand - 40% after deductible
Tier 4:
Specialty - 40% after deductible
More resources
2020 enrollment guide & rates
(PDF)
2020 WA Healthplanfinder enrollment guide
(PDF)
Summary of benefits and coverage
Enrollment application
(PDF)
Dental coverage
Account change form
(PDF)
Tobacco affidavit
(PDF)
Affordable Care Act
Please note:
This is an overview of benefits. The contents are not to be accepted or
construed as a substitute for the provisions of the medical coverage
agreement. Other terms and conditions may apply. A list of excluded services
and other limitations can be found in each plan's
Summary of Benefits and Coverage document.
*Upfront visits not subject to deductible are combined for all visits. Each service does not have its own set of upfront visits.
