2023-2024 Monthly Medical Premiums for Retirees

Retiree Benefit Premiums Effective: June 1, 2023 - May 31, 2024

Medicare retirees and dependents enrolled in a Kaiser Permanente plan will be enrolled in the Kaiser Senior Advantage plan. Non-Medicare dependents will continue to be enrolled in standard Kaiser Permanente plans.

Medicare Retirees and dependents enrolled in a Western Health Advantage plan will be enrolled in the Western Health Advantage Medicare Advantage plan. Non-Medicare dependents will continue to be enrolled in standard Western Health Advantage plans.

For information regarding the available plans visit:

County Health Plans (CHP) - Closed to new enrollees as of June 1, 2024.

Kaiser Permanente

Sutter Health Plus

Western Health Advantage

UnitedHealthcare AARP

Retiree Only

Medical Plan	Non-Medicare Monthly Total Premium	Medicare Monthly Total Premium
County Health Plan EPO	$1,068.24	$533.63
County Health Plan PPO	$1,294.28	$646.52
Kaiser Permanente Traditional HMO	$954.34	$285.14
Kaiser Permanente Hospital Services DHMO	$768.42	N/A
Kaiser Permanente Deductible First HDHP	$706.22	N/A
Kaiser Northwest	$1,176.70	$315.57
Kaiser Hawaii	$987.70	$405.71
Sutter Health Plus HMO	$760.40	N/A
Sutter Health Plus Hospital Services DHMO	$652.50	N/A
Sutter Health Plus Deductible First HDHP	$606.10	N/A
Western Health Advantage HMO	$757.12	$378.50
Western Health Advantage Hospital Services DHMO	$627.62	N/A
Western Health Advantage Deductible First HDHP	$569.20	N/A

Retiree + 1

Medical Plan	Both Non-Medicare Monthly Total Premium	Both Medicare Monthly Total Permium
County Health Plan EPO	$2,086.76	$1,067.26
County Health Plan PPO	$2,544.16	$1,293.04
Kaiser Permanente Traditional HMO	$1,908.68	$570.28
Kaiser Permanente Hospital Services DHMO	$1,536.84	N/A
Kaiser Permanente Deductible First HDHP	$1,412.44	N/A
Kaiser Northwest	$2,353.40	$631.14
Kaiser Hawaii	$1,975.41	$811.42
Sutter Health Plus HMO	$1,520.80	N/A
Sutter Health Plus Hospital Services DHMO	$1,305.00	N/A
Sutter Health Plus Deductible First HDHP	$1,212.20	N/A
Western Health Advantage HMO	$1,514.26	$757.00
Western Health Advantage Hospital Services DHMO	$1,255.30	N/A
Western Health Advantage Deductible First HDHP	$1,138.42	N/A

Retiree + 2 or more

Medical Plan	All Non-Medicare Monthly Total Premium	All Medicare Monthly Total Premium
County Health Plan EPO	$2,910.72	$1,600.89
County Health Plan PPO	$3,555.32	$1,939.56
Kaiser Permanente Traditional HMO	$2,700.78	$855.42
Kaiser Permanente Hospital Services DHMO	$2,174.64	N/A
Kaiser Permanente Deductible First HDHP	$1,998.60	N/A
Kaiser Northwest	$3,530.10	$946.71
Kaiser Hawaii	$2,963.11	$1,217.13
Sutter Health Plus HMO	$2,152.10	N/A
Sutter Health Plus Hospital Services DHMO	$1,846.70	N/A
Sutter Health Plus Deductible First HDHP	$1,715.30	N/A
Western Health Advantage HMO	$2,142.68	$1,135.50
Western Health Advantage Hospital Services DHMO	$1,776.26	N/A
Western Health Advantage Deductible First HDHP	$1,610.86	N/A

1 Medicare + 1 Non-Medicare

Medical Plan	Monthly Total Premium
County Health Plan EPO	$1,601.87
County Health Plan PPO	$1,940.80
Kaiser Permanente Traditional HMO	$1,239.48
Kaiser Permanente Hospital Services DHMO	$1,053.56
Kaiser Permanente Deductible First HDHP	$991.36
Kaiser Northwest	$1,492.27
Kaiser Hawaii	$1,393.41
Western Health Advantage Traditional HMO	$1,135.62
Western Health Advantage Hospital Services DHMO	$1,006.12
Western Health Advantage Deductible First HDHP	$947.70

1 Medicare + 2 or more Non-Medicare

Medical Plan	Monthly Total Premium
County Health Plan EPO	$2,620.39
County Health Plan PPO	$3,190.68
Kaiser Permanente Traditional HMO	$2,031.58
Kaiser Permanente Hospital Services DHMO	$1,691.36
Kaiser Permanente Deductible First HDHP	$1,577.52
Kaiser Northwest	$2,668.97
Kaiser Hawaii	$2,381.12
Western Health Advantage Traditional HMO	$1,764.06
Western Health Advantage Hospital Services DHMO	$1,527.14
Western Health Advantage Deductible First HDHP	$1,420.16

Retiree and Spouse both Medicare + 1 or more Non-Medicare

Medical Plan	Monthly Total Premium
County Health Plan EPO	$2,135.50
County Health Plan PPO	$2,587.32
Kaiser Permanente Traditional HMO	$1,362.38
Kaiser Permanente Hospital Services DHMO	$1,208.08
Kaiser Permanente Deductible First HDHP	$1,156.44
Kaiser Northwest	$1,807.84
Kaiser Hawaii	$1,799.12
Western Health Advantage Traditional HMO	$1,385.42
Western Health Advantage Hospital Services DHMO	$1,277.96
Western Health Advantage Deductible First HDHP	$1,229.44

Retiree and Child both Medicare + Spouse Non-Medicare

Medical Plan	Monthly Total Premium
County Health Plan EPO	$2,135.50
County Health Plan PPO	$2,587.32
Kaiser Permanente Traditional HMO	$1,524.62
Kaiser Permanente Hospital Services DHMO	$1,338.70
Kaiser Permanente Deductible First HDHP	$1,276.50
Kaiser Northwest	$1,807.84
Kaiser Hawaii	$1,799.12
Western Health Advantage Traditional HMO	$1,385.42
Western Health Advantage Hospital Services DHMO	$1,277.96
Western Health Advantage Deductible First HDHP	$1,229.44

2024-2025 Retiree Monthly Medical Premiums