2022-2023 Monthly Medical Premiums for Retirees with Medicare
Retiree Medicare Benefit Premiums Effective: June 1, 2022 - May 31, 2023
Retiree - Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $533.63 |
| County Health Plan PPO | $646.52 |
| Kaiser Senior Advantage | $298.96 |
| Kaiser Northwest | $318.62 |
| Kaiser Hawaii | $422.68 |
| Western Health Advantage Traditional HMO | $367.50 |
Medicare retirees and dependents enrolled in a Kaiser plan will be enrolled in the Kaiser Senior Advantage. Medicare Retirees and dependents enrolled in a Western Health Advantage plan will be enrolled in the or Western Health Advantage Medicare Advantage plan.
Retiree + 1 - Both Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $1,067.26 |
| County Health Plan PPO | $1,293.04 |
| Kaiser Senior Advantage | $597.92 |
| Kaiser Northwest | $637.24 |
| Kaiser Hawaii | $845.36 |
| Western Health Advantage Traditional HMO | $735.00 |
Medicare retirees and dependents enrolled in a Kaiser plan will be enrolled in the Kaiser Senior Advantage. Medicare Retirees and dependents enrolled in a Western Health Advantage plan will be enrolled in the or Western Health Advantage Medicare Advantage plan.
Retiree + 2 or more - All Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $1,600.89 |
| County Health Plan PPO | $1,939.56 |
| Kaiser Senior Advantage | $896.88 |
| Kaiser Northwest | $955.86 |
| Kaiser Hawaii | $1,268.04 |
| Western Health Advantage Traditional HMO | $1,102.50 |
Medicare retirees and dependents enrolled in a Kaiser plan will be enrolled in the Kaiser Senior Advantage. Medicare Retirees and dependents enrolled in a Western Health Advantage plan will be enrolled in the or Western Health Advantage Medicare Advantage plan.
1 Medicare + 1 Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $1,525.49 |
| County Health Plan PPO | $1,848.26 |
| Kaiser Permanente Traditional HMO | $1,237.86 |
| Kaiser Permanente Hospital Services DHMO | $1,054.96 |
| Kaiser Permanente Deductible First HDHP | $1,000.46 |
| Kaiser Northwest | $1,470.37 |
| Kaiser Hawaii | $1,407.92 |
| Western Health Advantage Traditional HMO | $1,093.60 |
| Western Health Advantage Hospital Services DHMO | $969.44 |
| Western Health Advantage Deductible First HDHP | $913.38 |
Medicare retirees and dependents enrolled in a Kaiser Permanente plan will be enrolled in the Kaiser Senior Advantage. 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 or Western Health Advantage Medicare Advantage plan. Non-Medicare dependents will continue to be enrolled in standard Western Health Advantage plans.
The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.
1 Medicare + 2 or more Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $2,471.19 |
| County Health Plan PPO | $3,008.78 |
| Kaiser Permanente Traditional HMO | $2,017.16 |
| Kaiser Permanente Hospital Services DHMO | $1,682.44 |
| Kaiser Permanente Deductible First HDHP | $1,582.70 |
| Kaiser Northwest | $2,622.12 |
| Kaiser Hawaii | $2,393.16 |
| Western Health Advantage Traditional HMO | $1,696.26 |
| Western Health Advantage Hospital Services DHMO | $1,469.04 |
| Western Health Advantage Deductible First HDHP | $1,366.46 |
Medicare retirees and dependents enrolled in a Kaiser Permanente plan will be enrolled in the Kaiser Senior Advantage. 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 or Western Health Advantage Medicare Advantage plan. Non-Medicare dependents will continue to be enrolled in standard Western Health Advantage plans.
The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.
Retiree and Spouse Medicare + 1 or more Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $2,059.12 |
| County Health Plan PPO | $2,494.78 |
| Kaiser Permanente Traditional HMO | $1,377.22 |
| Kaiser Permanente Hospital Services DHMO | $1,225.40 |
| Kaiser Permanente Deductible First HDHP | $1,180.16 |
| Kaiser Northwest | $1,788.99 |
| Kaiser Hawaii | $1,830.60 |
| Western Health Advantage Traditional HMO | $1,337.66 |
| Western Health Advantage Hospital Services DHMO | $1,234.60 |
| Western Health Advantage Deductible First HDHP | $1,188.08 |
Medicare retirees and dependents enrolled in a Kaiser Permanente plan will be enrolled in the Kaiser Senior Advantage. 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 or Western Health Advantage Medicare Advantage plan. Non-Medicare dependents will continue to be enrolled in standard Western Health Advantage plans.
The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.
Retiree and Child Medicare + Spouse Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $2,059.12 |
| County Health Plan PPO | $2,494.78 |
| Kaiser Permanente Traditional HMO | $1,536.82 |
| Kaiser Permanente Hospital Services DHMO | $1,353.92 |
| Kaiser Permanente Deductible First HDHP | $1,299.42 |
| Kaiser Northwest | $1,788.99 |
| Kaiser Hawaii | $1,830.60 |
| Western Health Advantage Traditional HMO | $1,337.66 |
| Western Health Advantage Hospital Services DHMO | $1,234.60 |
| Western Health Advantage Deductible First HDHP | $1,188.08 |
Medicare retirees and dependents enrolled in a Kaiser Permanente plan will be enrolled in the Kaiser Senior Advantage. 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 or Western Health Advantage Medicare Advantage plan. Non-Medicare dependents will continue to be enrolled in standard Western Health Advantage plans.
The benefit rates in this table list the combined rates for Medicare and non-Medicare recipients.