2022-2023 Monthly Medical Premiums for Retirees Non-Medicare
Retiree Non-Medicare Benefit Premiums Effective: June 1, 2022 - May 31, 2023
Retiree - Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $991.86 |
| County Health Plan PPO | $1,201.74 |
| Kaiser Permanente Traditional HMO | $983.90 |
| Kaiser Permanente Hospital Services DHMO | $756.00 |
| Kaiser Permanente Deductible First HDHP | $701.50 |
| Kaiser Northwest | $1,151.75 |
| Kaiser Hawaii | $985.24 |
| Sutter Health Plus HMO | $720.70 |
| Sutter Health Plus Hospital Services DHMO | $618.30 |
| Sutter Health Plus Deductible First HDHP | $574.40 |
| Western Health Advantage HMO | $726.08 |
| Western Health Advantage Hospital Services DHMO | $601.90 |
| Western Health Advantage Deductible First HDHP | $545.86 |
Retiree + 1 - Both Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $1,937.56 |
| County Health Plan PPO | $2,362.26 |
| Kaiser Permanente Traditional HMO | $1,877.80 |
| Kaiser Permanente Hospital Services DHMO | $1,512.00 |
| Kaiser Permanente Deductible First HDHP | $1,403.00 |
| Kaiser Northwest | $2,303.50 |
| Kaiser Hawaii | $1,970.48 |
| Sutter Health Plus HMO | $1,441.50 |
| Sutter Health Plus Hospital Services DHMO | $1,236.70 |
| Sutter Health Plus Deductible First HDHP | $1,148.80 |
| Western Health Advantage HMO | $1,452.18 |
| Western Health Advantage Hospital Services DHMO | $1,203.84 |
| Western Health Advantage Deductible First HDHP | $1,091.74 |
Retiree + 2 or more - All Non-Medicare
| Medical Plan | Monthly Total Premium |
|---|---|
| County Health Plan EPO | $2,702.62 |
| County Health Plan PPO | $3,301.14 |
| Kaiser Permanente Traditional HMO | $2,657.10 |
| Kaiser Permanente Hospital Services DHMO | $2,139.48 |
| Kaiser Permanente Deductible First HDHP | $1,985.24 |
| Kaiser Northwest | $3,455.25 |
| Kaiser Hawaii | $2,955.72 |
| Sutter Health Plus HMO | $2,040.00 |
| Sutter Health Plus Hospital Services DHMO | $1,750.00 |
| Sutter Health Plus Deductible First HDHP | $1,625.60 |
| Western Health Advantage HMO | $2,054.84 |
| Western Health Advantage Hospital Services DHMO | $1,703.44 |
| Western Health Advantage Deductible First HDHP | $1,544.82 |
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.