Kaiser Permanente

Individual and Family Plans

Our 2018 plans offer great coverage, high-quality providers, and value all along the cost and coverage spectrum. Everything your clients are looking for in a health plan is right here.

1. Learn About Our Plans

Your clients can choose from an updated portfolio of individual health plans for 2018, including plans direct from Kaiser Permanente, and plans through Washington Healthplanfinder. Kaiser Permanente offers great benefit coverage, value for your clients' money, and a choice of high quality providers.

2. Review Our Provider Network

Core

Offered by Kaiser Permanente

Thousands of quality providers and facilities, including:

More than 1,000 providers1 at 25 Kaiser Permanente medical offices and pharmacies3

More than 9,000 contracted providers and facilities, including 49 hospitals3

3. Choose the Right Coverage Level

All our plans include the same benefits. The main differences are seen in the monthly premiums versus the member's cost shares.

Levels BronzeSilver Gold

Monthly premium

$$$$$$

Cost to members when they get care

(Copays, deductible, coinsurance)
$$$$$$

4. Consider Dental Coverage

We work with Delta Dental of Washington to offer your clients dental coverage when paired with one of our 2018 direct individual plans. Both of the following options fulfill the federal mandate to provide pediatric dental coverage to anyone under age 19.

1. An adult/family plan that includes dental coverage for those over age 19 and those under age 19. This plan is available for adults and families who purchase their medical plan direct from Kaiser Permanente. For clients who enroll through the Washington Healthplanfinder, they will now be able to purchase adult/family dental along with their medical plan.

2. A pediatric-only plan that includes dental coverage only for those under age 19.

  • This plan is only available if your clients purchase their medical plan direct from Kaiser Permanente.
  • If your clients purchase their medical plan through Washington Healthplanfinder and are under age 19 or have dependents under age 19, they must purchase pediatric dental coverage there.

Dental plans summary of benefits (PDF) (pages 21-22)

Also see: Using Your Dental Benefits

For Members Enrolling Direct With Kaiser Permanente
Dental coverage can be elected when enrolling in a medical plan online or using the I&F application. For clients who want to keep their current medical plans and do not intend to make changes during open enrollment — but want one of our dental plans — have them complete, print, sign and send the dental application (PDF).

If your client plans to enroll, or has already enrolled, in a dental plan through an employer or another dental carrier, they must complete and submit an attestation of pediatric dental coverage form (PDF), along with proof of coverage with coverage effective date-such as a copy of a dental ID card, billing statement, or benefit booklet. This is a requirement to attest and provide proof of coverage annually to Kaiser Permanente within 60 days of your medical coverage effective date.

Dental application (PDF)
Pediatric Dental Attestation (PDF)
I&F application (PDF)

2018 Open Enrollment

Nov. 1, 2017 — Jan. 15, 2018

Deadlines to Enroll

For Coverage Beginning Off-Exchange With Kaiser Permanente Through Washington Healthplanfinder
Jan. 1, 2018Dec. 15, 2017Dec. 15, 2017
Feb. 1, 2018Jan. 15, 2018Jan. 15, 2018

1Washington Permanente Medical Group personnel records Oct. 2017

2Certain qualifying events — such as if your client loses their minimum essential coverage, or there is a birth or adoption in their family — allow members to enroll in a health plan, or modify their coverage, at any time during the year, as long as it's no more than 60 days from the date of the qualifying event.

3OIC Provider Network Form A