WA Retirement Systems
PEBB Medicare
Phone: 1-800-200-1004 (toll-free)

• PEBB LOGIN
• PEBB Enrollment Guide (download)
• Employee and Retiree Benefits
• Medicare and Turning 65 

​PEBB MEDICARE OPTIONS
Explore the medical plans and benefits available to PEBB retiree subscribers and dependents.

• Compare medical plans  /  COMPARISION TOOL
• Monthly Premiums 2024
• Benefits At-A-Glance 2024
• 2024 PEBB Retiree Open Enrollment Election/Change (Form A-OE)

QUICK LINKS

• ALL PLAN BENEFITS
• Kaiser Permanente NW plans (Clark and Cowlitz counties in Washington and select counties in Oregon.)
• Kaiser Permanente WA plans
• Medicare Supplement Plan G
• Uniform Medical Plan (UMP) - by Regence BlueShield and WSRxS
• UnitedHealthcare Medicare Advantage Prescription Drug (MAPD) plans​

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HOW DO I ENROLL
Whether you’re newly eligible or enrolling after deferring coverage, the most important thing you need to do is submit the Retiree Election Form (form A) — along with any other required forms and documents based on your situation — by the required deadline. Once you have submitted your enrollment materials we will notify you of next steps.
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HOW DO I ENROLL

• PEBB Form A (2024) - For PEBB Medicare Advantage Only or in addition to PEBB Form B if you choose a Medicare Supplement.
• PEBB Form B - For Premera Supplement (Note, you will need a drug plan too. To get started with a drug plan, click here)

HOW TO SUBMIT
Electronically - Submit your forms through HCA Support. Attach them to a secure message. Be sure to sign them (typed signatures are not allowed). To keep your personal information secure, you will need to register for an account (if you don't already have one) to submit your materials using this method.

By mail
Washington State Health Care Authority
PEBB Program
PO Box 42684
Olympia, WA 98504-2684

By fax
360-725-0771

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