Enrollment & Benefits

Open Enrollment table topper - Display around your office and in break areas to alert and remind your employees of benefit enrollment dates.

Open Enrollment poster (8.5 x 11) - Display around your office and in break areas to alert and remind your employees of benefit enrollment dates.

Open Enrollment poster (11 x 17) - Display around your office and in break areas to alert and remind your employees of benefit enrollment dates.

24-Hour NurseLine flyer - Information on the convenience of the 24-Hour NurseLine, staffed by registered nurses.

Generics brochure - Hand out this brochure and/or make available to employees who may have questions about the benefits of purchasing generic prescriptions.

Generics 11 x 17 poster - Place this poster in high-traffic areas to reinforce the benefits of asking for generic drugs.

How to print:

• If you have 11x17 printing capabilities, set your page scaling to "None" and check the "Choose Paper Source by PDF Page Size" box by PDF Page Size.
• If you don't have 11x17 printing capabilities, select the "Fit to Printer Margins" option in the page scaling area, and leave the "Choose Paper Source by PDF Page Size" box unchecked.

Generics flyer - Post this flyer around your workplace to create awareness about the benefits of purchasing generic prescriptions.

Choosing an In-network Doctor Tip Sheet

Out-of-network Doctor Tip Sheet

Preventive List & Tip Sheet (Grandfathered)

Preventive List & Tip Sheet (Non-Grandfathered)

How to Avoid Facility Fees Tip Sheet

Prepare for Doctor Visit Tip Sheet

Pre-approval Member Tip Sheet - For fully insured groups and some self-funded groups*

Pre-approval Option C Member Tip Sheet - For some self-funded groups*

*Check with Premera to verify your group category.

Express Scripts Home Delivery™ mail-order form - Convenient mail-order prescription form. On behalf of Premera, Express Scripts is an independent company providing pharmacy benefit services.

Health, Allergy and Medication Questionnaire - To help protect you against potentially harmful drug allergies, interactions and side effects.

Prescription reimbursement form - A prescription reimbursement form in the event a member has to pay upfront for a prescription.

Paperless EOB Member Tip Sheet - How to sign up for paperless EOB statements.

Getting the Right Care Member Tip Sheet - When to see a doctor, urgent care facility or emergency room and how to use the 24-Hour NurseLine to help you decide.