Your Benefit Summary shows you the healthcare service costs covered by your plan. If you check your Benefit Summary before visiting your doctor, then you can be better prepared for any healthcare costs that are likely to be your responsibility.
We encourage you to compare healthcare costs. Some doctors and healthcare facilities are less expensive than others. You'll also save money by using in-network doctors and hospitals.
Log in to your account. In My Premera Plan, go to Benefit Plans and you'll find essential plan details.
Log in, then in the Member Services section, go to Print & Order ID Card. Or, use our mobile app.
You can see general treatment costs for your plan by logging into your account. From your dashboard, use the Compare Treatment Costs tool. Or, log in, choose Find a Doctor, and then choose Find a cost:
Or, you can call your doctor's office to ask what your specific service will be, and what the procedure and diagnosis codes are. Then, you can call us and we can let you know the coverage for that service based on your plan.
All plans cover an annual preventive care visit to your primary care doctor. What's covered depends on how old you are, and, in some cases, whether you're at high risk for certain health issues or diseases. Find out more about preventive health coverage.
Note: Diagnostic tests given during your preventive visit, such as laboratory work, may not be covered. Check with Customer Service if you have any questions.
You can view our guide to your Premera ID card to learn more about your ID card. This section explains what the member number, prefix, suffix, and group numbers mean and how we use them to process your healthcare claims.
When you have more than one health plan, your health coverage is subject to what's known as coordination of benefits. Please complete the other coverage questionnaire to let us know that you have another policy. One policy will be primary, and the other will be secondary. You'll want to make sure both plans know you'll need coordination of benefits to help process your claims more quickly.
If you have had an accident and there's another type of insurance such as auto insurance, you can use the incident questionnaire. These forms usually take 30 to 45 days to process once we receive them. You can find this form under Manage My Account.
First, keep in mind that an explanation of benefits is not a bill. It explains how your benefits were applied to a specific healthcare service. You typically receive an EOB from us before you receive any bills from your doctor or healthcare facility. The amount billed listed on the EOB is typically not the amount you will owe your doctor. To find the amount you will owe, review the amount under "Your Total Responsibility."
You can find details in the Explanation of Benefits section of our site.
You can cancel your plan several ways.
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Seattle, WA 98111
Fax number: 425-918-3727
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Summary of Benefits and Coverage for more information.