Our medical plan offerings provide you with choices that let you create a plan customized for your workforce and budget, including a range of deductibles, coinsurance options and out-of-pocket maximums. We also offer Health Savings Account qualified plans, and options for Health Reimbursement Arrangements (HRA) and Flexible Spending Accounts (FSA). You can add prescription drug coverage from a selection of plans that offer cost-saving incentives for the use of generic and preferred brand-name drugs, and provide even greater savings with a convenient mail-service feature.
Select plans are the "preferred hospital, any doctor" plan. Members can see physicians and practitioners of their choice.* And, these plans pay the highest level of benefits when our members seek non-emergency care from preferred in-network hospitals and ambulance providers.**
Plus plans are the "preferred hospital, preferred doctor plan." These plans pay the highest level of benefits when members seek care from preferred hospitals, ambulance providers, and physicians and practitioners.** Members seeking care from non-preferred providers will have higher cost shares and out-of-pocket costs.
*Emergency hospital and ambulance covered benefits are paid at the prefered level.
**Providers outside the Premera network may balance bill the member for the difference between the Premera allowed amount and the billed charge.
Medical Plans Benefit Guide (51 - 99 employees)
Medical Plans Benefit Guide (100+ employees)