Health Plans

  • The regular open enrollment period for 2015 individual health coverage ended February 15. But if you or your family has experienced certain life events, such as getting married or divorced, having a child, or losing a job, you may be able to apply for coverage or change plans now, as a special enrollment.

    Learn more 

    If you don’t qualify for a special enrollment, your next opportunity to apply for 2016 health coverage will be in the fall of 2015.

    If you qualify for special enrollment

    Find the right plan for you

    To fit your healthcare needs, Premera has a variety of plans (gold, silver, bronze) and funding options such as HSAs available. Premera can help you learn more about your options and to find a plan that's right for you. Call us at 877-PREMERA (877-773-6372). We're committed to helping you select and understand the health plan that works best for you and your family—every step of the way.

    Compare plans 

  • Monthly health plan rates

    The monthly amount you pay for your health plan depends on: whether you have a bronze, silver, or gold plan, the number of people to be covered, tobacco usage, and your location.

     

     

     

  • All our health plans include the 10 essential benefits as required by the Affordable Care Act (ACA).

    Browse our sales brochure – it includes a convenient comparison of plan benefits.

    Questions? Call us at 877-PREMERA (877-773-6372) 

    Help with cost

    You may be eligible for help with paying for your health plan, depending on your annual household income and the number of people in your family. This help comes in the form of a federal tax credit —also known as a subsidy. We can help you determine whether you may qualify for this financial help, and if so, we'll help you with the application process through healthcare.gov.

    Learn more about whether you qualify.

    Premera representatives can quickly confirm your subsidy eligibility, sign you up through healthcare.gov, or enroll you directly in a Premera health plan. Call us at 877-PREMERA (877-773-6372) and we’ll help you choose the best health plan for you and your family.

  • Since 2014, all new health plans are required by the federal Affordable Care Act (ACA) to include these 10 essential benefits:

    1. Outpatient care – care you receive without being admitted to a hospital
    2. Emergency care – trips to the emergency room
    3. Inpatient care – treatment in the hospital for inpatient care
    4. Maternity and newborn care - care before and after your baby is born
    5. Mental health and substance use disorder services – behavioral health treatment, counseling, and psychotherapy
    6. Prescription drug coverage 
    7. Rehabilitative and habilitative Services – services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more
    8. Laboratory services - lab tests
    9. Preventive and wellness services – counseling, screenings, and vaccines to keep you healthy and to manage a chronic illness
    10. Pediatric services– dental and vision care for children under age 19

    Note: Some “grandfathered” plans may not include all of these benefits. Under the ACA, if you had your current plan before March 23, 2010, and have not made any changes since then, you are considered to be a grandfathered member, and your plan may not be subject to some of the provisions required by the ACA.

    Learn more about our preventive screening services 

    Dental/Vision/Hearing Plan benefit highlights and rates 

    Individual Supplemental Guide —Includes Privacy Policy, Provider Organization, Key Utilization Management Procedures, and Pharmaceutical Management Procedures

    Summary of Benefits and Coverage