If you need knee or hip replacement, you probably have a lot of questions:
Can my surgeon fix the problem? Will there be complications? Will I feel better after surgery? Can I afford it?
Premera-Designated Centers of Excellence has the answers:
You can make a COVID-19 exception request if you have the following:
Meet your Premera care team and Providence St. Joseph Health
Seven hospitals across Washington are Premera-Designated Centers of Excellence for total joint replacement. Each was chosen for its record of exceptional patient experience and surgical outcomes.
Select a name below to learn more about the center of excellence:
When you have total joint replacement at a Premera-Designated Center of Excellence, you get all this—at little to no cost:
If you live more than 50 miles from your closest center of excellence, you can count on Premera to get you there. We’ll make the reservations for you and a companion and we’ll pay for it (up to IRS limits).*
Premera will make reservations and pre-pay for:
Submit a claim form and we’ll reimburse you for:
*Subscriber is responsible for travel expenses in excess of IRS limits. See IRS Publication 502 for current limits for medical travel expenses.
For most people, having surgery isn’t a common experience. Getting from diagnosis to day of surgery can be a confusing and worrisome journey. With Premera-Designated Centers of Excellence, you have a dedicated support team to take care of the details so you can concentrate on getting better.
What is a Premera-Designated Center of Excellence?
How were the centers of excellence chosen?
Why do I have to go to one of the centers of excellence for my total joint replacement?
Can I get a total joint replacement somewhere that’s not a center of excellence?
There’s not a Premera-Designated Center of Excellence near me. Can I go to another hospital?
Do I need to go through Premera to get surgery or can I work directly with the center of excellence?
You must coordinate your care and travel through Premera to receive the benefit, including low- to no-cost surgery.
Even if you go to a participating surgeon at one of the seven centers of excellence, if you have not worked with Premera to coordinate your care and travel, your claims will not be processed correctly. You run the risk of having to pay the full amount of the surgery.
Can I choose any surgeon at a center of excellence?
Will I get a bill?
Members on an HSA plan will receive a bill for any remaining balance of the annual deductible. Additionally, all members may be billed for services not included in the Premera-Designated Centers of Excellence benefit.
See full language of the Premera-Designated Centers of Excellence benefit for complete pricing information.
What travel expenses are not covered?
Premera pays for approved travel expenses up to the IRS limit. The subscriber is responsible for paying all travel expenses over IRS limits.
Travel expenses that are not covered include:
See full language of the Premera-Designated Centers of Excellence benefit for complete list of covered and non-covered travel expenses.
Who can I talk to for more information?