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2026 Health Plans By County

2026 county map

Benefit highlights

At Premera Blue Cross, we’re dedicated to our customers. That’s why we make it easy to understand what you receive with a Premera individual and family plan.

In addition to 10 essential health benefits, you get these additional features on most plans:

  • Preventive care is covered in full on all plans—exams, screenings, and vaccinations (including the COVID-19 vaccination).
  • Preferred generic drugs have the lowest copay and no deductible for non-HSA plans.
  • No referrals to see providers and specialists in our network, including University of Washington Medical Center, Virginia Mason Franciscan Health, Swedish Medical Center, Seattle Children's Hospital, and EvergreenHealth.

Virtual care

Premera members can enjoy the convenience of virtual care—services you access by phone or computer. Explore virtual care options for Individual plans.

Summary of benefits and coverage

Visit the Summary of benefits and coverage page for standard format plan summaries and detailed benefit booklets.

Enroll in a health plan

Open enrollment typically runs from November 1 through January 15. Outside of this window, you can still enroll on wahealthplanfinder.org if you’ve experienced a qualifying life event. Visit the health benefit exchange to see if you qualify for financial assistance, also known as tax credits or a subsidy, to cover some of the cost for your monthly premium.

Premera individual plans are available to residents who live in: Franklin, Grays Harbor, King, Kitsap, Lincoln, Pacific, Pierce, Spokane, and Yakima counties. See the Premera service area map  (PDF document). For health plans available in other counties, please visit wahealthplanfinder.org.

Premera offers gold, silver, and bronze plans to fit your needs and budget. Metal levels refer to how you and your plan split the costs of your care, not the plan quality.

Plan brochures

Producers, also known as licensed insurance agents, are paid a fixed monthly amount by Premera to help members choose, enroll in, and understand their individual health plan. Producers receive $10 to $17 per month for every client who is a Premera individual member. Some producers may also receive an additional one-time annual payment of $50 to $100 per Premera client. Whether you choose to work with a producer or not, your monthly rate will stay the same.