Be sure to review your benefit summary before visiting your doctor. Know what's covered, what's not, and what needs pre-approval.
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We encourage you to compare healthcare costs. Some doctors, clinics, and hospitals are less expensive than others. Use our Find a Doctor tool to see how you can save.
As part of the Affordable Care Act of 2010, all health plans must provide a summary of benefits in a standard four-page format. These summaries help you understand how a plan works and makes comparing plans easier.
View summary of benefits coverage.
Medical costs depend on whether you visit an in-network doctor or hospital, how much is billed, and what the coverage is for your specific plan.
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.
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.
Some health care facilities such as some hospitals or outpatient clinics will add what's called a facility fee to healthcare bills. These charges are intended to help hospitals provide specialty services. Your facility fee does count toward your deductible or coinsurance (if applicable).
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.
If you purchased your plan from the state exchange (Washington Healthplanfinder), please call them at 855-923-4633.
If you purchased your plan directly from Premera, you can cancel your plan several ways.
PO Box 91120
Seattle, WA 98111
Fax number: 425-918-3727
Find out when you'll receive your ID card and how to order a replacement card.