Your commitment and hard work deserves to be recognized and rewarded.
2018 is another year filled with opportunity to earn bonus through the Preferred Producer Program. As your group book of business grows, so does your bonus! Check out the flyer to find out how you can start reaping your rewards in the new year beginning January 1, 2018.
Complete guide to health benefit plans (100+ employees)
PersonalCare Plans (51+ employees)
Premera Preferred Choice plans (51-199 employees)
Essentials pharmacy plan guide (51+ employees)
Preferred Choice PPO: $250
Preferred Choice PPO: $500
Preferred Choice PPO: $750
Preferred Choice PPO: $1,000
Preferred Choice PPO: $1,500
Preferred Choice PPO: $2,000
Preferred Choice PPO: $2,500
Preferred Choice PPO: $3,000
Preferred Choice Flex Adv: $500/$1,000
Preferred Choice Flex Adv: $1,000/$2,000
Preferred Choice PPO: $4,000
Preferred Choice PPO: $5,000
Preferred Choice PPO: $6,350
Preferred Choice Agg HSA: $1,500
Preferred Choice Agg HSA: $2,500
Preferred Choice Agg HSA: $3,000
Preferred Choice Emb HSA: $5,000
Preferred Choice Emb HSA: $6,450
Preferred Choice Flex Adv: $1,500/$3,000
Preferred Choice Flex Adv: $2,000/$4,000
Essentials: 15/30-50 Plan
OPTIMA $1,000 max (with Orthodontia)
OPTIMA $1,500 max (with Orthodontia)
OPTIMA $2,000 (with Orthodontia)
OPTIMA $2,500 (with Orthodontia)
Preference Essentials Voluntary $1,000
Premera Preferred Choice Overview 2017 (51-99 employees)
2017 Medical Plans benefit guide (51+ employees)
PersonalCare Plan Flyer (51+ employees)
2017 Dental benefit guide (51+ employees)
Your Choice $250 PPO
Your Choice $500 PPO
Your Choice $750 PPO
Your Choice $1,000 PPO
Your Choice $1,500 PPO
Your Choice $2,000 PPO
Your Choice $2,500 PPO
Your Choice $3,000 PPO
Your Choice $4,000 PPO
Your Choice $5,000 PPO
Your Choice $6,350 PPO
Your Future $1,500 HSA
Your Future $2,500 HSA
Your Future $3,000
Your Future $5,000 HSA
Your Future $6,450
Take advantage of our personal funding account options to combine quality healthcare coverage with access to health savings accounts (HSAs), health reimbursement arrangements (HRAs), and flexible spending accounts (FSAs). These accounts are ideal for employers who are looking to control healthcare costs or increased employee responsibility for healthcare expenses and decisions.
Adding plans with personal funding accounts can help groups to:
Learn more about
personal funding accounts.
Competing for talent means offering a comprehensive benefits package. Premera Blue Cross partners with best-in-class companies to allow you to offer life and disability products to your clients while extending additional cost savings.
When your group clients with 51-199 employees add life and disability products to their Preferred Choice plan, they may be eligible for discounts on Premera Blue Cross medical premiums.
Your group clients with 10 or more enrolled employees can choose from the following:
MetLife, Symetra, The Hartford, and USAble are independent companies offering life and disability products to Premera Blue Cross employer groups and members, are solely responsible for their products and services, which are not Blue Cross Blue Shield products or services.
LifeWise Assurance Company assists your group clients with creating the right medical stop loss for their needs. If they elect to self fund their medical plan, this product provides a reinsurance contract to protect them from catastrophic losses.
LifeWise Assurance Company and USAble Life are independent companies offering life and disability products to Premera Blue Cross employer groups and members. LifeWise Assurance Company and USAble do not provide Blue Cross Blue Shield products or services.
We believe a network is more than just a collection of contracts. For decades, Premera has maintained the large network of doctors and medical facilities in Washington. As a result, we offer greater network stability and deep discounts for covered in-network services.
For employers with 51 or more employees, we offer a choice of networks so your clients can select the level of provider access and cost that works best for their employees and business needs.
Our broadest provider network offers access to 100% of Washington hospitals and 99% of primary care doctors in Washington state. Includes CHI Franciscan Health and Providence Health & Services systems.
This tailored provider network offers access to more than 33,200 doctors, clinics, and hospitals across Washington state that commit to quality care, managed costs, and a focus on the customer. Does not include CHI Franciscan Health and Providence Health & Services systems.
Whether your client and their employees want access to the most providers in Washington state, or the highest savings, give them the ability to choose their network by offering both Heritage and Heritage Prime networks.
With any Premera health plan, you have access to the BlueCard Program, which provides access to networks of contracted preferred and participating Blue Cross Blue Shield providers across the country. Just like here at home, these networks provide valuable discounts on billed charges and the added advantage of direct billing.
The BlueCard Program includes the added benefit of worldwide coverage with Blue Cross Blue Shield Global Core. This program provides members access to an international network of participating doctors and hospitals for a broad range of medical care services so they can feel safe wherever they go.
Premera Flex Advantage is designed to give your group clients broad access to providers. All the while, it uses financial incentives to encourage their employees with a Premera medical plan to select the providers who can deliver the most cost-efficient
Premera Flex Advantage flyer
Managed Outpatient Rehabilitation Program Flyer
BestBeginnings Maternity engages parents from pregnancy through newborn care with personalized tools and support that encourages early risk discovery.
Effective July 1, 2017, new and renewing large groups (51-499 employees) will have access to Premera's Wellness Program. The program offers fully insured and Optiflex groups support for creating a culture of wellness. It is a part of our health plan offering and is simple to administer.
More information is available in the Wellness Program brochure. We encourage you to share this new program with your large group prospects and current clients.
Employers are automatically enrolled in the Premera Wellness Program as a part of their health plan benefits.
Are your prospects or current clients looking for additional wellness support? We can help with that too. Our packaged wellness options feature consulting time with wellness experts, incentive assistance, and health education sessions. Learn more.
2017-2018 Preferred Choice creditable coverage status report
Premera Blue Cross offers employers two options to support their Medicare Part D testing obligations. The testing tells if the pharmacy plan you offer meets the creditable coverage standard as compared with Medicare Part D.
The Centers for Medicare and Medicaid Services (CMS) says drug coverage is creditable if the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
Your choices for testing are:
The CMS website offers general Information about Medicare Part D.
To learn more about Medicare Part D testing and to discuss your options, contact your producer or Premera account representative.
Premera no longer sends creditable coverage status notices to members on behalf of groups with pharmacy plans.
Employers will need to provide the notifications as required by the Medicare Modernization Act (MMA) to their Medicare-eligible employees and dependents. This act requires employers to let their Medicare-eligible employees and dependents know whether
the prescription drug coverage pays on average as much as the standard Medicare prescription drug coverage.
Additional information is found at the following pages of the Centers for Medicare & Medicaid Services:
Federal law requires employer groups to notify the Centers for Medicare and Medicaid Services (CMS) if their prescription drug coverage for Medicare beneficiaries is creditable. CMS requires employer groups to submit a Creditable Coverage Disclosure Form each year or upon any change that could affect whether the drug coverage offered is creditable.
Western Washington – group sales (51+)
800-722-5561, option 1, ext. 85064Fax: 425-918-5883
Eastern Washington – group sales (51+)
800-722-5561, option 1, ext. 27324Fax: 509-252-7075