Individual and Family Health Plans

3 things to know for 2020

Our plans are available only on the exchange for residents in seven counties.

No referrals are needed to see a specialist, but your clients must receive care from a network provider except for emergencies.

Producers can continue to earn commission on new and renewing business.

Highlights for 2020

Better benefits

In addition to the 10 essential health benefits, most plans feature:

First two visits with a designated primary care provider (PCP) at no cost to the member

Unlimited PCP and specialist visits (copay, deductible, and coinsurance may apply)

$15 copay for telehealth video or phone consultations

Low copay and no deductible for preferred generic drugs on gold and silver plans

Lower rates

Premera rates for 2020 are decreasing on average 6% across all individual plans. This means we’ll have more options to fit your clients’ budgets.

More 2020 information
2020 market overview
Get to know what’s changing and what’s new for 2020 plans.

Plan information
Service area map

Plan summaries

These plans are available only through the exchange to residents in all counties within the Premera service area.

Gold

Preferred Gold EPO 1500

Silver

Preferred Silver EPO 4500

Extra savings plans for those who qualify
Preferred Silver EPO 4500 CSR1
Preferred Silver EPO 4500 CSR2
Preferred Silver EPO 4500 CSR3

Bronze

Preferred Bronze EPO 6350
Preferred Bronze HSA EPO 5250

The following plan is available only through the exchange to residents in Franklin County.

Gold: Preferred Gold EPO 1000

Customer letter guides

2020 letters to customers in King county

2020 letters to customers in all counties except King

Critical illness, personal accident, and hospital recovery
Help protect your clients from the financial impact of critical illnesses, accidents, and hospital stays. Pair their Premera Blue Cross medical plan with supplemental insurance from LifeSecure Insurance Company.

The following supplemental insurance is available from LifeSecure:

Critical illness

Personal accident

Hospital recovery

Contact your Premera producer support representative or producer.support@premera.com for more details.

LifeSecure Insurance Company is an independent company that provides supplemental health insurance. LifeSecure Insurance Company does not offer Blue Cross Blue Shield products and is solely responsible for its goods and services.

Learning center
Premera Blue Cross Individual Training for 2020: This interactive online course makes it quick and easy for you to learn about our plans and to be prepared to answer client questions.

Rate information
Washington rate map

Geographic rating area 1

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Geographic rating area 2

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Geographic rating area 3

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Geographic rating area 6

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Preferred Gold for Franklin County

Sales guides
Preferred Health plans for individuals and families

American Indian and Alaska Native plan guide

Pediatric dental plan guide

Tip sheets
2020 Resource Guide

Open Enrollment Checklist

Sales Contact Sheet

Timeline of Key Dates
2019 plan information

If your client has experienced a qualifying life event, they may be able to enroll now.

Find 2019 plans

Individual and Family Health Plans

3 things to know for 2020

Highlights for 2020

Better benefits

Lower rates

More 2020 information

Plan summaries

Customer letter guides

2019 plan information