Individual and Family Health Plans

Open enrollment runs from November 1, 2022 through January 15, 2023.

Premera health plans are offered in 5 counties: King, Kitsap, Grays Harbor, Pacific, and Franklin.

Benefit highlights

In addition to the 10 essential health benefits, most plans include these features:

Preventive care is covered in full on all plans—exams, screenings, and vaccinations (including COVID-19 vaccinations).

First two visits with a designated primary care provider (PCP) are covered in full on all non-HSA plans.

Generic drugs have a low copay and no deductible for non-HSA plans.

No referrals to see doctors and specialists in our network, including University of Washington Medical Center, Virginia Mason, Swedish Medical Center, Seattle Children’s Hospital, and EvergreenHealth.

Virtual care

Receive consultations and treatment from our virtual providers without leaving home.

Doctor On Demand: Get virtual visits by phone or video with Doctor On Demand—for common medical conditions, chronic conditions, and some mental health support.

24-Hour NurseLine: Get free advice about how to treat symptoms or when to seek additional care.

Boulder Care and Workit Health: Receive virtual treatment for anxiety, depression, substance use, or other mental health conditions through Boulder Care and Workit Health—subject to the plan’s standard cost shares.

More 2023 information
2023 Training
Take our online course to learn more about 2023 plans.

Plan information
Preferred Plan summaries

Premera individual plans are available to residents who live in: Franklin, Grays Harbor, King, Kitsap, and Pacific counties. See the Premera service area map.

These plans are available through Washington Healthplanfinder, also known as the Washington Health Benefit Exchange.

Bronze

Preferred Bronze EPO 6350
Preferred Bronze HSA EPO 6100

Silver

Preferred Silver EPO 4300

Plans with extra savings for those who qualify based on income
Preferred Silver EPO 4300 CSR1
Preferred Silver EPO 4300 CSR2
Preferred Silver EPO 4300 CSR3

Gold

Preferred Gold EPO 1500

Cascade Care plan summaries

Cascade Care plans are designed by the Washington Health Benefit Exchange and are available in our Premera service area. They provide the healthcare benefits your clients need while keeping their out-of-pocket costs down. These plans also include more benefits with copays, so members know up front exactly what they’ll pay.

Bronze

Cascade Care Bronze

Silver

Cascade Care Silver

Plans with extra savings for those who qualify based on income
Cascade Care Silver CSR1
Cascade Care Silver CSR2
Cascade Care Silver CSR3

Gold

Cascade Care Gold

Customer letter guides

2023 letters to members on metallic plans

Rate information
Washington rate map

Rating area 1: King County

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Cascade Care Gold, Silver, Bronze

Rating area 2: Grays Harbor, Kitsap, and Pacific counties

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Cascade Care Gold, Silver, Bronze

Rating area 6: Franklin County

Preferred Gold and Silver

Preferred Bronze and Bronze HSA

Cascade Care Gold, Silver, Bronze

Plan brochures
Preferred health plans for individuals and families

Preferred health plans for American Indians and Alaska Natives

Cascade Care health plans for individual and families

Cascade Care health plans for American Indians and Alaska Natives

Preferred Agency Program
Find out about the Preferred Agency Program.
2022 plan information

If your client has experienced a major life event, they may qualify for a new health plan or change in coverage now.

Find 2022 plans

Individual and Family Health Plans

Benefit highlights

Virtual care

More 2023 information

Preferred Plan summaries

Cascade Care plan summaries

Customer letter guides

2022 plan information