Be the best adviser for your clients. Get the plan details, rates, and links to tools you need to help your clients select the right coverage.
Get to know what’s changing and what’s new for
Plans are not available in this county.
Adult dental plan guide
You can enroll your clients in an adult dental plan any time of the year using our Shop and Enroll tool.
Medical plans are not available in this county.
Preferred plan guidePediatric dental plan guideAdult dental plan guideAmerican Indian and Alaska Native plan guide
Preferred Gold EPO 1500Preferred Silver EPO 4500, Bronze EPO 6350Preferred Bronze HSA EPO 5250Washington rate map
2019 letter guide (for King, Pierce, and Snohomish counties)2019 letter guide (for all other counties)
Links to lists of covered drugs and healthcare provider directories are included in the plan summaries.
Your clients may like their current doctor. To check if their healthcare provider is in Heritage Signature, their Exclusive Provider Organization (EPO) plan’s network, use Find a Doctor.
Log in to generate quotes for your clients.
Medical and dental plans are not available in this county.
Log in to generate a quote for your clients.
Preferred Gold EPO 1000Preferred Gold EPO 1500Preferred Silver EPO 4500, Bronze EPO 6350Preferred Bronze HSA EPO 5250Washington rate map
Log in to create proposals.
PersonalCare plan guideAmerican Indian and Alaska Native plan guideAdult dental plan guidePediatric dental plan guide
PersonalCare Gold, Silver, BronzePersonalCare Bronze HSAWashington rate map
Each customer has access to only one Partner System. Partner Systems are assigned based on claims experience and county of residence, but customers can change their Partner System. Primary care providers (PCPs) must be within the
customer’s selected Partner System.
See which doctors are in each PersonalCare Partner System:
EvergreenHealth PartnersMultiCare Connected Care
Northwest Physicians NetworkThe Everett Clinic Integrated Care Network
UW Medicine Accountable Care NetworkVirginia Mason Medical Center
See which doctors are in each PersonalCare Partner System network:
Get to know what’s changing
and what’s new for 2019 plans.
If your client has experienced a qualifying life event, they may be able to enroll now.
Find 2018 plans
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:
Contact your Premera producer support representative or email@example.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.
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.
When can my client make their first (binding) payment?
As new Premera customers, your clients have 2 options:
How does my client pay at the time of enrollment?
During the enrollment process, customers are given a Pay Now option when they enroll on the exchange. This is the preferred method for the binding payment. Encourage your clients to click the Pay Now button and follow the payment instructions given.
How does my client pay after they receive their first invoice?
They should follow the payment instructions they receive with the invoice.
When are ongoing monthly payments due?
Payments are due the last day of the month prior to the coverage start date.
Example: For January 1, 2019 coverage, payment is due December 31, 2018.
Invoices are generated on the 5th of each month.
What are the accepted forms of payment?
Online: Members can pay through their premera.com account with a personal debit or credit card, or their personal checking or savings account. Members will need their Payment ID found on their invoice. To make payments using a personal checking or savings account, members will need the Subscriber ID located on their member ID card.
Mail: Members can pay with a personal check, cashier’s check, or money order through the mail using the payment coupon found with their invoice.
Phone: Members can call customer service at 800-722-1471 to make a payment with a personal credit or debit card. Members will need their Payment ID located on their invoice.
What are the Payment ID and Subscriber ID?
Payment ID is the number members will use to make payments online or over the phone. The Payment ID is located on all invoices.
Subscriber ID is the number members will use when setting up payments through their bank account. The Subscriber ID is located on the member’s ID card.
How do my clients set up recurring payments?
Members can change their payment date by logging in to their premera.com account, selecting Payments, and then selecting Recurring payment type.
Members have the option to set up their recurring payment on the 15th or 28th of the month.
Are third party payments accepted?
Premera does not accept payments identified as being from a third party payer (TPP).
How are clients informed of past due payments?
Past due balances are indicated on invoices and delinquency notices are sent in the mail.
How can I communicate about payments with my clients?
For additional information to help you answer your clients’ questions, check out the payments FAQ page.
Special enrollment details
Plans vary by county. See what’s available.