To learn more about our online enrollment tool with your own personal link, please call Producer Support at 877-205-9725, Option 1.
We're committed to helping you and your clients make the right health plan choices.
Getting preventive exams, screenings, and immunizations are the best way your clients can stay healthy. These important screenings help doctors detect diseases early when they are easiest to treat. Our plans cover a wide range of preventive exams, screenings, and immunizations.
Members also have access to member discounts on health products and services, including gym memberships.
Your clients can choose a plan from three metallic levels- bronze, silver, or gold
Monthly health plan costs vary by:
All plans have the same benefits. The cost varies depending on the plan your client selects.
Healthcare reform requires all individual health plans to include ten essential benefits. The basic benefits include:
* Health plans offered by all carriers outside of Washington Healthplanfinder include pediatric dental regardless of dependents covered on the plan. The additional cost for this benefit is minimal. If you are shopping inside the Washington Healthplanfinder, you are not required to buy pediatric dental if no one in your family is under 19 years of age as that benefit is sold separately.
Your clients can enroll in a 2014 plan between October 1, 2013 and March 31, 2014. Their new plan will be available for use starting January 1, 2014. They have until March 31, 2014 to select a new plan or make changes to their existing plan. If they don't, they will have to wait until November 15, 2014, to make a change or buy coverage for a January 1, 2015, effective date.
It's easy to compare plans, determine a monthly rate or apply online. Simply visit our online employer website.
Learn more about our new 2014 health plans:
Preferred Gold 1000/1500
Preferred Silver 2000
Preferred Bronze 5500/6350
Preferred HSA 2500/5250
Premera Select Dental Plan for Adults
Individual Adult Dental Copay Plan Application
Complete list of covered dental services
Gold PPO(Area 1,5)
Gold PPO(Area 2,3)
Gold PPO(Area 4)
Silver PPO(Area 1,5)
Silver PPO(Area 2,3)
Silver PPO(Area 4)
Bronze PPO(Area 1,5)
Bronze PPO(Area 2,3)
Bronze PPO(Area 4)
HSA PPO(Area 1,5)
HSA PPO(Area 2,3)
HSA PPO(Area 4)
Plan Change Form 2014
Individual Supplemental Guide for Non-Grandfathered plans
Preferred Silver 2000/3000
Preferred Silver CSR1 2000/3000
Preferred Silver CSR2 2000/3000
Preferred Silver CSR3 2000/3000
Preferred Silver CSR1 2500 HSA
Preferred Silver CSR2 2500
Preferred Silver CSR3 2500
Preferred Gold AI/AN 1000/1500
Preferred Silver AI/AN 2000/3000
Preferred Bronze AI/AN 5500/6350
Multi-State Gold 1000/1500
Multi-State Silver 2000/3000
Multi-State Bronze 5500/6350
Multi-State HSA 2500/5250
Multi-State Silver CSR1 2000/3000
Multi-State Silver CSR 2 2000/3000
Multi-State Silver CSR 3 2000/3000
Multi-State Silver CSR1 2500 HSA
Multi-State Silver CSR2 2500
Multi-State Silver CSR3 2500
Multi-State Gold AI/AN 1000/1500
Multi-State Silver AI/AN 2000/3000
Multi-State Bronze AI/AN 5500/6350
(Individuals under 19 years of age, must add a pediatric dental plan to any medical plan they purchase through Washington Healthplanfinder)
Pediatric Dental Plan Summary
(Individuals 19 years of age and over- This plan is not available for purchase through Washington Healthplanfinder, but is an addition your client can add to their medical plan through Premera)
Individual Adult Dental Copay Plan Summary
Gold Rate Sheet Area 1,5 Inside Exchange
Gold Rate Sheet Area 2,3 Inside Exchange
Gold Rate Sheet Area 4 Inside Exchange
Silver Rate Sheet Area 1,5 Inside Exchange
Silver Rate Sheet Area 2,3 Inside Exchange
Silver Rate Sheet Area 4 Inside Exchange
Bronze Rate Sheet Area 1,5 Inside Exchange
Bronze Rate Sheet Area 2,3 Inside Exchange
Bronze Rate Sheet Area 4 Inside Exchange
HSA Rate Sheet Area 1,5 Inside Exchange
HSA Rate Sheet Area 2,3 Inside Exchange
HSA Rate Sheet Area 4 Inside Exchange
Multi-State Gold 1000/1500, Areas 1,5
Multi-State Gold 1000/1500, Areas 2,3
Multi-State Gold 1000/1500, Area 4
Multi-State Silver 2000/3000 Areas 1,5
Multi-State Silver 2000/3000 Areas 2,3
Multi-State Silver 2000/3000 Area 4
Multi-State Bronze 5500/6350, Areas 1,5
Multi-State Bronze 5500/6350, Areas 2,3
Multi-State Bronze 5500/6350, Area 4
Multi-State HSA 2500/5250 Areas 1,5
Multi-State HSA 2500/5250 Areas 2,3
Multi-State HSA 2500/5250 Area 4
Preferred 35 Overview
Rates on or after Jan. 1, 2013
Individual Supplemental Guide for Grandfathered plans
Individual Medical Exclusions
Summary of Benefits and Coverage
When purchasing plans directly from Premera all of our essentials plans include pediatric dental benefits. For family members 19 years of age and older we offer an Adult Dental Copay Plan.
Covered services on the Adult Dental Copay Plan are provided as outlined on the payment schedule when members see in-network providers.
Adult dental coverage is not available through Washington Healthplanfinder, but they can purchase coverage directly from Premera. For family members 19 and over see our Premera Select Individual Dental Plan.
All of our essentials plans include pediatric dental benefits. The Pediatric Dental Plan is for family members 19 years of age and younger.
Some of your clients may be eligible to get extra help with their costs. Here's how:
For individuals or families whose household earnings are 400% of or less of the federal poverty level (FPL), they may be eligible for help to pay for their insurance premium. This financial help is in the form of a health premium tax credit, also referred to as a premium subsidy. Individuals and families can use this to lower their monthly premium for coverage or lower the amount they pay at tax time. Our Help with Cost page has more details.
Summary of Benefits and Coverage for Individual and Family plans