Medicare Advantage Plans

  • Better benefits for 2020

    Better benefits for 2020

    We have a new county footprint, a large network across 12 counties, just one formulary, and Medicare Advantage plans with improved benefits your clients will love, including hearing aid benefits.

  • County expansion map

    Now in 12 counties

    We’re expanding into three more counties—Island, San Juan, and Walla Walla. Residents in 12 counties can now enroll in a 2020 Premera plan.

    Why local matters

    Tracy Bos, our senior market vice president and general manager, speaks on the importance of being a Washington-based company that’s committed to our communities.

    Enhanced plans in each county

    We've improved two current plans and developed a new one so that all your clients in our service area can have an “enhanced plan” with comprehensive benefits.

    2020 enhanced plans:

    • Total Health: An amped-up plan offered in Spokane and Stevens counties.
    • Classic: An improved plan for King, Lewis, Pierce, Snohomish, Thurston, and Whatcom county.
    • Core Plus: A new plan available in Island, San Juan, Skagit, and Walla Walla county.

    Expansive provider network

    Our Medicare Advantage members can see any in-network providers across all 12 counties. We have one of the largest networks with more than 16,000 doctors and specialists. Plus, members can travel with worldwide coverage for emergencies or urgent care. Check out our provider network guide.

    Helpful plan guides

    If you have clients in several counties, check out this one-page plan overview for 2020. It will give you an at-a-glance look at the plans available in our service area. For a more in-depth look at the benefits that set Premera Medicare Advantage plans apart from our competitors, view the 2020 Premera Medicare Advantage guide.

    2020 information

  • We developed three templates for you to advertise your business in your local newspaper starting October 1, 2019. Each ad template is CMS-approved and ready to customize with your information. Select the template that works best for you!

    For current clients with a Premera plan who want to change to a different Premera plan

    Submit a plan change form (rather than a full application)

    For new clients

    Send completed paper enrollment forms one of the following two ways:

    Use our Shop and Enroll tool:

    We bundled our most amazing benefits into an enhanced plan that’s available in each of the 12 counties where 2020 Premera Medicare Advantage health plans are sold. Depending on the county, our enhanced plan has a different premium and is called either Total Health, Classic, or Core Plus. But each enhanced plan has the same benefits.

    Here are just some of the benefits offered by each enhanced plan (Total Health, Classic, or Core Plus):

    • Max out of pocket of $5,000 per year
    • Hearing aids covered in full through Hearing Care Solutions (up to $1,000 per year)
    • Additional dental services allowance of $200 per year
    • Copays of $5 for PCP, $30 for specialist visits
    • Over-the-counter benefit of $50 per quarter (That’s $200 per year!)
    • Rx deductible waived on Tiers 1–3
    • $0 copay for 90-day mail order for Tier 1
    Tracy Bos, our senior market vice president and general manager, speaks about the improved benefits we offer.

    Get more video messages from Tracy Bos

    Follow these steps to sell Premera Medicare Advantage Plans for 2020:

    1. Complete the 2020 AHIP Medicare Advantage certification then sign in to Premera AHIP to automatically send your scores to Premera.
    2. Contact your FMO or a Premera sales representative for information on how to access our training program for the 2020 Premera Medicare Advantage certification.

    The dental network for Premera Medicare Advantage has expanded to provide in-network options for members in our new service area in 2020. Go to our provider network guide and scroll to the bottom to see a list of providers new to our dental network in Island, San Juan, and Walla Walla counties.

    For the most up-to-date information about medical and dental providers for Premera Medicare Advantage, go to Find a doctor, dentist or hospital.

    These printed enrollment kits have everything you need to enroll your clients.

    New info for 2020

    • All counties are consolidated into one enrollment kit.
    • Scope of appointment forms are included in every kit.
    • Sales brochures are region-specific and must be ordered separately to put in your enrollment kits.

    If you work with an FMO, they have placed initial orders for kits and will receive them the last week of September. Please contact your FMO or fill out the 2020 Medicare Advantage producer supply order form to get your kits.

    These digital sales brochures are ready to share with your clients via email. And you can customize them with your contact information.

    View the summary of benefits for all 2020 Premera Medicare Advantage plans.

  • 2019 information

    If your client is eligible to enroll in a 2019 Premera Medicare Advantage plan, find 2019 resources. 

  • Contact information

    Can’t find what you need?

    Please contact your FMO or email medicaresupport@premera.com

    For general Medicare Advantage correspondence or enrollment:

    P.O. Box 262548
    Plano, TX 75026

    Premera Medicare Advantage Customer Service

    Call 888-850-8526 (TTY/TDD: 711)

    7 days a week, 8 a.m. to 8 p.m. (Pacific)
    October 1 to March 31

    Monday to Friday, 8 a.m. to 8 p.m.
    April 1 through September 30