Medicare Advantage Plans

We developed templates for you to advertise your business in local newspapers. Ad templates and graphics are CMS-approved and ready to customize with your information. Select the template that works best for you, and browse our reference guide on how to use each piece.

Newspaper ads with space for your photo and company logo

• 8.5 x 5.5
• 4.83 x 6.5
• 4.88 x 4.0
• 4.94 x 10.25

Display ads with space for your photo and company logo

• Option 1
• Option 2
• Option 3

Facebook graphics – customize the text within your post

• Option 1
• Option 2
• Option 3

Virtual backgrounds – use a Premera branded background when meeting with clients virtually

• Option 1
• Option 2
• Option 3

If you need advertising materials that you don't see here, please contact your territory rep for assistance.

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)

• Plan change form (English)
• Plan change form (Spanish)

For new clients

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

• Fax to 800-381-4837
• Secure email to premera_applications@advantasure.com

Use our Shop and Enroll tool:

• Get quick tips for using the Shop and Enroll tool
• Register on premera.com
• Request a personal URL through your FMO or medicaresupport@premera.com

The current certification can be accessed through Workflow. View step-by-step instructions.

Currently Contracted Producers:

• Workflow
• Username: Your NPN
• Password: Use your existing password or use the 'forgot password' link
• Domain: PRBC

New Producers:
Please contact Medicare Support for information on becoming contracted.

The dental network for Premera Medicare Advantage has expanded to provide in-network options for members in our new service area in 2021. Go to our provider network guide and scroll to the bottom to see a list of providers new to our dental network in Cowlitz and Kitsap 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.

2022 enrollment kits

• 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.

To reserve your kits, fill out the 2022 Medicare Advantage producer supply order form. Kits will be mailed in early October.

Looking for 2021 kits? Fill out the 2021 Medicare Advantage producer supply order form. Or, you can download our 2021 digital enrollment kits:

Digital enrollment kits with all the same information are available for you to share with your clients

• 2021 digital enrollment kits
• 2021 digital enrollment kits (Spanish)

• HMO
• Core (HMO)
• Core (HMO) (Español)
• Core Plus (HMO)
• Core Plus (HMO) (Español)
• Classic (HMO)
• Classic Plus (HMO)
• Total Health (HMO)
• Peak + Rx (HMO)
• Sound + Rx (HMO)
• Alpine (HMO)
• Charter + Rx (HMO)

• Claim reimbursement form
• Dental claim reimbursement payment consideration form
• Enrollment form
• Formulario de solicitud de inscripción (Enrollment form)
• Electronic funds transfer form
• Pharmacy mail service order form
• Plan change form
• Cambio de cobertura (Plan change form)
• Producer of record change form
• Optional dental enrollment
• Formulario de inscripción al plan dental complementario opcional (Optional dental enrollment)
• Scope of appointment form

2021 Plans

2021 plan overview for producers - Quick reference, one-page document

2021 plan guide for producers - Includes benefit details

2021 Premera Medicare Advantage guide for customers

2021 benefit highlights - Quick resource for benefit highlights

2021 value-added recap for plans - Learn about extra benefits like Hearing Care Solutions and Silver&Fit.

Find a doctor, dentist, or hospital - Online provider directory

Low-income subsidy chart - Check client income level for government-paid subsidy.

Prima mensual del plan para personas que reciben ayuda adicional de Medicare para ayudarlas a pagar los costos de medicamentos recetados - Low-income subsidy chart (Spanish)

Online resources – a digital guide for your clients

Recursos en línea – Online resources - a digital guide for your clients (Spanish)

Over-the-counter catalog: Provides details about how members can use the OTC Premera works with OTC Health Solutions to provide members an easy way to get generic over-the-counter health and wellness products by phone or online.

Over-the-counter FAQ: Get answers to questions your clients might ask about the OTC benefit.

Note: The Part D Senior Savings Model, $35 maximum copay applies only to eligible drugs obtained through an in-network pharmacy in the Deductible, Initial Coverage, and Coverage Gap stages. Costs may vary in the Catastrophic stage. In addition, if your client qualifies for the Medicare Part D Extra Help program or a Low-Income Subsidy (LIS), they don't qualify for this program because they already receive low-cost insulin coverage. To learn more about this program, visit Centers for Medicare and Medicaid Services.

Pre-enrollment checklist

Lista de verificación de preinscripción (Pre-enrollment checklist)

Provider network guide: A handy reference to help you tell your clients about the broad Premera network

Medicare 2021 Star Ratings

• 3.5 stars for H7245 – HMO, Classic HMO, Classic Plus HMO, Core HMO, Core Plus HMO, and Total Health HMO
• Calificaciones por estrellas Medicare 2021 - H7245 – (3.5 stars for H7245 - Spanish) HMO, Classic HMO, Classic Plus HMO, Core HMO, Core Plus HMO, and Total Health HMO
• 3.5 stars for H9302 – Alpine, Charter + Rx, Peak + Rx, and Sound + Rx
• Calificaciones por estrellas Medicare 2021 - H9302 – (3.5 stars for H9302 Spanish) Alpine, Charter + Rx, Peak + Rx, and Sound + Rx

External Resources

Medicare & You - Handbook from the Centers for Medicare and Medicaid Services (CMS).

Medicare publications - Publications, eBooks, podcasts, and more

Washington State Statewide Health Insurance Benefits Advisors (SHIBA) Help Line

Here are the most common links your clients will use for their pharmacy needs. For further information, see the pharmacy section on the member Medicare Advantage site.

• Find a pharmacy
• List of covered drugs - Formulary with links to drug searches
• List of covered drugs - Digital pdf version of formulary for sharing
• In-network checklist - Allows clients to review their existing providers and drugs, and compare against Premera's formulary and in-network providers.
• Mail-order prescription form - Allows clients to order prescriptions by mail (with directions included).

If your clients are hoping to self-serve, they can also visit the Getting Your Medicine member page, which includes the formularies in both English and Spanish, pharmacy search, and mail-order prescription form.

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

2021

• Island, San Juan, Skagit, and Walla Walla counties
• Condados de Island, San Juan, Skagit y Walla Walla (Island, San Juan, Skagit, and Walla Walla counties)
• King, Pierce, Snohomish, and Thurston counties
• Cowlitz, Kitsap, Lewis County
• Spokane County
• Stevens County
• Whatcom County

View the summary of benefits for all 2021 Premera Medicare Advantage plans.

• Summary of Benefits
• Resumen de beneficios (Summary of Benefits)