2018 Information for Premera Medicare Advantage Medical Providers

  • Premera Blue Cross announced plans to acquire Catholic Health Initiative’s Soundpath Health’s Medicare Advantage contract, effective January 1, 2019. Soundpath Health currently serves more than 22,000 customers in Washington state. The announced acquisition is subject to approval from the Centers for Medicare and Medicaid Services (CMS).
    We’ve posted an online FAQ to guide you through the transition of Soundpath Health members to Premera. We encourage you to continue to check here for the most current information.

  • Premera Blue Cross Medicare Advantage plans offer your patients Medicare benefits -plus extra benefits for prescriptions and fitness programs - all in one easy-to-use plan. Medicare open enrollment occurs annually, October 15 through December 7.

    Check out our provider training guides to learn more:

    Secure medical tools and resources for providers

    Verify eligibility and benefits, check claim status and manage your patient's care.

    Need information for a member before January 1, 2018? Call Customer Service at 888-850-8526.

    Log in to 2018 tools and resources

  • Provider directory

    Search for doctors, hospitals, and other specialists within the Premera Blue Cross Medicare Advantage Provider Network.

    Forms

    Find all the Medicare Advantage medical forms you need, including:

    • Appeal and reconsideration forms
    • Care Management forms
    • Referral forms

    Contact us

    Find the right contact for Medicare Advantage questions, including:

    • General information
    • Member benefits and eligibility
    • Technical issues
    • And more

  • Pharmacy information

    Visit the Premera Blue Cross Medicare Advantage member site to find out more about Pharmacy Services, including our Medication Therapy Management Program.

    Learn more about Promoting Safe Medication Use in Older Adults.