September 19, 2019
We have several important changes to share with you regarding the plans we’ll offer on the Washington Health Insurance Exchange for 2020. We’re making changes because the market landscape of the exchange in our state is evolving and we want to offer our customers access to healthcare and health plans at an affordable price. This means we’re offering new exclusive provider organization (EPO) plans and new provider networks in a different mix of counties for 2020.
PersonalCare plans
The first change we’re making is discontinuing our PersonalCare plans currently offered in King, Pierce, and Snohomish counties. These plans are supported by our PersonalCare Partner Systems network. Effective January 1, 2020, this network will no longer exist.
Members in King County will be offered a comparable Premera EPO plan. Snohomish and Pierce members will be sent discontinuation letters and will have new options on the Washington Health Benefit Exchange.
New network and counties for individual plans
For 2020, we’ll offer new Premera Individual EPO plans in seven counties: Franklin, Grays Harbor, King, Kitsap, Pacific, Skamania, and Wahkiakum counties. The network for our new individual plans is the same Heritage Signature network but the network name for these plans will be called Individual Signature. The new Individual Signature network is a name change only and will reimburse based on your current contract with Premera Blue Cross.
New vendor for our new individual plans
To help us manage our new individual plans, we’ve hired Evolent Health to handle administrative functions. Some of these functions will include customer service, claims, care management, and our secure member and provider websites.
As we get closer to 2020, we’ll share more details about our new plans and the important changes you’ll need to know to help you care for our individual members.