Health Plans

  •  Need a new plan for 2016?

    Find out all your options for choosing a 2016 plan. Start by telling us how you purchased your 2015 plan.

  • The regular open enrollment period for 2015 individual health coverage ended February 15. But if you or your family has experienced certain life events, such as getting married or divorced, having a child, or losing a job, you may be able to apply for coverage or change plans now, in a special enrollment period.

    Learn more 

    If you don’t qualify for a special enrollment, your next opportunity to apply for 2016 health coverage will be in the fall of 2015.

    If you qualify for special enrollment

    Find the right 2015 health plan for you

    There are great reasons why thousands of Washingtonians choose Premera for their health plan. To fit your healthcare needs, Premera has a variety of gold, silver, and bronze plans at a range of monthly prices. Some plans even allow tax advantaged savings accounts for health care expenses. We're committed to helping you select and understand the health plan that works best for you and your family, every step of the way.

    For help choosing a plan that’s right for you, call us at 877-PREMERA (877-773-6372).

    Compare plans 

    An expanded choice of hospitals and doctors

    Our 2015 plans give a great choice of hospitals and doctors, including:

    • Seattle Children’s Hospital
    • Swedish Health Services
    • UW Medicine (including University of Washington Medical Center and Harborview Medical Center)
    • Virginia Mason Hospital and Medical Center
    • Overlake Hospital Medical Center
    • Northwest Hospital
    • Evergreen Health
    • CHI Franciscan Health
    • Providence Health & Services
    • MultiCare Health System (including Allenmore Hospital, Auburn Medical Center, Good Samaritan Hospital, Mary Bridge Children's Hospital, and Tacoma General Hospital)
  • How much do plans cost?

    The monthly amount you pay for your health plan depends on the plan level, whether you have a bronze, silver, or gold plan, the number of people to be covered, tobacco usage, and your location.




  • More than half of Washington residents may qualify for help paying for their health plan. Learn more about whether you qualify for a subsidy.

    We're here to help

    Premera representatives can help you choose the health plan that’s best for you and your family, find out whether you’re eligible for a subsidy, and enroll you and your family in a health plan, either through Washington Healthplanfinder or directly with Premera.

    Call 877-PREMERA (877-773-6372).

    If you don’t qualify for a subsidy and are ready to enroll, you can select a plan and apply online.

    Want to enroll by mail? Complete the enrollment form.

    2015 Premera health plan summaries

    Our informational brochure includes a convenient comparison of plan benefits.

    All of these plans include the 10 essential benefits as required by the Affordable Care Act (ACA).

    Brand-new to health plans?

    Learn about how they work—and reference a helpful glossary of health plan terms in Health Plan Basics.

  • Since 2014, all new health plans are required by the federal Affordable Care Act (ACA) to include these 10 essential benefits:

    1. Outpatient care - care you receive without being admitted to a hospital
    2. Emergency care - trips to the emergency room
    3. Inpatient care - treatment in the hospital for inpatient care
    4. Maternity and newborn care - care before and after your baby is born
    5. Mental health and substance use disorder services - behavioral health treatment, counseling, and psychotherapy
    6. Prescription drug coverage
    7. Rehabilitative and habilitative Services - services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more
    8. Laboratory services - lab tests
    9. Preventive and wellness services - counseling, screenings, and vaccines to keep you healthy and to manage a chronic illness
    10. Pediatric services - dental and vision care for children under age 19

    Note: Some "grandfathered" plans may not include all of these benefits. Under the ACA, if you had your current plan before March 23, 2010 and have not made any changes since then, you're considered to be a grandfathered member and your plan may not be subject to some of the provisions required by the ACA.

    Individual Supplemental Guides - Includes Privacy Policy, Provider Organization, Key Utilization Management Procedures, and Pharmaceutical Management Procedures

    Supplemental Guide for Individual Plans

    Summary of Benefits and Coverage