Health Plans

  • The open enrollment period to buy a 2017 individual health plan begins Nov. 1, 2016. However, if you have had a major life event, such as new baby, marriage or job change, you might qualify for a special enrollment period. Learn more about special enrollment. If you qualify, call us at 877-PREMERA (877-773-6372) for help in choosing a plan that's right for you. You can also use our calculator to find of if you qualify for help paying for your plan with a subsidy or tax credit.

    As part of the application process, you'll be asked to provide proof that you're a Washington state resident. Your completed application and supporting documentation must be received within 60 days of the life event.

  • Find out if you might qualify for a subsidy and how much help you could get.

    What is your age?

    • Why choose us

      With Premera, you'll get to choose from a wide range of hospitals and doctors, including the top names in healthcare in the Northwest.

      Our PersonalCare Plans are specially designed to help streamline how you receive healthcare, which can help keep costs lower.

      We know that deciding on a health plan-and using one-can be confusing. While we can't simplify the world of healthcare, what we have done is explain any health plan words and terms for you, so it feels less overwhelming.

      And if you need help, we're just a phone call away. When you become a member of one of our health plans, you'll be able to send us secure, private emails when you have questions-so you can contact us when it's most convenient for you.

    • Find a doctor

      If you have a doctor or healthcare provider you prefer, use the Find a Doctor tool before you choose a plan. That way, you can make sure your doctor is an in-network member of the plan you buy. It's a smart move to help save money.

      If you haven't seen a doctor for a while, the Find a Doctor tool can help you find someone near you. You can even find doctors whose office is open late at night or on weekends.

      Find a doctor

  • 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.

  • Explore plans or get a quote

    Need help? Call us at 877-773-6372 or view our frequently asked questions.

  • Find the right health plan for you

    Premera health plans are the most popular in Washington state.

    To fit your healthcare needs, Premera has a variety of bronze, silver, and gold plans at a range of monthly prices.

    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.

    Check out all our plans have to offer, and find the one that's right for you and your family.

    Get quote

    Source for Premera plans are the most popular in Washington state: Kaiser Family Foundation