• Welcome WEA Select Enrollees

    Welcome WEA Select Enrollees

    At Premera, our purpose is to improve customers' lives by making healthcare work better.

  • WEA Select medical and vision plans

    Reviewing your coverage each year is the best way to make sure you've got the health plan that best meets your healthcare needs. WEA Select Plan summaries and rates can be found on the Medical and Vision pages.

    Information about your plan

    Please review the 2016-2017 Summary of Benefits and Rates and the accompanying WEA Select EasyChoice B & Basic Plan Benefit Booklet Endorsement.

    Preventive care guidelines

    Preventive care services are covered in-full on all WEA Select Medical Plans when you use an in-network provider. This includes services such as routine physicals, mammograms, colonoscopies, diabetes education, and certain preventive drugs. View the preventive service and prescription drug list to learn more.

    Specialist copay

    All WEA Select Medical Plans, except the QHDHP, require a separate copay for office visits with a specialist. This copay applies each time you see a specialist, as well as when you receive outpatient rehabilitation services. When medically appropriate and to lower your out-of-pocket cost, we encourage you to obtain care from a provider type listed. These provider types are not considered specialists and are subject to the lower non-specialist copay:

    • Family practice doctor
    • General practice doctor
    • Pediatrician
    • Doctor assistant
    • Internist
    • Gynecologist
    • Obstetrician
    • Naturopath
    • Advanced registered nurse practitioner (ARNP)
    • Chiropractor
    • Acupuncturist

    The specialist copay will apply to all other provider types, excluding mental health services.

    Pre-approval for outpatient rehab services

    Your WEA Select Medical Plan covers benefits for outpatient rehabilitation (rehab) services. Benefits for this type of care restore or improve lost bodily functions caused by illness or injury. These outpatient rehab services will be reviewed and pre-approved by eviCore healthcare.

    Outpatient rehab services that will be reviewed:

    • Physical therapy
    • Occupational therapy
    • Massage therapy

    Prior authorization will not be required for spinal manipulations, acupuncture, or speech therapy.

    See a list of other services that will not require prior authorization and further information about the review process and what you can expect.

    Read the FAQ for more information.

    Enhanced Community Health benefit includes massage

    The WEA Select Medical Plans have a unique benefit that covers wellness programs such as:

    • CPR
    • Parenting classes
    • Weight management
    • Back pain prevention

    Have you been using the outpatient rehabilitation benefit for stress reduction? Your Community Health benefit includes massage therapy, which provides up to $250 per calendar year for wellness programs. The benefit is subject to your plan's deductible and coinsurance. No referrals or pre-approvals are required.

    You must submit a claim form and the provider's bill.