• Get Ready for Tax Season: Form 1095-B

    Get Ready for Tax Season: Form 1095-B

    Under the Affordable Care Act, Premera will provide Form 1095-B to WEA enrollees. Form 1095-B is a health insurance tax form that reports the type of healthcare coverage you had, dependents covered by your plan, and the period of coverage for the year. Here’s what you need to know:

    • Premera will send Form 1095-B by mail to WEA enrollees by Jan. 31, 2017. Or find the form online: Log in to your member account and choose Form 1095 under Manage My Account.
    • Use the form to file your taxes. You do not need to submit the form with your 2016 tax return.
    • For more information on 1095-B, please visit the IRS website.

  • 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.

    2016-2017 Plan Changes

    Please review the 2016-17 benefit changes or the 2016-17 Summary of Benefits and Rates and the accompanying WEA Select EasyChoice B & Basic Plan Benefit Booklet Endorsement.

    New Specialist Copay

    All WEA Select Medical Plans, except the QHDHP, now 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 begins November 1

    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. Starting November 1, 2016, 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 now includes massage

    Beginning November 1, 2016, you will 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 now 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.