What's New for 2019 - Retirees

  • Medical Plus Plan

    The 2019 plan changes are as follows:

    NEW Spinal Surgery Benefit at Select Blue Distinction Centers + (BDC+)

    Beginning Jan. 1, 2019, new spinal surgery benefit applies when surgery is performed at a Select BDC+ facility. These facilities have met national measures for quality and cost-efficient care.

    Benefits to having spinal surgery at a Select BDC+ facility

    • There is no out-of-pocket cost to you, once you have met your Premera annual deductible
    • Travel benefits for you and a travel companion, including airfare, hotel, and transportation to/from the facility
    • Concierge and support services to make travel arrangements, transfer medical records, and schedule local post-operative care appointments

    The Select BDC+ facilities are located in:

    • Alabama: Jackson Hospital, Montgomery, AL
    • Alabama: Mobile Infirmary Medical Center, Mobile, AL
    • Arizona: Tucson Medical Center, Tucson, AZ
    • Arkansas: St. Bernard’s Medical Center, Jonesboro, AR
    • Illinois: Loyola University Medical Center, Maywood, IL
    • Mississippi: North Mississippi Medical Center, Tupelo, MS
    • North Carolina: Duke Raleigh Hospital, Raleigh, NC
    • Oregon: Sacred Heart Medical Center, Springfield, OR
    • Washington: Valley Medical Center, Kent, WA

    The Select BDC+ Spinal Surgery Benefit includes:

    • Waived co-insurance (once deductible is met)
    • Travel benefits to and from the facility (50+ miles from the insured person’s residence):
      • Air travel to and from the facility
      • Black car service to and from the facility
      • Hotel accommodation for travel companion if more than 50 miles from insured person’s residence

    If you have spinal surgery at a BDC+ facility (other than one of the nine Select BDC+ facilities):

    • The plan pays 85% of the cost of the surgery and you will pay 15% (once deductible is met)
    • The travel benefit does not apply

    If you have spinal surgery at an in-network (non-BDC+) facility:

    • The plan pays 65% of the cost of the surgery and you will pay 35% (once deductible is met)
    • The travel benefit does not apply

    Watch this video to learn more.

    For complete eligibility and program details, please call Premera customer service at 800-995-2420, Monday through Friday, 5 a.m. to 8 p.m. Pacific Time.

    Car-T and Gene Therapy

    Similar coverage as shown above for Spinal surgery, however, facilities may vary. Facilities will be announced in November, 2018.

    Teladoc fee increase

    Beginning Jan. 1, 2019, the fee for a Teladoc medical consult will be $45 (or just $6.75 if you’ve met your Premera annual deductible).

    The fee for a dermatology consult will remain at $75 (or just $11.25 if you’ve met your Premera annual deductible).

    Register at teladoc.com/premera or call 855-332-4059.

    Medical Plus Plan Deductible will remain the same for 2019:

    Subscriber Only: $1,350
    Subscriber+ one: $2,700
    Subscriber+ 2 or more: $3,350

    IRS 2019 Health Savings Account (HSA) Contribution Limits

    The maximum HSA contribution amounts for 2019 are as follows:

    Individual (self-only coverage): $3,500
    Family coverage: $7,000

    This annual limit will include any pre-tax payroll contributions, post-tax contributions, or employer contribution, if any. If you will be age 55 or older during the plan year, you can contribute an additional $1,000 "catch up" contribution to the amounts above.

    2019 Benefit Highlights

    2019 Summary of Benefits and Coverage (SBC)

    View current benefits.