Learn more about this AK small business health insurance plan and find the right plan to reduce your business related health care costs. Report. Premera Blue Cross. Visit one of UMP's provider directories. This booklet describes the benefits of this plan and replaces any other benefit booklet you may have received. Premera Heritage & Heritage Plus 1/Blue Card PPO (800) 810-BLUE Website: website: HMO Medical/Rx and Vision Benefits: Kaiser Permanente (888) 901-4636 website: Eligibility: WPAS, Inc. (206) 441-7574 (800) 732-1121, option 4: Hospital Pre-Admission and Outpatient Services Preauthorization: ICM Important notes: Providers in our network may have more than one medical group affiliation, so a provider's network participation can vary depending upon where he/she is . P.O. She works in Olympia, WA and specializes in General Surgery. Medicare Advantage Plans . 2022 SEBB medical benefits comparison Use the following charts to briefly compare the deductibles, out-of-pocket limits, per-visit out-of-pocket costs, and prescription drug costs for SEBB medical plans. Visit one of Premera's provider directories. This is only a brief summary of the major benefits provided by our plans. The following services and/or providers will always be covered at the Heritage provider level of benefits: • Emergency care. 4.83. Express Scripts Prescription Drug Program. Premera - Plan 4 - $10/$30 Rx - Summary of Benefits and Coverage. Find an in-network provider by searching . Premera Blue Cross - Heritage Plus & Heritage Prime 80 Series, 70 Series, 50 Series, HSA Series. This new partnership will offer current and future WAIA groups competitively priced medical plans featuring Premera's Heritage Prime and Heritage Plus networks. Relief for Blocked Hair Follicles. Three (3) door or window sensors. WTIA Benefits Program Information. If you have a "medical emergency" (please see the "Definitions" section in this booklet), this plan provides worldwide coverage. . 1-G2BECT Rev #1 Q 8/31/2020 02:52 PM Page 3 of 7 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN 2020 TECH 80 $4000 HERITAGE IN-NETWORK OUT-OF-NETWORK Emergency Care (If applicable, waive copay if admitted to inpatient facility) $200 Copay then $4,000 Deductible and Avoiding Crohn's Flares. Premera . LifeWise - In network benefits for: LifeWise Assurance Company, LifeWise Health Plan of Washington Preferred and WA LifeWise Primary. 3 With the split copay option, this benefit is subject to the non‐specialist copay. Aug 27, 2015. 2 Benefits provided at 100% of allowable charges; not subject to deductible or coinsurance. Dr. White is affiliated with Providence St Peter Hospital. WTIA Medical Plan Information - Premera Blue Cross. In this booklet Premera Blue Cross is called the "Claims Administrator." This booklet replaces any other health plan benefit booklet you may have. Once enrolled, members will have access to our Heritage Member Web Portal at www.HeritageVisionPlans.com that will allow them to review their vision benefits and locate vision providers. Title: Part Time Employee Rate Sheet Author _ Created Date: 10/28/2017 1:14:37 PM . 1 . . P.O. Submit member paid claims, dental and time loss claims: IUOE Locals 302 & 612. Zip Code: 99504 (edit . Premera Blue Cross Foundation Plus 1 Premera Blue Cross Global Premera Blue Cross Heritage Premera Blue Cross Heritage Signature Premera Blue Cross Individual Signature. Premera - Plan 3 - $10/$20 Rx - Summary of Benefits and Coverage. . Premera Blue Cross Heritage . 1-9HBT5C Rev #1 Q 9/29/2017 04:10 PM Page 3 of 5 An Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN CPV $10/$20/$40 RX - NGF PLAN HERITAGE PLUS* HERITAGE IN-NETWORK HERITAGE OUT-OF-NETWORK Allergy/Therapeutic Injections $200 Deductible, then 30% Coinsurance, applies to $1,000 Out of Pocket Maximum ★★★★★. Payment Cash, check , debit, credit and HSA are accepted for payment. prescription drug coverage is available at https://www.premera.co m/documents/052149_2 022.pdf Preferred generic drugs $7 copay/prescription (retail), $14 copay/prescription (mail) $7 copay/prescription + 40% coinsurance (retail), not covered (mail) Covers up to a 30 day supply (retail), covers up to a 90 day supply (mail). 1-G2BECT Rev #1 Q 8/31/2020 03:52 PM Page 3 of 7 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN 2020 HSA $4500 HERITAGE IN-NETWORK OUT-OF-NETWORK Travel and Care Coordination (Limited to IRS Guidelines) $4,500 PCY Deductible, 0% Coinsurance, applies to $5,000 Out of Pocket Maximum Co-insurance charge; Prescription or referral requirements; . Dr. White graduated from the University of Utah School of Medicine in 2009. Essential Health Benefits: List of the Largest Three Small Group . *For Premera plans, select "Heritage" or "Prime" Network - Includes Pharmacy. Enrollment in Premera Blue Cross depends on contract renewal. 97 reviews of Premera Blue Cross "Looking over my insurance options I thought I had it made. For High PPO and Standard PPO (Heritage Prime network) For Peak Care EPO (Tahoma network) Uniform Medical Plan (UMP) UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS). Average office wait time. UMP Achieve 1; UMP Achieve 2; UMP High Deductible 217 W CATALDO AVE FL 2, SPOKANE, WA, 99201. IN . 1-G2BECT Rev #1 Q 8/31/2020 02:52 PM Page 3 of 7 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN 2020 TECH 80 $4000 HERITAGE IN-NETWORK OUT-OF-NETWORK Emergency Care (If applicable, waive copay if admitted to inpatient facility) $200 Copay then $4,000 Deductible and Healthy Cats; . Vigilant Manufacturers' Trust offers an employee benefits program to manufacturing employers in Washington. Heritage Network (formerly Heritage Plus) WTIA Tech Premier $200 Heritage. Courteous staff. Box 34684. • Greater adherence to doctor-recommended medication treatment plans. Heritage protector plus 20 Heritage value plus 30 Heritage preferred plus 30 Heritage preferred plus 20 MEDICAL BENEfITS in-network out-of-network in-network out-of-network in-network out-of-network in-network out-of-network Annual Deductible per individual PCY £ $500 or $1,000 (choose one) 1$1,000 or $2,000 £ $2,500, £ $5,000 or £ $10,000 (choose one) Shared with in-network deductible . Vigilant Manufacturers' Trust offers an employee benefits program to manufacturing employers in Washington. 026805 (01-2016) | Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association General Information. Important Links & Information. 5.0. You get more personalized, tailored health care and . When you use a licensed health care provider who is not part of the Heritage network (also called a "Non-Heritage," "Heritage Plus 1" or out-of-network provider) benefits for covered services are provided at a lower level of benefits (and higher out-of-pocket costs). Kaiser Permanente Providers . Am I dead in the water as far as having them pay for this, or is there some way I can proceed and see what happens before I decide to self pay? Balance billing may apply if a provider is not contracted with Premera Blue Cross. PPO . Premera's individual and family plans offer a statewide network of physicians and other healthcare providers as well as flexibility to use the doctors or health facilities you choose. Courteous staff. Washington Dental Service (Delta Dental) . Premera Blue Cross | Washington state Office of the Insurance Commissioner Premera Blue Cross Back to search Status Active Employer/sponsor name OfferUp Third Party Administrator name Premera Blue Cross Group ID# 4008280 Address 1745 114th Ave SE City Bellevue State Washington Zip 98004 Phone 206-437-7832 Email celia.buckingham@offerup.com discretionary authority to determine claims for benefits and to construe the terms used in this plan to the extent necessary to perform our services. All groups requesting a quote will receive a renewal offer guaranteed for 12-months from October 1, 2015 - September 30, 2016. 016329 (02-2006) Heritage Preferred Plus 20 medical benefits in-network out-of-network Visit Premera Facebook page Visit Premera Twitter page Visit Premera Youtube page Visit Premera LinkedIn page 722 verified reviews. Coverage Providers. Refractive Surgeon. Please consult your Summary Plan Description, contact customer service at 1-800-722-1471, or have the provider submit a Prior Authorization to determine available benefits. Premera Blue Cross is an HMO plan with a Medicare contract. 80 Series. WCIF contracts with the top carriers in the state for our employee benefit plans. 1-9HBT5C Rev #1 Q 9/29/2017 04:10 PM Page 3 of 5 An Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN CPV $10/$20/$40 RX - NGF PLAN HERITAGE PLUS* HERITAGE IN-NETWORK HERITAGE OUT-OF-NETWORK Allergy/Therapeutic Injections $200 Deductible, then 30% Coinsurance, applies to $1,000 Out of Pocket Maximum Legacy PPO PPO . More about Dr. Bethanie Rosella White. Please click on the carrier logos below for access to provider directories. Online: Premera Blue Cross for school employees. Anthem Ins Companies Inc . Kaiser - Plan 1 - $10/$30 Rx $5 Copay. Family medicine benefits both patients and their doctors. Premera Blue Cross Blue Shield of Alaska . TIP: Health care costs vary depending were you go for care. 2 . Contact us about employee benefit options. You get deeper, real-time insights into your complete healthcare costs. 016329 (02-2006) Heritage Preferred Plus 20 medical benefits in-network out-of-network Most coinsurance does not apply until after you have paid your annual deductible unless noted that the deductible is waived. location, specialty and other criteria. Hello, I have Premera blue cross in washington state, I just found out that my benefits have a written exclusion for obesity related surgery, prescriptions, etc. Office cleanliness. Kaiser Permanente Providers . 016332 (02-2006) Heritage Protector Plus 20 medical benefits in-network out-of-network annual deductible per individual PCY ® $500 or $1,000 (choose one) 1$1,000 or $2,000 coinsurance 20% 50% annual coinsurance maximum2 PCY $2,000 Individual / $6,000 Family Unlimited lifetime benefit maximum $2 Million covered services . . Im currently 27 . Premera Heritage and Heritage Plus 1 ; UHC Options PPO ; UHC Navigate HMO ; BCBS Blue Card PPO ; CIGNA HMO ; Premera Heritage Signature ; Aetna Managed Choice POS Open Access ; UHC Navigate POS ; Group Health Coop Alliant Plus Connect ; Regence WA Preferred Provider Network ; Premera LifeWise Connect ; Kaiser Permanente Participating Pharmacies . Premera - Plan 4 - $10/$30 Rx - Summary of Benefits and Coverage. Premera - Plan 4 - $10/$30 Rx. Office cleanliness. 2021/2022 Plan Year. Alaska Heritage Plus Envoy . 46944AL003 . Out-of-network benefits. 17575IN054 . 1 . Participants have access to the BlueCard® PPO network that includes the Heritage and Heritage Plus 1 networks, and is one of the largest national networks available. Here are 5 things we recommend you do, so you can start using your plan right away. Please check your insurance benefits to ensure that you have out-of-network coverage and then contact us for your out-of-network cost. Crohn's: A 'Full-Body' Disease. Wide-ranging premium and cost-share combinations, with deductibles starting at $250 Office visit Copay of $20-$35 Provider network Choice of Heritage or Heritage Prime network with 30,000+ providers statewide 11 PPO plans, by deductible $250 $1,500 $4,000 $500 $2,000 $5,000 $750 $2,500 $6,350 $1,000 $3,000 No kids, the spouse has his own insurance, and that all meant I could afford the Cadillac Escalade of insurance plans without having to deduct anything from my paycheck. Aug 27, 2015. TTY: 1-800-842-5357. IN Legacy Lumenos HSA . 1 - 2 times per week for 6 - 12 weeks) Provider name and signature (either physical or electronic) . Heritage Plus POS . 80 Series. AL . Premera/CYC HSA Contribution ACH Form. Premera Blue Cross. Provider Type Kaiser Permanente Participating Pharmacies . Scheduling flexibility. Family & Pregnancy. Cellular backup. 3908 10th St SE, Puyallup, WA, 98374. What do I do if I worked on the pipeline, but you have not received any of my health or . Seattle, WA 98124-1684. Premera Heritage and Heritage Plus 1; Premera Heritage Signature; UHC Choice Plus POS; UHC Navigate HMO; UHC NAVIGATE PLUS POS; UHC Nexus Open Access; UHC Options PPO; UHC Signature Value; . www.lifewisewa.com Premera - In network benefits for: Global, Heritage, Heritage Plus 1, Heritage Flex Tier 1, Heritage Prime and Heritage Signature . (i.e. 016332 (02-2006) Heritage Protector Plus 20 medical benefits in-network out-of-network annual deductible per individual PCY ® $500 or $1,000 (choose one) 1$1,000 or $2,000 coinsurance 20% 50% annual coinsurance maximum2 PCY $2,000 Individual / $6,000 Family Unlimited lifetime benefit maximum $2 Million covered services . Member Services. . Motion detector. Any doctors that are part of Premera's Heritage & Heritage Plus 1 network are considered in-network providers. Benefit Debit Card; Forms and Materials ; Eligible Expenses; Frequently Asked Questions Premera Blue Cross Pharmacy Locator . All About Pregnancy. by name, location and/or specialty. We are available from 5 a.m. to 8 p.m. (PT) Monday through Friday. . you receive higher benefits if you use in-network Trust Medical Plan providers. 17575IN055 . Health Benefits of Hemp Seed Oil; Live Better With Psoriatic Disease; Types of B-Cell Therapy for MS; 5 Health Benefits of Hemp; Getting Pregnant; First Trimester; Second Trimester; Third Trimester; View All; Parenting Guide. Premera Heritage; Premera Heritage Plus 1; And from these employers: Amazon (100% covered) Microsoft (Subject to deductible) . Health Benefits of Hemp Seed Oil. Premera Blue Cross (Prime & Plus Networks) PPO 250; PPO 500; PPO 750; PPO 1000; . OFFICE LOCATION RATING. Access the Premera Blue Cross website by clicking here or typing the website address into an internet search bar https://www.premera.com/wa/visitor/find -a-doctor/doctor-dentists-and-more/ 2. Dr Gilbert is passionate about helping patients achieve their best vision, through LASIK or cataract surgery for vision impairment, or by treating chronic dry eye or other medical conditions. Premera Heritage Plus 1. Sound Family Medicine - Sunrise. OPTION ONE - Generating a list of Premera Blue Cross Heritage & Heritage Plus 1 providers within a specific area 1. 1322 3rd St SE Ste 240, Puyallup, WA, 98372. Be sure to choose Heritage Plus/Plus 1 when selecting a network. Premera - Plan 4 - $10/$30 Rx. Smoke or carbon monoxide detector. Heritage protector plus 20 Heritage value plus 30 Heritage preferred plus 30 Heritage preferred plus 20 MEDICAL BEnEfITS in-network out-of-network in-network out-of-network in-network out-of-network in-network out-of-network Annual Deductible per individual PCY £ $500 or $1,000 (choose one) 1$1,000 or $2,000 £ $2,500, £ $5,000 or £ $10,000 (choose one) Shared with in-network deductible . 12301 NE 10th Pl, 2nd Fl, Bellevue, WA 98005. It was a very complete and comprehensive benefits package - the health insurance was much better than I've had at previous jobs. Spokane Ear Nose And Throat Clinic. Psoriatic Arthritis and Your Sleep. One (1) keychain alarm remote - allows access to your home without having to utilize the keypad. 1-G2BECT Rev #1 Q 8/31/2020 03:52 PM Page 3 of 7 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN 2020 HSA $4500 HERITAGE IN-NETWORK OUT-OF-NETWORK Travel and Care Coordination (Limited to IRS Guidelines) $4,500 PCY Deductible, 0% Coinsurance, applies to $5,000 Out of Pocket Maximum Premera. MedTerms medical dictionary is the medical terminology for MedicineNet.com. The value of integration Here are a few other advantages of integrated care: • Improved care coordination between providers results in earlier detection of chronic diseases. Former Marketing Manager in Bellevue, WA, Washington State. Premera Blue Cross doesn't insure this plan. This benefit booklet is for members of Premera Blue Cross, an Independent Licensee of the Blue Cross and Blue Shield Association. Members may also contact our Customer Service Center at 800-252-2053, Monday - Friday 9am - 8pm and on Saturday 9am - 4pm, for assistance. You can also select from a wide array of benefits and deductibles: Heritage Protector Plus 20 provides catastrophic coverage in the event of major illness or . $238.76 /person. 1 CREATE AN ACCOUNT Set up your online account so you can pay your bill, track your claims, use the mail-order pharmacy, and find cost estimates. Note: All coinsurance amounts are based on allowable charges. Premera Blue Cross. Kaiser - Plan 1 - $10/$30 Rx $5 Copay. Premera - Plan 3 - $10/$20 Rx - Summary of Benefits and Coverage. Premera Blue Cross - Heritage Plus & Heritage Prime 80 Series, 70 Series, 50 Series, 100 Series, HSA Series. Important notes: Providers in our network may have more than one medical group affiliation, so a provider's network participation can vary depending upon where he/she is .
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