Sensible Solutions.   Reliable Service.   800-877-8019

 

LifeWise logoHealth Plans for Individuals and Families  - Outside the Exchange
 

Plans available beginning January 1, 2017

Regence BlueShield offers plans with the following network options:  Preferred (large PPO network), or one of the following AHN networks (Accountable Health Network): The Everett Clinic, EvergreenHealth Partners/Virginia Mason, MultiCare and UW Medicine.  Depending on which county you reside in will determine which product and network options are available to you.  Please refer to the Rate & Subsidy Calculator to see which plans are available in your county.

2017 Regence Plans at a Glance:

Gold 1000 Highlights Silver 3000 Plan Highlights Silver 2500 HSA Highlights Bronze 5000 HSA Highlights
  • Annual Deductible:  $1000
  • 20% Coinsurance
  • Out-of-Pocket Maximum: $6500
  • Primary Care Visit: $20 copay
  • Prescription Drugs:
    • $8  Tier 1 (most generics - deductible waived)
    • 25% Tier 2 (deductible waived)
  • Deductible, then coinsurance:

    • 25% Tier 3
    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • Only available with the Preferred network
  • Annual Deductible:  $3000
  • 30% Coinsurance
  • Out-of-Pocket Maximum: $7000
  • Primary Care Visit: $30 copay
  • Prescription Drugs:
    • $10  Tier 1 (most generics - deductible waived)
    • 30% Tier 2 (deductible waived)
  • Deductible, then coinsurance:

    • 35% Tier 3
    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • Only available with the Preferred network
  • Annual Deductible:  $2500 Individual/$5000 Family
  • 20% Coinsurance
  • Out-of-Pocket Maximum: $6200 Individual/$12,400 Family
  • Primary Care Visit: Deductible, then 20% coinsurance
  • Prescription Drugs:
  • Deductible, then coinsurance:

    • 10% Tier 1
    • 25% Tier 2
    • 35% Tier 3
    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • Only available with the Preferred network
  • Annual Deductible:  $5000 Individual/$10,000 Family
  • 50% Coinsurance
  • Out-of-Pocket Maximum: $6550 Individual/$13,100 Family
  • Primary Care Visit: Deductible, then 50% coinsurance
  • Prescription Drugs:
  • Deductible, then coinsurance:

    • 20% Tier 1
    • 25% Tier 2
    • 40% Tier 3
    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • Only available with the Preferred network
Gold Connect 1500 Highlights Silver Connect 4000 Highlights Bronze 7150 EPO Highlights
  • Annual Deductible:  $1500
  • 20% Coinsurance
  • Out-of-Pocket Maximum: $6500
  • Primary Care Visit: $15 copay
  • Prescription Drugs:
    • $5  Tier 1 (most generics - deductible waived)
    • 25% Tier 2 (deductible waived)
    • $30 Tier 3
  • Deductible, then coinsurance:

    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • Only available with an AHN network
  • Annual Deductible:  $4000
  • 50% Coinsurance
  • Out-of-Pocket Maximum: $7150
  • Primary Care Visit: $45 copay
  • Prescription Drugs:
    • $15  Tier 1 (most generics - deductible waived)
    • 25% Tier 2 (deductible waived)
    • $50 Tier 3
  • Deductible, then coinsurance:

    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • Only available with an AHN network
  • Annual Deductible:  $7150
  • 0% Coinsurance
  • Out-of-Pocket Maximum: $7150
  • Primary Care Visit: 2 visits $60 copay, then 0% coinsurance after deductible
  • Prescription Drugs:
    • $20 Tier 1 (deductible waived)
  • Deductible, then coinsurance:

    • 10% Tier 1
    • 25% Tier 2
    • 35% Tier 3
    • 50% Tier 4
    • 40% Tier 5
    • 50% Tier 6
  • EPO: Exclusive Provider Network (if you go out-of-network you pay full cost for care.)
 
Accountable Health Networks are built on a philosophy of accountable care where a focused network of doctors collaborate to make sure you're getting the right at the right time and in the right place.  If you choose an AHN, you should experience a higher level of teamwork, a sharper focus on wellness and better value.  A Primary Care Provider (PCP) is required for AHN plans.

All Plans cover 100% of most Preventive Health, including women's annual exams, well-baby care, routine physicals, immunizations and contraceptives.

Pediatric dental and vision are essential health benefits and embedded in all plans.


Back to Individual Medical Home Page

Back to Individual Dental Home Page

* The linked document is a PDF file, and you'll need Acrobat Reader to display it. If you don't have that program, you can download it free from Adobe.


© Copyright Green Financial, All rights reserved.Reproduction of any part of this site without express written authorization strictly prohibited by law. Insurance agents & brokers -- this means YOU. If you want to 'borrow' our material, contact us and ask permission.   Tell A Friend