Premera plans

Learn about the Premera plans available to SEBB Continuation Coverage subscribers.

What are my plan options?

In general, you may choose from the plans listed below. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Learn more about the plans.

Premera High PPO
Premera Peak Care EPO
Premera Standard PPO

How do I find a provider?

Visit one of Premera's online provider directories.

For High PPO and Standard PPO (Heritage Prime)
For Peak Care EPO (Tahoma network)

What are the full benefits of each plan?

The following documents — called a Certificate of Coverage — provide in-depth descriptions of the health care benefits for each plan. For a summary of benefits and costs, see Is there a quick way to see benefits and costs?

Certificates of Coverage

2020

Is there a quick way to see benefits and cost?

The following documents — called a Summary of Benefits and Coverage — provide summaries of what each plan covers and what it costs. For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan?

Summary of Benefits and Coverage

2020

What are the monthly costs?

2020

Plan	Subscriber	Subscriber and spouse¹	Subscriber and child(ren)	Subscriber, spouse¹, and child(ren)
Premera High PPO	$630.34	$1,254.90	$1,098.76	$1,879.47
Premera Peak Care EPO	$591.39	$1,177.01	$1,030.60	$1,762.63
Premera Standard PPO	$582.51	$1,159.24	$1,015.06	$1,735.98

¹ Or state-registered domestic partner

Do I live in the medical plan's service area?

The tables below show plans available by county. All school employees will be offered a selection of plans based on their county of residence. Some school employees, including employees who live outside Washington State, may have more plan options if they work in a district that crosses county lines or is in a county that borders Idaho or Oregon.

Use the tables below to make sure you live in the plan's service area. Be sure to call the plan(s) you are interested in to ask about provider availability in your county. If you move out of your plan's service area, you may need to change plans. You must report your new address to your personnel, payroll, or benefits office no later than 60 days after your move.

Plan name	County A - K	County L - S	County T - Z
Premera High PPO	Adams Asotin Benton Chelan Clallam Columbia Cowlitz Ferry Franklin Garfield Grant King Kitsap	Lewis Lincoln Mason Okanogan Pierce Pend Oreille Skagit Skamania Spokane Stevens	Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima
Premera Peak Care EPO	Not available	Pierce Spokane	Thurston
Premera Standard PPO	Adams Asotin Benton Chelan Clallam Columbia Cowlitz Ferry Franklin Garfield Grant Grays Harbor Jefferson King Kitsap	Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce Skagit Skamania Snohomish Spokane Stevens	Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima