Forms & publications

Premera (SEBB) High PPO Benefits Book 2024

This benefits book describes what is covered as a SEBB member under Premera High PPO plan, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

Premera (SEBB) HMO Benefits Book 2024

This benefits book describes what is covered as a SEBB member under Premera HMO plan, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.

Premera (SEBB) Standard PPO Benefits Book 2024

This benefits book describes what is covered as a SEBB member under Premera Standard PPO plan, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal, submit a claim, and how Medicare works with your plan.