In the event of a federal government shutdown, individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage—and those accessing behavioral health services—will not experience a disruption in care. In addition, health care providers will continue to be paid for the services they provide.
If a shutdown occurs, we will share more information at that time.
Learn about the Premera plans available.
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.
Visit one of Premera's online provider directories.
The following documents — called a Benefits Booklet — 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?
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?
| Plan | Employee | Employee and spouse/SRDP | Employee and children | Employee, spouse/SRDP, and children |
|---|---|---|---|---|
| Premera High PPO | $115 | $230 | $201 | $345 |
| Premera HMO | $20 | $40 | $35 | $60 |
| PremeraStandard PPO | $64 | $128 | $112 | $192 |
| Plan | Employee | Employee and spouse/SRDP | Employee and children | Employee, spouse/SRDP, and children |
|---|---|---|---|---|
| Premera High PPO | $97 | $194 | $170 | $291 |
| Premera HMO | $25 | $50 | $44 | $75 |
| Premera Standard PPO | $49 | $98 | $86 | $147 |
In most cases, you must live or work in the medical plan’s service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
Be sure to call the plans you are interested in to ask about provider availability in your county. If you move out of your plan's service area or change jobs to a different employment location, and your current plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in a plan. You must report your new address and any request to change your medical plan to your 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 Kittitas |
Lewis Lincoln Mason Okanogan Pend Oreille Pierce Skagit Skamania Spokane Stevens |
Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima |
| Premera HMO | King |
Pierce Spokane |
Thurston |
| Premera Standard PPO |
Adams Asotin Benton Chelan Clallam Columbia Cowlitz Ferry Franklin Garfield Grant Grays Harbor Jefferson King Kitsap Kittitas |
Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce Skagit Skamania Snohomish Spokane Stevens |
Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima |
|
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 Kittitas |
Lewis Lincoln Mason Okanogan Pend Oreille Pierce Skagit Skamania Spokane Stevens |
Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima |
|
Premera HMO |
Not available |
Pierce Spokane |
Thurston |
| Premera Standard PPO |
Adams Asotin Benton Chelan Clallam Columbia Cowlitz Ferry Franklin Garfield Grant Grays Harbor Jefferson King Kitsap Kittitas |
Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce Skagit Skamania Snohomish Spokane Stevens |
Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima |
Premera Blue Cross
Online: Premera Blue Cross for school employees
Phone: 1-800-807-7310
TRS: 711
