Premera

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 HMO
• 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 network)
• For Premera HMO (Sherwood network)

What are the full benefits of each plan?

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?

Benefits Booklets

2023

• Premera High PPO (2023)
• Premera HMO (2023)
• Premera Standard PPO (2023)

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

2023

• Premera High PPO (2023)
• Premera HMO (2023)
• Premera Standard PPO (2023)

What are the monthly costs?

2023

Plan	Employee	Employee and spouse/SRDP	Employee and children	Employee, spouse/SRDP, and children
Premera Blue Cross High PPO	$97	$194	$170	$291
Premera Blue Cross HMO	$25	$50	$44	$75
Premera Blue Cross Standard PPO	$49	$98	$86	$147

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

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 school district, charter school, or educational service district 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, you may need to change plans. You must report your new address to your payroll, or benefits office no later than 60 days after your move.

2023

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