Potential government shutdown

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.

Premera

Learn about the Premera plans available.

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.

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

2024

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

2024

2023

What are the monthly costs?

2024
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
2023
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

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 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.

2024
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

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