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
|
---|