The out-of-network cost-sharing for Regence Standard Bronze Plan Individual and Family Network will be shown below if applicable. It also can serve as an early warning system to flag health conditions before they become serious. HealthMarkets is ranked Excellent (5 out of 5 stars) by 92% of customers on Trustpilot: Based on 3,101 customer reviews on Trustpilot in the health insurance agency category as of 4/29/21. Regence BlueShield P.O. No obligation to enroll. Agent cannot provide tax or legal advice. This is true even if you havent met your yearly deductible. Not all agents are licensed to sell all products. Compare health insurance plans They may also qualify for a zero-dollar premium bronze plan (after tax credits). No obligation to enroll. From 24/7 virtual care to one-on-one support for specific conditions, you have convenient and affordable choices when it comes to your care. Provider networks We contract with physicians, dentists, other health care professionals and facilities to form provider networks essential for delivery of health care and dental services to our members. 1-877-668-0904, per person not applicable | per group not applicable, Respite care max of 5 consecutive days; lifetime max of 30 days, Out of service area coverage is available, one attempt to correct a scar or defect that resulted from an accidental injury or treatment for an accidental injury or one attempt to correct a scar or defect on the head or neck that resulted from a surgery (more than one attempt is covered if medically necessary), Insulin: $80 max out of pocket for 30 day supply prior to deductible, $500 cap per prescription for the Standard Gold Plan. HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. You will be to see the drug list and pharmacy provider network for all types of plans.. Regence Blue ShieldMember Tools, Resources and Plan Highlights. Cochlear Implants must be covered as they are covered by the state base benchmark plan. Please visit. Remember, you are NOT in this aloneI am here to help! Youre feeling pretty lousy. 1. The Regence Standard Silver Plan EPO Individual and Family Network plan is an Exclusive Provider Organization (EPO) plan. Cost sharing (deductibles and coinsurance) may be higher. 2. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. The cost-sharing for the sample Summary of Benefits & Coverage (SBC) scenarios of having a baby, having diabetes, and having a simple fracture. Learn more at www.trustpilot.com/review/healthmarkets.com. The Patient: Danielle Laskey, 31, was covered by a state-sponsored plan offered by her employer, a local school district, and administered by Regence BlueShield. In offering this website, HealthMarkets Insurance Agency is required to comply with all applicable federal laws, including the standards established under 45 C.F.R. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace website at HealthCare.gov. You may also apply directly on company website . Membership: Asuris serves over 50,000 members Network: Partnerships with thousands of physicians and health care providers, locally and nationally. All rights reserved. As recommended by a provider for women 40 to 49 or women at higher risk for breast cancer, Pap test (also called a Pap smear) for women age 21 to 65, Diphtheria, tetanus, and pertussis (DTaP). Regence offers ACA/Obamacare individual/family plans and small group plans. Not all agents are licensed to sell all products. Individual/family plans are all offered both through the WA Health Plan Finder exchange and direct from Regence (Off exchange). 30 Visit(s) per Year Visit limit does not apply to treatment of mental health conditions. Regence Blue Shield Health Plan of Washington (aka Regence) is part of the Cambia Health Solutions family of companies. You will be to see the drug list and pharmacy provider network for all types of plans. Regence Blue ShieldSmall Group Plan Quotes. They may also qualify for a zero-dollar premium bronze plan (after tax credits). is a toll-free, 24/7 nurse line that provides immediate support for everyday health issues and questions that otherwise might lead to unnecessary doctor or emergency room visits. We do not directly sell health insurance or offer professional legal, medical, or financial advice. HR will reach out and provide specific information. Premium subsidies vary by address and subject to eligibility. Covered under the base benchmark plan; covered under applicable benefit (such as office visit). As recommended by a provider for women 40 to 49 or women at higher risk for breast cancer, Pap test (also called a Pap smear) for women age 21 to 65, Diphtheria, tetanus, and pertussis (DTaP). Login using EmpowerID. Below are additional resources for Regence Standard Bronze Plan Individual and Family Network including the Summary of Benefits & Coverage (SBC), plan brochure, formulary link, and a link to the website to pay your monthly premium after you enroll. You can run your own preliminary quotes on the WA Health Plan Finder exchange. Each Regence health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. To discuss your health insurance options and make sure you have the best possible health plan for your situation, please go to the link above with the image that saysCALL MEand schedule a call with me on a day and time that works for you, and I will call you to review your options. Why Regence Employer plans Regence Cascade Silver Individual and Family Network | HealthMarkets Plans (844) 967-1917 Regence Regence Cascade Silver Individual and Family Network Get a Quote Enter your zip code to get started. Were empathetic, reliable and tenacious, too. Medicare has neither reviewed nor endorsed this information. Coverage is limited to a 30-day supply for specialty and self-administrable cancer chemotherapy medications from a specialty pharmacy per fill or refill.Other Law/Regulation. This site is not affiliated with Healthcare.gov. Coverage is limited to a 30-day supply for specialty and self-administrable cancer chemotherapy medications from a specialty pharmacy per fill or refill. Deductible (per individual) $2,000 /yr: Deductible (per family) $4,000 /yr: Max Out-of-Pocket (per individual) $9,100 /yr: Max Out-of-Pocket (per family) $18,200 /yr: The plan is offered by the U.S. federal government through This will open a window. Read on to learn more about our networks, or shop now if youre ready to choose a plan. Regence is a nonprofithealth care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. website you will find detailed information on all small group health plans offered directly by Regence in Washington. Those with incomes between 100% and 150% of the federal poverty level (FPL) may qualify for a zero-dollar premium silver plan (after tax credits). Benefit Explanation: Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. And one frustrating part canRead More. Visit limit does not apply to Mental Health/Substance Abuse. Cost-sharing for Regence Standard Bronze Plan Individual and Family Network includes your out-of-pocket maximum, your annual deductible, and coinsurance under this plan. You may be interested in these relevant articles from across the HealthMarkets.com network. See theSmall Business Planswebsite above for details, plan brochures, etc. Remote within ID, OR, WA, or UT. This website may not display all data on Qualified Health Plans (QHPs) being offered in your state through the Health Insurance Marketplace website. 2022 Health plan information for Regence Cascade Bronze Individual and Family Network by Regence BlueShield. Premium subsidies vary by address and subject to eligibility. Regenceoffers a mobile appthat enables members to find their health plan information, or search for a doctor at any time. You are viewing the standard version of this plan. Overview Contact Coverage Deductible Premium Overview Plan issuer You can download the app for iPhones on the Apple App Store and Android phones on Google Play. All plan-related information on this site is from, Regence Standard Bronze Plan Individual and Family Network, Get Help from a licensed agent. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Regence members can use their Cost Estimator to compare prices of hospital stays, MRIs, surgeries, X-rays and more. Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. This is a plan overview for 2023 version of Regence Standard Bronze Plan Individual and Family Network 77969OR5290002. Sales agents may be compensated based on a consumers enrollment in a health plan. Video or phone consultations with anMDLIVE physicianare available any time. Premium subsidies vary by address and subject to eligibility. 1. They may also qualify for a zero-dollar premium bronze plan (after tax credits). 155.260 to protect the privacy and security of personally identifiable information. Regence BlueCross BlueShield of Oregon: Regence Bronze HSA 6750 Individ ual and Family Network Coverage for: Individual and Eligible Family | Plan Type: EPO Page 1 of 6 OO0123SBHIFIE The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . The government has neither approved nor endorsed any information on this site. Medicare Customer Service Professional I. Please visit. Create an account or sign in. * Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Maternity Vision Major Dental Care Links Plan Brochure Click or call to enroll online, get a quote, or find out if you qualify for assistance.Get Help from a licensed agent. Learn more at www.trustpilot.com/review/healthmarkets.com. people covered or if people covered are older. You can enroll in this plan if you qualify for special enrollment until the end of 2022. It also can serve as an early warning system to flag health conditions before they become serious. Medical Service: In-patient hospital services for 51 days, plus a one-day stay that included a second placenta removal procedure. Service and product availability varies by state. The Cost Estimator gives you estimates based on your deductible and out-of-pocket maximum. Out of service area coverage is available. 155.220(c) and (d) and standards established under 45 C.F.R. Your costs may be lower depending on your income. Regence BlueCross BlueShield of Oregon : Bronze Care on Demand 8500 Individual and Family Network Coverage for: Individual and Eligible Family | Plan Type: EPO Page 1 of 6 WO0123SBC85IFD The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . When youre choosing a health insurance plan, youre also choosing a networkor a group of doctors, hospitals and pharmacies that are part of your health plan. This website may not display all data on Qualified Health Plans (QHPs) being offered in your state through the Health Insurance Marketplace website. In offering this website, HealthMarkets Insurance Agency is required to comply with all applicable federal laws, including the standards established under 45 C.F.R. Skip to content Facts on Health Insurance Find Health Plans Get Help from a licensed agent. Regence Standard Bronze Plan Individual and Family Network is offered in the following counties. Forgot My Password. The plan is offered by the U.S. federal government through Healthcare.gov under the Affordable Care Act. Additional fills must be provided at a specialty pharmacy. Individual: $8,700; Family: $17,400; Per Person: $8,700; Office Visit. Regence Blue Shield is a common health insurance in Tennessee, and individuals who have Regence Blue Shield may wish to find therapists who are in-network with their health insurance. Combined Medical and Drug Out of Pocket Maximum, CoInsurance: 40.00% Coinsurance after deductible. The following network details will help you understand what Regence Standard Bronze Plan Individual and Family Network covers when you are out of the service area or out of the country. Your premium depends on who is covered by the insurance and Shop now We're here for you If you have questions about your options or choosing the right health plan network, we're here to help. Call us at 1 (888) REGENCE (1-888-734-3623), TTY: 711, or you can also find answers on our member FAQ. 2020 Regence MedAdvantage Rx Enhanced (PPO) - H4605-004- in UT Plan Benefits Explained Some plans have separate cost-sharing for medical and drugs, while other plans offer combined cost-sharing. Regence Cascade Silver Individual and Family Network offers the following cost-sharing. Page 1 of 8 *For more information about limitations and exceptions, see the plan's certificate of coverage at hca.wa.gov/ump-sebb-coc. Please visit. 30 Visit(s) per Year Coverage is limited to 30-inpatient days/year and 25-outpatient visits/year. Service and product availability varies by state. 1. Washington, Oregon, Utah or IdahoResponsible for the overall development and implementation of theSee this and similar jobs on LinkedIn. 155.220(c) and (d) and standards established under 45 C.F.R. Benefit Explanation: Out of service area coverage is available. The company provides patients with a five-person dedicated care team, including a peer and family mentor, a medical provider, a therapist and a dietitian. Doctor On Demand is a separate company that provides telehealth services for Regence members. You can enroll in this plan if you qualify for special enrollment until the end of 2022. Please note, these services are free only when delivered by a doctor or other provider in your plans network. Network Regence BlueCross BlueShield of Oregon: Regence Bronze Essential 7150 EPO Individual and Family This is only a summary. You may be interested in these relevant articles from across the HealthMarkets.com network. This new plan, available for new enrollments on Special Enrollment Periods, is Regence Standard Silver Plan Individual and Family Network - EPO (plan ID: 77969OR5290001). Regence Cascade Bronze Individual and Family Network | HealthMarkets Plans Regence Cascade Bronze Individual and Family Network Get a Quote Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Maternity Vision Major Dental Care Links Plan Brochure Summary Of Benefits Plan Overview Office Visit Renewable Energy World is your premier source for the latest news in Green Energy sources. Announces Strategic New Patent Filed With the U.S. Patent and Trademark Office; OKYO Pharma Announces Appointment of Dr. Jay S. Pepose to its Scientific Advisory Board All insurance agents and enrollment platforms linked to this site have their own terms and conditions. This website may not display all data on Qualified Health Plans (QHPs) being offered in your state through the Health Insurance Marketplace website. Premium subsidies vary by address and subject to eligibility. Regence offers individual/family plans both ON and OFF the WA Health Plan Finder exchange. OK. With a plan powered by the most trusted name in health insurance, youll have coverage tailored to your health. For more information about your coverage, or to get a copy of the complete terms of coverage, go to Individual and Eligible Family Plan Type: EPO cost for covered health care services. Attention: This website is operated by HealthMarkets Insurance Agency and is not the Health Insurance Marketplace website. The cost-sharing amounts above are combined medical and drug costs unless otherwise noted. Video or phone consultations with an. 1-877-668-0904, 30 Days per Month First fill allowed at a retail pharmacy. Premium subsidies vary by address and subject to eligibility. Regence BlueCross BlueShield of Utah Provider Network Regence offers two networks for its individual and family plans: Regence Individual and Family Network and Regence SaveWell. Plus, Evergreen and Overlake hospitals on the eastside of King County, Valley Medical Center in Renton, University of Washington Medical Center, Seattle Cancer Care and Seattle Childrens hospital in Seattle. Have you recently had a qualifying life event? The following network details will help you understand what Regence Cascade Silver Individual and Family Network covers when you are out of the service area or out of the country. To get started, enter your ZIP code and click Start shopping at the top of this page. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. The Regence Standard Silver Plan EPO Individual and Family Network is a health plan issued by Regence BlueCross BlueShield of Oregon for the year 2023. Premium subsidies vary by address and subject to eligibility. Regence's Individual and Family health plans cover primary care, emergency services, hospitalization, labs, maternity, mental health, pediatric dental and vision, preventive services, chronic disease and more. Premera health plans are offered in 5 counties: King, Kitsap, Grays Harbor, Pacific, and Franklin. Medicare has neither reviewed nor endorsed this information. Service and product availability varies by state. The 2022 Regence Standard Silver Plan Individual and Family Network from Regence OR is a Oregon Silver EPO health plan with an annual individual deductible of $4,800 and an out-of-pocket maximum of $9,100. Facts on Health Insurance. All quotes are estimates and are not final until consumer is enrolled. Learn the latest advances in solar, wind, bio, and geothermal power. Benefit Explanation: Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Benefit Explanation: Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Our data is directly sourced from Healthcare.gov, the U.S. federal government's Health Insurance Marketplace, created under the Affordable Care Act. Annual out-of-pocket limit: Individual. Find the right fit for your next chapter with top-rated coverage and care you can trust. Every medical plan comes with virtual care options. Box 2597 Portland, OR 97208-2597 Online www.regence.com/member/paying-premiums/ Pay By Phone 1-888-431-2063 (Credit cards accepted) Overnight U.S. Bank Lockbox Regence BlueShield #2597 Mail Code: PD-OR-C2LB 2999 NE 181st AVE PORTLAND, OR 97230 Customer Service 1-855-857-9959 Monday - Friday: 5:00 am - 8:00 pm 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington. Regence BlueCross BlueShield of Oregon Plan Silver 6500 Individual and Family Network Health Insurance Plan Details (2023 Plan) by Regence BlueCross BlueShield of Oregon SBC doc doctor lookup drug list Monthly Premium Price This Plan EPO Silver Deductible $6,500 /yr Max Out-of-Pocket $9,100 /yr Details Out-of-Pocket Costs Plan Documents 87718WA2170013 both WAF018 and WAF020, 87718WA2170014 both WAF025 and WAF023, 87718WA2170015 both WAF027 and WAF024, 87718WA2170016 both WAF018 and WAF020, 87718WA2170017 both WAF025 and WAF023, 87718WA2170018 both WAF027 and WAF024, 87718WA2170019 both WAF018 and WAF020, 87718WA2170020 both WAF025 and WAF023, 87718WA2170021 both WAF027 and WAF024, 87718WA2170022 both WAF018 and WAF020, 87718WA2170023 both WAF025 and WAF023, 87718WA2170024 both WAF027 and WAF024. Learn how our innovative solutions can help your employees live healthier, while helping you manage your costs. You can enroll in this plan during open enrollment 2023, which started November 1st and ends January 15th, 2023, in most states. Individual. . Plus, you dont need referrals with any network. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace website at HealthCare.gov. your deductible, copayments, and coinsurance. Coverage for habilitative services is limited to 25-outpatient visits/year.Other Law/Regulation. Out-of-network care is usually not covered. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. Regence Cascade Silver Individual and Family Network includes the following benefits at the cost sharing rates listed below. In addition to their individual and family and small group health plans,Regenceoffers the following supplemental coverages: Small group dental and vision plans are available for groups of 2 or more.