Health Plans

Regence Blue Shield

2017 Regence Individual Policies

When you choose Regence, you’re getting a health care partner. One that can help with your needs every step of the way, from quick health information to answers about claims, and from online wellness programs to one-on-one help with serious health conditions.

Accountable Health Network

a team approach for better care

With a Regence Accountable Health Network, you work with a coordinated group of providers who all work for the same provider community and are used to working as a team – a team that collaborates, communicates and focuses on your care.

Accountable health networks work especially well for those consumers who already seek health care services within a specific medical community. As part of the network you will need to choose a Primary Care Provider (PCP). Your PCP collaborates with a wide variety of specialists and is there to help identify what care is needed. And you’ll always be involved in making decisions about your health and your treatment—because you’re the most important member of the team.

Preventive Care

Preventive care and early detection are key to long-term health and well-being. That’s why we cover:

  • Routine well-baby care, physicals, well-woman’s care, immunizations and health screenings
  • Counseling for tobacco use cessation
  • Generic medications for tobacco use cessation

You’re covered for these services 100% when you see a network provider. Deductibles and coinsurance may apply when you see out-of-network providers.

Network Comparison Guide.

  • UW Medicine (Snohomish, King & Pierce counties)
  • Evergreen Health Partners (Snohomish, King & Pierce counties)
  • MultiCare Health System (Snohomish, King & Pierce counties)
  • The Everett Clinic Network (Snohomish, King & Pierce counties)
  • PPP Network

Proof of residence required for Individual plan applicants

If you are enrolling as a new member in an off exchange Individual plan, we will need two proof of physical residence documents which match the address on the application:

  1. A valid picture I.D. enlarged 125% indicating physical residential address
    • WA driver’s license
    • WA state-issued identification card
    • tribal identification card
    • military identification card
  2. An additional document that shows the physical residential address
    • Current full month of service (bill date not older than 60 days) utility bill for utility services (needs to include both service and mailing addresses)
    • Signed rental agreement for current residence (signed by all parties-tenant/landlord)
    • Copy of voter’s registration card that has your residential address on it
    • Current bank checking account statement or copy of a voided check
    • Current student enrollment or letter from college/university registrar noting residence

Email the proof of residence, fax it to 1 (877) 369-3410 or mail it to:

P.O. Box 1106 MS-LC 1NW Lewiston, ID, 83501-1106.

10 Essential Benefits

Healthcare reform says all health plans must include ten essential benefits. The basic benefits include:

  1. Outpatient Care - the kind you get without being admitted to a hospital
  2. Emergency Services - for issues that could lead to death or disable you if you do not treat them.
  3. Inpatient Care - covers room and board, tests, drugs, and care from doctors and nurses while admitted, which may include organ and tissue transplants, and hospice and respite care.
  4. Maternity and Newborn Care - care before and after your baby is born
  5. Mental Health and Substance Use Disorder Services - this includes behavioral health treatment, counseling, and psychotherapy.
  6. Prescription Drugs - covers retail, mail order, and specialty drugs.
  7. Rehabilitative and Habilitative Services - services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  8. Laboratory Services - covers lab tests, X-ray services, and pathology, and imaging and diagnostics such as MRI, CT scan, and PET scan.
  9. Preventive and Wellness Services - including mammograms, colonoscopies, vaccines. Covered in full if you use in-network providers for care such as routine physicals, screening, and immunizations. Disease management coordinates care for diabetes, asthma, and other conditions.
  10. Pediatric Services - including dental care (preventive, basic, major) and vision care (eye exam, lenses, and eyewear).