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Individual/family plans are all offered both through the WA Health Plan Finder exchange and direct from Regence (Off exchange). Benefit Explanation: Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Regence Blue ShieldPrescription Coverage and Formulary Information. Our quoting tool is provided for your information only. to compare prices of hospital stays, MRIs, surgeries, X-rays and more. All rights reserved. Attention: This website is operated by HealthMarkets Insurance Agency and is not the Health Insurance Marketplace website. You can download the app for iPhones on the Apple App Store and Android phones on Google Play. There You will get information specific to your plan, such as: If you're not a registered member, go to the section on the above Pharmacy page to select your type of insurance coverage. To find a provider in the appropriate network in your area go to the, EPO network for East King County and Surrounding areas. A qualifying what? you might ask.Read More, Many people canceled medical appointments during the pandemic, and at least one dental specialistRead More, Shopping for healthcare can be time-consuming and feel overwhelming. Regence BlueCross BlueShield of Oregon for the year 2021. their ages. Were empathetic, reliable and tenacious, too. Coverage Area: Across 16 counties in eastern Washington. 2022 HealthMarkets Insurance Agency. The out-of-network cost-sharing for Regence Standard Bronze Plan Individual and Family Network will be shown below if applicable. This website may not display all data on Qualified Health Plans (QHPs) being offered in your state through the Health Insurance Marketplace website. Cost sharing (deductibles and coinsurance) may be higher. 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. Visit limit does not apply to Mental Health/Substance Abuse. Why Regence Medicare plans Find the right fit for your next chapter with top-rated coverage and care you can trust. All quotes are estimates and are not final until consumer is enrolled. Not all agents are licensed to sell all products. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces. All quotes are estimates and are not final until consumer is enrolled. Job Description. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. $1,500. There are all the providers that I can possibly think of. Regence Blue Shield Health Plan of Washington(aka Regence)is part of the Cambia Health Solutions family of companies. 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. 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). 30 Visit(s) per Year Coverage for habilitative services is limited to 30-inpatient days/year. Service Provider: Swedish Medical Center/First Hill, part of Providence Health & Services, a large . 1. This website may not display all data on Qualified Health Plans (QHPs) being offered in your state through the Health Insurance Marketplace website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Well ask for your income to check if you may be eligible and get you to the right place. Regence Cascade Gold Individual and Family Network - EPO Plan summary Get our guide to the Essential Health Benefits covered by this plan and all other Marketplace plans. Sales agents may be compensated based on a consumers enrollment in a 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. Regence BlueCross BlueShield of Oregon: Regence Standard Silver Plan Individual and Family Network Coverage for: Individual and Eligible Family | Plan Type: EPO Page 1 of 6 OO0123SSSIFIE The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . Individual. Benefit Explanation: Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. When you see a therapist who is in-network with Regence Blue Shield, each session you'll pay only a copay, which typically ranges from $0-$75/session. Regence BlueShield offers health and dental coverage to over 1 million members in select counties in Washington State. Our quoting tool is provided for your information only. This site is not affiliated with Healthcare.gov. To run quotes and apply direct with Regence OFF the exchange, go to our Regence Direct Quote and Apply link. 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. All from Regence, a company committed to service, community and this place we call home. Including major hospital systems such as Providence Health and Multicare. They may also qualify for a zero-dollar premium bronze plan (after tax credits). page you can download SBCs for all individual plans. Benefit Explanation: Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Service and product availability varies by state. Ready to sign up for Regence Standard Bronze Plan Individual and Family Network? No obligation to enroll. All plan-related information on this site is from, Regence Standard Bronze Plan Individual and Family Network, Get Help from a licensed agent. Regence Gold 2500 With Vision Exam Exchange Individual and Family Network. Our data is directly sourced from Healthcare.gov, the U.S. federal government's Health Insurance Marketplace, created under the Affordable Care Act. 155.260 to protect the privacy and security of personally identifiable information. Completion of the credentialing process takes 30-60 days. Already a member? Membership: Asuris serves over 50,000 members Network: Partnerships with thousands of physicians and health care providers, locally and nationally. They may also qualify for a zero-dollar premium bronze plan (after tax credits). 1-877-668-0904. Start your next chapter with peace of mind and choose from plans that have $0 premiums and no-cost doctor visits. Regence Cascade Silver Individual and Family Network is offered in the following counties. $16 to $20 Hourly. Hearing assistance coverage complies with state and federal law, 1 Item(s) per Year One pair of lenses and one frame per year (contacts in lieu of glasses). Stay on top of your health with easy access to everything you need to understand your coverage, find care at the best price, and track your claims and deductibles right at your fingertipsplus support thats there when you need it. 2. Contact your tax or legal professional to discuss details regarding your individual business circumstances. 155.220(c) and (d) and standards established under 45 C.F.R. 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 has three EPO networks for individual plans: The statewide Individual and Family Network provides access to hospitals statewide. Regence Cascade Gold Individual and Family Network | HealthMarkets Plans Regence Regence Cascade Gold Individual and Family Network Get a Quote Enter your zip code to get started. CoPay: $800.00 Copay per Day after deductible. 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. Please visit. Please note the following about some of the different networks depending on the type of plan. pageyou will find general information about Regence individual and family plans offered in Washington. As you age, so do your eyes. You are viewing the standard version of this plan. Sales agents may be compensated based on a consumers enrollment in a health plan. Sales agents may be compensated based on a consumers enrollment in a health plan. Founded In: Nearly 60 years ago. To get started, enter your ZIP code and click Start shopping at the top of this page. Payment to an out -of-network provider will be based on the amount a network provider would accept as payment in full (the Allowed Amount), except for emergency room and . They may also qualify for a zero-dollar premium bronze plan (after tax credits). No obligation to enroll. You pay $0 for covered preventive care services when you see a network provider . Some plans have different cost-sharing out-of-network. Regence Family Network Blue Cross Blue Shield (out of state) U of U Health facilities and physicians are in-network with out of state Blue Cross Blue Shield plans as long as the plan uses the BlueCard network. 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. 155.260 to protect the privacy and security of personally identifiable information. Regence offers a variety of special discounts on a wide variety of products and services. 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. Doctor On Demand is a separate company that provides telehealth services for Regence members. You can enroll in this plan during open enrollment 2023, which started November 1st and ends January 15th, 2023, in most states. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. 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. Information about gender affirming care can be found in plan documents. Healthcare.gov under the Affordable Care Act. Insulin: $80 max out of pocket for 30 day supply prior to deductible. month. Agent cannot provide tax or legal advice. 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. Primary Doctor: CoPay: $10.00; 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. 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). 155.220(c) and (d) and standards established under 45 C.F.R. This new plan, available for new enrollments on Special Enrollment Periods, is Regence Standard Silver Plan Individual and Family Network - EPO (plan ID: 77969OR5290001). They may also qualify for a zero-dollar premium bronze plan (after tax credits). 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). 30 Visit(s) per Year Visit limit does not apply to treatment of mental health conditions. Individual: $8,700; Family: $17,400; Per Person: $8,700; Office Visit. Your health plan comes with a secure account for regence.com and our app, personalized to you and your benefits. Service and product availability varies by state. You will note that there are multiple networks. Get Help from a licensed agent. 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). No obligation to enroll. 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. If you're not a registered member, go to the section on the above Pharmacy page to select your type of insurance coverage. 3. All quotes are estimates and are not final until consumer is enrolled. Combined Medical and Drug Out of Pocket Maximum. Oregon Download PDF of 2023 Oregon plans by county Download PDF of 2022 Oregon plans by county Washington Covered under the base benchmark plan; covered under applicable benefit (such as office visit). and schedule a call with me on a day and time that works for you, and I will call you to review your options. Remote within ID, OR, WA, or UT. There is no copayment or coinsurance for any of the following Regence Standard Bronze Plan Individual and Family Network preventive services. Our quoting tool is provided for your information only. EPO Plans only provide coverage for providers in the local network. You may be interested in these relevant articles from across the HealthMarkets.com network. 30 Days per Month Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill.Other Law/Regulation. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Plus, you dont need referrals with any network. Our quoting tool is provided for your information only. Additionally, on the RegenceSummary of Benefits and Coverage (SBC)page you can download SBCs for all individual plans. Every medical plan comes with virtual care options. 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. FactsOnHealthInsurance.com is operated by dog Media Solutions LLC and is not the Health Insurance Marketplace website. Compare ACA Health Plans & Rates - Free Price Quotes - Enroll Online Or Over The Phone With A Licensed Agent - Trusted By Millions Since . 2021 HealthMarkets Insurance Agency. Sales agents may be compensated based on a consumers enrollment in a health plan. The Cost Estimator gives you estimates based on your deductible and out-of-pocket maximum. 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 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. For more information, please visit regence.com. Individual & Family Insurance Open Enrollment Open Enrollment Open Enrollment Timeline November 1 st through December 15 th for a January 1 st effective date. Not all agents are licensed to sell all products. Combined Medical and Drug Out of Pocket Maximum, CoInsurance: 40.00% Coinsurance after deductible. Check them out on their, Regence offers individual/family plans both ON and OFF the WA Health Plan Finder exchange, 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 says. $5,000/family . Your costs may be lower depending on your income. Ready to sign up for Regence Cascade Silver Individual and Family Network? This is true even if you havent met your yearly deductible. 2. Starting pay range $16.20 - $20.10 DOE and Location. You can usually identify BlueCard eligibility by looking at your insurance ID card and locating a suitcase logo. Join us! IMPORTANT: You are viewing the 2023 version of Regence Standard Bronze Plan Individual and Family Network 77969OR5290002. All quotes are estimates and are not final until consumer is enrolled. IMPORTANT: You are viewing the 2022 version of Regence Cascade Silver Individual and Family Network 87718WA2170014. Not all agents are licensed to sell all products. The Regence Standard Silver Plan EPO Individual and Family Network plan is an Exclusive Provider Organization (EPO) plan. In addition to the 10 essential health benefits mandated by the ACA, most individual and small group plans feature: Advice24 Nurse Line (Not available on all plans).