PO BOX 1090
Great Bend, KS 67530


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Benefit Plans
The Pre-existing Condition Insurance Plan–Washington State offers two PPO benefit plan options: a $2,500 deductible plan and $500 deductible plan. Both plans include comprehensive coverage for preventive care, primary and specialty care, hospital care, and prescription drugs.  Disease management programs and case management services are also included.

A Preferred Provider Plan (PPO) allows you to choose any provider, but pays a higher level of benefits for services provided by network providers (80%) than non-network providers (60%).  Provider network services are provided by First Choice Health, a leading independent PPO Network in Washington with a growing presence in Oregon, Idaho, Montana and Alaska.  When you are traveling, you also have access to network providers in all 50 states.  Visit www.fchn.com or call 1-800-231-6935 for network information.

The pharmacy network is provided by Medco.  Medco is our pharmacy benefit manager and has the nation's largest mail order pharmacy operations, including over 1,100 specialist pharmacists trained in specific chronic conditions and more than 60,000 participating retail pharmacies. Visit www.medco.com or call 1-800-870-7973 for pharmacy network information.

Click below to download or view the Plan Policy, Schedule of Benefits or Summary of Benefits for each plan:

Preferred Provider Plan Policy

Schedule of Benefits - $2,500 Deductible Plan

Schedule of Benefits - $500 Deductible Plan

Summary of Benefits - $2,500 Deductible Plan

Summary of Benefits - $500 Deductible Plan

Complaints and Appeals

Complaints and Appeals Policy

Privacy Notice

Privacy Notice