Non-Medicare Plans - Summary of Benefits
Click on the desired plan below to view the Summary of Benefits for that plan.
Preferred Provider Plans
Preferred Provider Plan is a comprehensive plan that pays 80% of allowable charges for covered medical services provided by network providers; 60% when services are provided by non-network providers. You pay an annual deductible of $500, $1,000, $2,500 or $5,000, and specified copays for generic, preferred brand, and nonpreferred covered medications. Separate medical and prescription drugs annual out-of-pocket expense limits also apply.
HSA Qualified Preferred Provider Plan is a high deductible health plan (HDHP) that can be used with a federally qualified Health Savings Account (HSA). It is the same plan as our Preferred Provider Plan (pays 80% for network providers, 60% for non-network providers) except that it has a combined medical and prescription drug $3,000 deductible, and 20% coinsurance for all covered medications. Annual out-of-pocket expense limits also apply.
Customer Service 1-800-877-5187, 8 AM to 5 PM Pacific, Monday-Friday; PO Box 1090 Great Bend, KS 67530
©2009 Washington State Health Insurance Pool Contact Us | Disclaimer