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| Deductible: |
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|---|---|
| Annual OOP Max: | $5,000 per member |
| Lifetime Max: | $2 million per member |
| Copay: | Not applicable on this plan |
| Coinsurance: | 20% preferred providers, 40% participating providers |
| Coinsurance Max: | Not applicable on this plan |
| Network(s): | Preferred Network Find a Doctor |
| Prescription benefits | |
| Dental | |
| Vision | |
| No Referrals | |
| Maternity | |
| Preventive Care | |
| Alternative Care | |
| Mental Health |
| Deductibles: | $1,500 Individual |
|---|---|
| Annual OOP Max: |
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| Coinsurance Max: | Not applicable on this plan |
| Lifetime Max: | $2 million paid by Regence per member |
| Copay: | Not applicable on this plan |
| Coinsurance: |
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| Prescriptions: |
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| Preventive Care: |
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| Vision: | Not covered |
| Office Visits: | Deductible and coinsurance apply |
| Diagnostic x-ray services: | Deductible and coinsurance apply |
| Outpatient Laboratory services: | Deductible and coinsurance apply |
| Alternative care: |
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| Maternity: | Deductible and coinsurance apply |
| Mental Health: |
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| Network(s): | Preferred Providers
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|---|---|
| Banking: | A financial institution provides the account where you save money for "qualified medical expenses" as defined by the IRS. We have preferred banking partners that offer some advantages, but you're free to use any institution that provides HSAs. |
Need Assistance? Contact Us Washington | Individual & Family PlansMedical Insurance | Washington
Regence NowSelectA unique low-cost plan that provides for immediate access to care with upfront benefits and preventive screenings and without maternity and vision. Regence HSA Comprehensive HealthplanAll the features of our other HSA plans, plus maternity and prescription coverage to meet your unique coverage needs. For individuals and families. Regence HSA HealthplanBrings together robust preventive care benefits and protection against the unexpected with the unique power of a tax-advantaged Health Savings Account. For individuals and families. Regence BreakthruSMGetting the right fit is important, whether you're talking about shoes or the perfect pair of jeans. For something as important as your health, you want coverage that is right for you -- something that fits you and your family. For individuals and families. DentalOneAffordable dental coverage is an option for individuals and families. Services for DentalOne are provided by the dentists and staff of Willamette Dental -- one of the largest managed dental care groups in the nation. For individuals and families. Individual Dollar-Based DentalA dental plan that puts you in control of your dental health dollars, offered through our affiliate Regence Life and Health. This plan is dollar-based – a unique departure from traditional procedure-based coverage. Imagine spending your benefit dollars almost any way you choose, on care that's important to you and your family. Each year you decide to include an exam and cleaning, you are rewarded with a benefit increase the following year. Individual Incentive DentalImmediate access to quality, affordable dental care, offered through our affiliate Regence Life and Health. This plan is procedure-based, but unlike traditional dental plans you are rewarded for receiving routine preventive care. Each year that you visit the dentist for a checkup and cleaning, means greater benefits and less out-of-pocket expenses the next year. This does not include all benefits, limitations, exclusions and other terms of coverage (such as eligibility and cancellation provisions) applicable to this plan. Please refer to your contract of a complete list and more in-depth explanation of benefits and the limitations and exclusions that apply.
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Complete your health care plan with Dental coverage: DentalOne
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PDF (32k) Exclusions and Limitations: All Individual Plans
| Acupuncture | 12 visits per calendar year |
|---|---|
| Alcoholism | Not covered |
| Ambulance | $2,000 per calendar year |
| Cosmetic Surgery | Not covered |
| Custodial Care and Rest Cures | Not covered |
| Drug Abuse/Addiction treatment | Not covered |
| Growth Hormone Therapy | $20,000 per calendar year |
| Hearing Aids | Not covered |
| Home Health Care | 130 visits per calendar year |
| Home Medical Equipment | $2,500 per calendar year |
| Hospice | 6 months maximum |
| Marital and family counseling | Not covered; family counseling covered as specified in the Mental Disorders benefit |
| Mental Health Treatment | Inpatient: 8 days per calendar year Outpatient: 12 outpatient visits per calendar year |
| Occupational Injury | Provided for subscriber only |
| Rehabilitative Care (inpatient) | $4,000 per calendar year |
| Rehabilitative Care (outpatient) | $2,000 per calendar year |
| Skilled Nursing Facility Care | 30 days per calendar year |
| Smoking Cessation | Not covered |
| Spinal Manipulation | 10 manipulations per calendar year |
| Sterilization | Not covered |
| Temporomandibular Joint Disorder | Not covered |
| Pre-existing conditions | 9-month waiting period |
|---|---|
| Transplants |
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| This does not include all benefits, limitations, exclusions and other terms of coverage (such as eligibility and cancellation provisions) applicable to this plan. Please refer to a contract for a complete list and more in-depth explanation of benefits and the limitations and exclusions that apply. |
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