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Regence HSA Comprehensive Healthplan - $1,500 Indiv. Ded.

Washington Health Plans| Regence HSA Comprehensive Healthplan - $1500 Individual Deductible

    • Own your health care dollars with a tax-advantaged account that covers medical expenses beyond your health plan. Or choose to save.
    • More robust coverage than most HSAs, such as maternity and prescription coverage, plus a lower deductible.
    • Comprehensive wellness programs like Care Enhance® Nurseline & Regence Health CoachSM.

Coverage at a Glance


Deductible:
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
Yes Prescription benefits
No Dental
No Vision
Yes No Referrals
Yes Maternity
Yes Preventive Care
Yes Alternative Care
Yes Mental Health
 

Basic Features

Cost Sharing
Deductibles: $1,500 Individual
Annual OOP Max:
  • $5,000
  • Amount includes your deductible
  • Maximum only applies to Preferred providers' services. No maximum for Participating providers.
Coinsurance Max: Not applicable on this plan
Lifetime Max: $2 million paid by Regence per member
Copay: Not applicable on this plan
Coinsurance:
  • You pay 20% for most Preferred providers' services.
  • You pay 40% for most Participating providers' services.
Everyday Needs
Prescriptions:
  • You pay 50% at Participating pharmacies.
  • $2,000 calendar year maximum
  • Subject to deductible
Preventive Care:
  • You pay 20% for Preferred providers.
  • You pay 40% for Participating providers.
  • Deductible waived
  • No annual limit
Vision: Not covered
Office Visits: Deductible and coinsurance apply
Diagnostic x-ray services: Deductible and coinsurance apply
Outpatient Laboratory services: Deductible and coinsurance apply
Special Needs
Alternative care:
  • 12 acupuncture visits per calendar year
  • 10 spinal manipulations per calendar year
  • Deductible and coinsurance apply
Maternity: Deductible and coinsurance apply
Mental Health:
  • 12 visit limit for outpatient services per calendar year
  • 8 day limit for inpatient services per calendar year
  • Deductible and coinsurance apply
Other considerations
Network(s): Preferred Providers
  • Preferred Providers (most medical services)
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.

Rates

Medical Insurance | Washington

Washington | Individual & Family Plans

Medical Insurance | Washington

Plan image

Regence NowSelect

A 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 Healthplan

All the features of our other HSA plans, plus maternity and prescription coverage to meet your unique coverage needs. For individuals and families.

Regence HSA Healthplan

Brings 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 BreakthruSM

Getting 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.

DentalOne

Affordable 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 Dental

A 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 Dental

Immediate 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.



 

Optional Benefits

Complete your health care plan with Dental coverage: DentalOne


  • No deductibles, no annual maximums
  • $15 per visit copay for basic dental services

Learn more about DentalOne »

Medical Exclusions and Limitations

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
Waiting Periods
Pre-existing conditions 9-month waiting period
Transplants 
  • $350,000 lifetime maximum
  • 12-month waiting period
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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