Regence HSA Comprehensive Healthplan - $3,000 Fam. Ded.

Washington Health Plans | Regence HSA Comprehensive Healthplan - $3,000 Family 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 Coach^SM.

Coverage at a Glance

Deductible:	Selected Deductible: $3,000 $1,500 Individual $3,000 Family
Annual OOP Max:	$10,000 per family
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

Basic Features

Cost Sharing
Deductibles:	$3,000 per family
Annual OOP Max:	$10,000 family 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 Network
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. HSA Bank Wells Fargo

Rates

PDF (31k) Rates: Regence HSA Comprehensive Healthplan

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	Excluded
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.