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Regence NowSelect - $10,000 Indiv. Ded.

Washington Health Plans | Regence NowSelect - $10,000 Deductible

    • A catastrophic health plan that includes four office visits.
    • Preventive care has a $200 limit per calendar year that applies to routine exams, immunizations and certain routine cancer screenings.
    • Back to basics means you don't have to pay for what you don't need, like maternity, prescriptions and vision.

Coverage at a Glance


Deductible:
Annual OOP Max: Not applicable on this plan
Lifetime Max: $2 million per member
Copay: $35 preferred & participating providers
Coinsurance: 20% preferred providers, 50% participating providers
Coinsurance Max: $5,000 per person, $15,000 per family
Network(s): Preferred Network

Find a Doctor
No Prescription benefits
No Dental
No Vision
Yes No Referrals
No Maternity
Yes Preventive Care
Yes Alternative Care
Yes Mental Health
 

Basic Features

Cost Sharing
Deductibles:
  • $2,500 per member ($5,000, $7,500 and $10,000)
  • Family maximum of three individual deductibles
Annual OOP Max: Not applicable on this plan
Coinsurance Max:
  • $5,000 per person
  • $15,000 per family
Lifetime Max: $2 million paid by Regence per member
Copay:
  • You pay $35 when using preferred providers
  • You pay $35 when using participating providers
Coinsurance:
  • You pay 20% when using preferred providers
  • You pay 50% when using participating providers
Everyday Needs
Prescriptions:
  • Regence Rx discount program
  • Mail order not available
Preventive Care:
  • You pay coinsurance only
  • No deductible
  • All preventive care services, including related lab tests, screening procedures and x-rays, are limited to $200 per calendar year (routine colorectal cancer screenings not subject to maximum).
Vision: Not covered
Office Visits:

First four visits in the calendar year:

  • You pay $35 copay using preferred providers
  • You pay $35 copay using participating providers
  • No coinsurance
  • No deductible

 

After four visits in the calendar year: Deductible and coinsurance
Diagnostic x-ray services: Deductible and coinsurance apply
Outpatient Laboratory services:

Limited to $400 in the calendar year:

  • Covered at 100%; no coinsurance
  • No deductible for first $400
  • After $400, deductible and coinsurance
Special Needs
Alternative care:
  • Covered as any other condition
  • Acupuncture limited to 12 visits per calendar year maximum
  • Spinal manipulations limited to 10 manipulations per calendar year maximum 
Maternity: Not covered
Mental Health:

Deductible and coinsurance

 

Inpatient: 8 days per calendar year
Outpatient: 12 visits per calendar year
Other considerations
Network(s): Preferred Providers
  • Preferred Providers (most medical services)

Benefit Summary

Rates

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, ground only
Cosmetic Surgery Not covered
Custodial Care and Rest Cures Not covered
Drug Abuse/Addiction treatment Not covered
Growth Hormone Therapy $25,000 per calendar year
Hearing Aids Not covered; this exclusion does not apply to cochlear implants
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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