Plans, Service Areas, Networks

  • Premera Blue Cross HMO group plans are available in the following counties: King, Pierce, Thurston, and Spokane.

    Premera Blue Cross group plans are available throughout Washington State under the Blue Cross brand (except Clark County).

    Premera Blue Cross individual plans are available in the following counties:Franklin, Grays Harbor, King, Kitsap, Pacific, Pierce, Spokane, and Yakima.

    Premera Blue Cross Medicare Advantage plans are available in the following counties: Cowlitz, Island, King, Kitsap, Lewis, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom.

    LifeWise Health Plan of Washington group plans are available only in Clark County.

    LifeWise Health Plan of Washington Individual:

    • Cascade Care Select plans are available in the following counties:
      Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Ferry, Island, Klickitat, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Spokane, Thurston, Wahkiakum, and Yakima.
      These plans use the LifeWise Alpine network.

    • Individual Cascade Care plans are available in the following counties:
      Asotin, Clallam, Columbia, Garfield, Grant, Jefferson, King, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pierce, Snohomish, Spokane, Stevens, Thurston, Walla Walla, and Whitman.
      These plans use the LifeWise Primary network.

    • Individual Essential plansare available in the following counties:
      Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Garfield, Grant, Island, Jefferson, King, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, and Whitman.
      These plans use the LifeWise Primary network.

    LifeWise Assurance Company plans (Graduate Appointee Insurance Program and International Student Insurance Health Plan) are available throughout Washington State.

    Group plans

    Premera Blue Cross

    • Preferred Provider Organization (PPO)—Your Choice, Your World, Balance, Choice
    • Exclusive Provider Organization (EPO)—Essentials Medical Plan, Premera Pathfinder, Your Focus, Peak Care, Blue HPN Your Focus
    • Health Savings Account (HSA)—Your Future, Peak Care, BlueHPN HSA
    • Dental—Dental Optima, Optima Flex, Preferred Choice Dental, Essentials Dental, Willamette Dental

    Premera Blue Cross HMO

    • Health Maintenance Organization (HMO)— HMO Core Plus

    LifeWise Health Plan of Washington

    • Preferred Provider Organization (PPO)— WiseFoundation
    • Health Savings Account (HSA)— WiseElement

    LifeWise Assurance Company

    • PPO and Dental—Graduate Appointee Insurance Program (GAIP)

    Individual plans

    Premera Blue Cross

    • EPO—Cascade, Preferred
    • PPO—Group Conversion

    LifeWise Health Plan of Washington

    • EPO and EPO/HSA—Essential, Primary
    • PPO and PPO/HSA—WiseChoices, WiseEssentials, WiseSavings
    • Dental—Individual pediatric dental and family plan

    LifeWise Assurance Company (International Student Insurance Health Plan)

    • PPO and Dental—International Student Insurance Plan (ISHIP)

    Medicare Advantage plans

    • Premera Blue Cross—Please go to the Medicare Advantage site for more information.
    • Health Maintenance Organization (HMO)—HMO, Classic HMO, Classic Plus, Total Health, Alpine, Charter + Rx, Peak + Rx, Sound + Rx
    • Dental—(All plans have comprehensive dental embedded in the HMO plans for 2024)

    Networks

    For physicians and other providers, we offer the opportunity to participate in a variety of networks. We offer our members these network combinations:

    Networks for Groups of 51 or more employees:

    Premera Blue Cross HMO

    • Sherwood HMO (medical)

    Premera Blue Cross

    • Global (medical)
    • Heritage (medical)
    • Heritage Prime (medical)
    • Tahoma (medical)
    • Dental Choice (dental)
    • Willamette Dental Group (dental)

    LifeWise

    • LifeWise Assurance Company—LifeWise Assurance Co (medical and dental)
    • LifeWise Health Plan of Washington—LifeWise Health Plan of Washington Preferred (medical)

    Networks for Groups of 1-50 employees:

    Premera Blue Cross HMO

    • Sherwood HMO and Dental Choice (medical and pediatric dental)

    Premera Blue Cross

    • Heritage and Dental Choice (medical and pediatric dental)
    • Heritage Signature and Dental Choice (medical and pediatric dental)
    • Tahoma and Dental Choice (medical and pediatric dental)

    Networks for Individual Plans:

    Premera Blue Cross

    • Individual Signature (medical)
    • Dental Select (dental)—not currently sold

    LifeWise Health Plan of Washington

    • LifeWise Alpine (medical)
    • LifeWise Primary (medical)
    • LifeWise Health Plan of Washington Preferred (medical)
    • Dental Value (pediatric and family dental)

    LifeWise Assurance Company

    • LifeWise Assurance Co (medical and family dental)

    Networks for Medicare Advantage Plans:

    Premera Blue Cross

    • Medicare Advantage (medical and dental)