Overview

Overview

Medical coverage is important for maintaining good overall health and the City of Bellevue offers two medical providers to choose from:

Premera Blue Cross PPO Plans

Group 1016431 Phone 800.722.1471

Preferred Provider Plans, or PPO’s, allow you to visit any provider. With the City of Bellevue Premera PPO plans, if you choose a Heritage & Heritage Plus 1 network provider, your cost will be less.


Kaiser Permanente HMO Plan

Group 0072700 Phone 888.901.4636

Health Maintenance Organizations, or HMO’s, require you to receive all your care from a network of participating providers. With the City of Bellevue Kaiser Permanente HMO plan, covers services must be received at Kaiser facilities.
Choose the Right Plan

Choose the Right Plan

When deciding which medical plan is the best fit for you and your family, it is important to consider the total cost of coverage. This includes the amount deducted from your paycheck plus what you pay providers when accessing care.

Why Kaiser HMO?

  • Integrated care - because Kaiser is both a care provider and a health plan, you can get the care and coverage you need in one convenient package.
  • Kaiser Permanente Washington has been recognized for high-quality care and innovation. They’ve been the top-performing medical group in Washington state for several years in a row. Read more at kp.org/wa/awards.
  • At most care facilities, you can see your doctor, get a lab test or X-ray, and pick up your medications — all without leaving the building.

2024 Kaiser Summary of Benefits & Coverage


Why Premera Blue Cross PPO?

 

  • Access medical care services from any provider.
  • Choose providers in the Heritage & Heritage Plus 1 network so the plan benefits are higher, and your expenses are lower
  • Look for the Blue Distinction Total Care when selecting a provider, with a focus on providing preventive services and wellness coaching, as well as working with patients with chronic conditions to better meet their care needs.


2025 Summary of Benefits and Coverage (SBC's)


2024 Summary of Benefits and Coverage (SBC’s)

Medical Terms to Know

Medical Terms to Know


Employee Contribution or Premium

The amount you pay out of your paycheck when you enroll.

Copay

A flat dollar amount you pay for a covered health service.
Deductibles and coinsurance do not apply when services require a copay.

Deductible

The amount you may need to pay up front each calendar year before the plan begins paying covered expenses.
Not all services are subject to a deductible.

Coinsurance

The portion of the cost you pay after you meet your annual deductible. Coinsurance is a percentage of the allowable amount. The plan pays a percentage of the allowable amount and you pay a percentage.





Out-of-Pocket Maximum

The most you’ll pay in a calendar year for covered medical and prescription drug expenses. Copays, deductibles and coinsurance payments count toward the out-of-pocket maximum. Any covered expenses above the out-of-pocket maximum will generally be covered by the plan at 100% for the rest of the calendar year.
Premera Resources and Features

Premera Resources and Features


Premera’s purpose is “
improving customers’ lives by making healthcare work better”.

Welcome to Premera Download the Premera Mobile App Find what you need when you need it:

  • View your ID card
  • Manage your prescriptions
  • Contact the free 24-hour nurse line
  • Access a virtual care/online visit
  • Find urgent care clinics

Understanding My Health Plan

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Find Network Providers Use the Premera Provider & Facility Directory.
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If you are traveling, the BlueCard program has providers nationwide as well as outside the United States.

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ID Cards Premera ID Cards will be mailed to you upon enrolling. They are also available on the Premera mobile app or can be ordered by calling 1(800) 722-1471 or signing into your online account.
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Contact
Premera
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Premera Choice or Core Plan:
Select the Right Premera Plan for You and Your Family
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--------------------------------------------------------------------------------------------------------------------------------------------Go Paperless: Online EOB's Sign up to receive your Explanation of Benefit (EOB) statements online, instead of receiving them by mail.
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Experian ID Theft Protection
Enroll in free credit report monitoring, plus ID theft and fraud resolution services from Experian®* for you and your family by logging in to your account at www.premera.com or calling the customer service number on the back of your Premera ID card.

Kaiser Medical Resources and Features

Kaiser Medical Resources and Features


Kaiser’s mission is
“to provide high-quality affordable health care services and to improve the health of our members and the community we serve”

 

Explore online at KaiserPermanente.org

Welcome to Kaiser

Download
the Kaiser Mobile App Find what you need when you need it:

 

  • Refill prescriptions
  • Access Care Chat
  • Connect with the consulting nurse line
  • Use your digital member ID card
  • Access Explanation of Benefits
Find a Doctor

ID Cards

Kaiser Permanente ID Cards will be mailed to you upon enrolling. They are also available on the Kaiser Permanente mobile app or by visiting
Kaiser’s website for more options.

Contact
Kaiser

When you are
Traveling
Kaiser Plan Booklets

Kaiser Plan Booklets
Plan Summaries

  • General Employees Benefits Summary - Pending
  • Kaiser Medicare Advantage Plan (LEOFF I Retirees) - Pending
Other Helpful Resources

Other Helpful Resources


Resources and information about safely disposing of unused medications.


Resources for comparing and understanding health care quality; ranging from offices to hospitals. See also the
Glossary to help you understand and navigate the Community Checkup website, or this quick informational Video.

Compare hospitals on quality measures including heart attack treatment, patient satisfaction, and infection control.