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?
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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.
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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.
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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?
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Access medical care services from any provider.
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Choose providers in the Heritage & Heritage Plus 1 network so the plan benefits are higher, and your expenses are lower
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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.
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”.
Explore online at premera.com Welcome to Premera Download the Premera Mobile App Find what you need when you need it:
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View your ID card
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Manage your prescriptions
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Contact the free 24-hour nurse line
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Access a virtual care/online visit
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Find urgent care clinics
Understanding My Health Plan
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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.
If you are traveling, the BlueCard program has providers nationwide as well as outside the United States.
--------------------------------------------------------------------------------------------------------------------------------------------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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Premera Choice or Core Plan: Select the Right Premera Plan for You and Your Family
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The Premera Comparison Tool combines the amount you pay through your paycheck plus your estimated cost when accessing care. For best results, open Comparison Tool in Google Chrome. Select your age, gender and employee group Select the coverage level from the drop-down menu Estimate your annual cost of accessing care: use the default option or select Modify Usage to personalize the type/frequency of care for you and your family. View your Personal Spending Activity Report by logging into your account at www.premera.com Watch short informative videos by clicking on a video in the upper right side of the screen; view more videos by clicking “Video Library”.
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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.
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Experian Credit Report Monitoring and ID Theft Traveling Outside of Washington or Around the World: Blue National Doctor & Hospital Finder
Premera Plan Booklets
Premera Helpful Information
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”
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Refill prescriptions
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Access Care Chat
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Connect with the consulting nurse line
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Use your digital member ID card
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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.
Kaiser Plan Booklets
Kaiser Plan Booklets
Plan Summaries
Certificates
Kaiser Permanente Eye Care Locations
Kaiser Helpful Information
Kaiser Helpful Information
Kaiser Forms
Legal Notices
Legal Notices
Other Helpful Resources
Other Helpful Resources
Resources and information about safely disposing of unused medications.
Compare hospitals on quality measures including heart attack treatment, patient satisfaction, and infection control.