Regence Blue Shield of WA
About Regence Blue Shield Health Insurance Plans
Regence Blue Shield Health Plan of Washington (aka Regence) is part of the Cambia Health Solutions family of companies. Regence BlueShield offers health and dental coverage to over 1 million members in select counties in Washington State.
Regence offers ACA/Obamacare individual/family plans and small group plans. Individual/family plans are all offered both through the WA Health Plan Finder exchange and direct from Regence (Off exchange). Regence small group plans are offered directly through Regence as well as through multiple trust and association plans.
Regence Blue Shield Plan Benefits
Individual Plans:
On the Regence Individual and Family Health Plans page you will find general information about Regence individual and family plans offered in Washington.
Additionally, on the Regence Summary of Benefits and Coverage (SBC) page you can download SBCs for all individual plans.
Small Group Plans:
On the Regence Small Group Plans (1-50 Employees) website you will find detailed information on all small group health plans offered directly by Regence in Washington.
This includes the following:
- Benefit guides and plan brochures for ALL small group health, dental and vision plans
- Plan Features for all plans
- Resources – Including Enrollment Forms for all small group health plans.
Regence Blue Shield Provider Networks
To find a provider in the appropriate network in your area go to the Regence Find a Doctor Tool.
Find a doctor makes it easy to:
- Search by name, specialty or condition
- Compare providers, review quality information and read reviews of doctors
- Get driving directions and provider contact information
Regence members can sign in to their account and search directly. Otherwise, everyone can search by using the quick search without signing in.
To begin a search, select the proper network(s) by clicking the link next to “YOUR NETWORK” in the top right corner. This will open a window. Click the button to find your network. Then click the link that says “Browse a list of networks.” From here you can select the medical, dental and/or vision network that applies to you.
You will note that there are multiple networks. Please note the following about some of the different networks depending on the type of plan.
Individual Plans:
Regence has three EPO networks for individual plans:
- Individual and Family Network – Statewide EPO network
- Multicare Connected Care Network – Pierce and surrounding counties
- UW Medicine Network – King and surrounding counties
The statewide Individual and Family Network provides access to hospitals statewide. Including major hospital systems such as Providence Health and Multicare. Plus, Evergreen and Overlake hospitals on the eastside of King County, Valley Medical Center in Renton, University of Washington Medical Center, Seattle Cancer Care and Seattle Children’s hospital in Seattle.
Small Group Plans:
Regence has many different small group plans offered through various trusts and associations, as well as direct plans. Regence small group plans have the following networks from which to choose:
- Preferred Network – Statewide PPO network
- Eastside Health Network – EPO network for East King County and Surrounding areas
- Multicare Connected Care Network – Pierce and surrounding counties
- UW Medicine Network – Seattle and surrounding areas
- The Everett Clinic Network – Snohomish County and surrounding areas
NOTE: EPO stand for Exclusive Provider Organization. EPO Plans only provide coverage for providers in the local network.
Regence Blue Shield Prescription Coverage and Formulary Information
To learn more about prescription drug coverage on all Regence health plans go to their Pharmacy page.
If you’re a Regence member, sign in to your member account. There You will get information specific to your plan, such as:
- Covered drug list (formulary) and estimated out-of-pocket costs
- Pharmacies in your network
- Home delivery options
If you’re not a registered member, go to the section on the above Pharmacy page to select your type of insurance coverage. You will be to see the drug list and pharmacy provider network for all types of plans..
Regence Blue Shield Member Tools, Resources and Plan Highlights
In addition to the 10 essential health benefits mandated by the ACA, most individual and small group plans feature:
Advice24 Nurse Line (Not available on all plans)
Regence Advice24 is a toll-free, 24/7 nurse line that provides immediate support for everyday health issues and questions that otherwise might lead to unnecessary doctor or emergency room visits. It also can serve as an early warning system to flag health conditions before they become serious.
Virtual care
Every medical plan comes with virtual care options. Video or phone consultations with an MDLIVE physician are available any time.
Regence Treatment Cost Estimator:
Regence members can use their Cost Estimator to compare prices of hospital stays, MRIs, surgeries, X-rays and more. The Cost Estimator gives you estimates based on your deductible and out-of-pocket maximum.
The Regence mobile app
Regence offers a mobile app that enables members to find their health plan information, or search for a doctor at any time. You can download the app for iPhones on the Apple App Store and Android phones on Google Play.
Additional Resources and Discounts
Regence offers a variety of special discounts on a wide variety of products and services. Check them out on their Advantages discounts page.
Optional Riders/Coverage
In addition to their individual and family and small group health plans, Regence offers the following supplemental coverages:
Small group dental and vision plans are available for groups of 2 or more. See the Small Business Plans website above for details, plan brochures, etc.
Regence Blue Shield Individual and Family Plan Quotes
Regence offers individual/family plans both ON and OFF the WA Health Plan Finder exchange.
You can run your own preliminary quotes on the WA Health Plan Finder exchange.
To run quotes and apply direct with Regence OFF the exchange, go to our Regence Direct Quote and Apply link.
Regence Blue Shield Small Group Plan Quotes
If you would like to get a group health insurance quote for a Regence group health plan your business, the first step is to download and complete our Group Census form.
Please email the completed form to: [email protected]
Once we receive your group census form, it is important that we have a discussion by phone to review your current plan benefits and premiums (if any), and discuss your situation so that we can work to find the BEST plan for your business. To do that, please see the following…
U.S. Insurance Solutions is here to help
Remember, you are NOT in this alone…I am here to help! As your Personal Health Insurance Advisor, my goal is to make your life easier by taking the hassle out of finding the right health plan for your situation and needs.
To discuss your health insurance options and make sure you have the best possible health plan for your situation, please go to the link above with the image that says CALL ME and schedule a call with me on a day and time that works for you, and I will call you to review your options.