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BenefitsNW.com a
Website of Benefits NW, Inc.
Washington Health Insurance Plans Regence Blue Shield Breakthru
70
Robert S. Mori, CPA, President
7429 East
Heather Way, Everett, WA 98203-5424
Tel. (425) 353-9763
Toll-free (877) 455-7591 Greater Seattle (206) 965-9609 Fax (425) 353-0899
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Regence BreakthruSM 70 -
$1,000 or $3,000 Deductible
Washington Health Plans | Regence Breakthru 70 -
$1,000 or $3,000 Deductible
- Coverage
begins on day one. You can
visit the doctor for a simple copay
before using your deductible.
- Preventive
care for everyone is
standard, not something you pay
extra for.
-
Vision care: you pay $30
for an annual exam and receive up to
$200 for glasses and/or contacts.
Cost Sharing
| Deductibles: |
- $1000 or $3,000 per member
- Family
maximum of three
individual deductibles
|
| Annual OOP
Max: |
Not
applicable on this plan |
| Coinsurance
Max: |
- You pay $0 after
reaching $5,000
coinsurance maximum per
member using preferred
providers
- Family
coinsurance maximum of
three indiviual
deductibles using
preferred providers
- No
maximum when using
participating providers
|
| Lifetime Max: |
$2 million paid by
Regence per member |
| Copay: |
- You pay $30 when
using preferred
providers
- You pay $40 when
using participating
proiders
|
| Coinsurance: |
- You pay 30% when
using preferred
providers
- You pay 50% when
using participating
providers
|
Everyday Needs
|
Prescriptions: |
- $10 copay for
generic medications
purchased at the
pharmacy
- $20 copay for
generic mail order
- You pay 30% when
using the formulary
- You pay 50% when not
using the formulary
- $3,000 annual limit
on all medications
- No deductible
- RegenceRx discount
program after limit is
reached
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| 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
|
| Vision: |
- One routine eye exam
per calendar year
- You pay $30 copay
using preferred
providers
- You pay
$40 copay using
participating providers
- You pay $0 up to
$200 per calendar year
max on vision hardware
|
| Office Visits: |
- You pay $30 copay
using preferred
providers
- You pay $40 copay
using participating
providers
- No deductible
|
| Diagnostic x-ray
services: |
Deductible and
coinsurance |
| Outpatient Laboratory
services: |
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
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| Maternity: |
Deductible
and coinsurance |
| Mental
Health: |
Covered as any other
condition |
Other
considerations
| Network(s): |
Preferred
Providers
- Preferred Network
(most medical services)
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