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you covered

Get to know your PersonalCare Plan—it's a little different from other health plans, better too.

Stay updated with text messages
about your health plan.
Call 866-369-3486 to sign up.

Start here:

1. Find my Partner System

Check the top right corner of your Premera ID card under the heading PersonalCare Partner System.

You can also log in at premera.com to find this information.

- Q -
What if I want to change my Partner System?
- A -
Call customer service at 855-494-1319. Your change starts the first day of the month after you request the change, and you must choose a new PCP within your new Partner System.
- Q -
- A -
2. Choose my primary care provider (PCP)

Log in at premera.com to choose a PCP within your Partner System. Your PCP coordinates with specialists and hospitals in your Partner System to make sure everyone stays focused on your needs. This focus ensures you get the care you need and nothing you don’t, for a more streamlined experience. Oh, and you wait less time for appointments. Coordinated care is fast care.

- Q -
What if I want to change my PCP?
- A -
Log in at premera.com. Your account dashboard will include your PCP’s name, or it will tell you how to select or change your PCP.
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3. Learn how my plan works

Always start by contacting your PCP, they’ll coordinate your care within your Partner System. Have a Silver or Gold plan? Your first two office visits are covered at no cost when you select a PCP!

- Q -
What if I don't have a PCP, or I can't remember who my PCP is?
- A -
Log in at premera.com. Your account dashboard will include your PCP’s name, or it will tell you to choose one.
- Q -
What if I get care outside of my Partner System without contacting my PCP first?
- A -
If you receive care outside of your Partner System without a referral from your PCP, you may have to pay the full cost out of your own pocket—with the exception of medical emergencies.
4. Know what I'll pay for care
First, you must meet the deductible.
This is the amount you pay for covered healthcare services before your Premera plan starts to pay.
WE PAY 100% preventive exams, screenings, specific Rx covered in full. You Pay non-preventive care & prescriptions until you reach deductible. WE BOTH PAY coinsurance for covered services. WE PAY 100% covered services. WE PAY 100% preventive exams, screenings, specific Rx covered in full. You Pay non-preventive care & prescriptions until you reach deductible. WE BOTH PAY coinsurance for covered services. WE PAY 100% covered services.

For details about your plan’s actual preventive benefits, see your preventive benefits list, summary of benefits, and your benefit booklet on premera.com.

After you meet the deductible, your plan starts paying some of your costs
This is called coinsurance. Coinsurance is the percentage of costs of a covered healthcare service you pay (20%, for example) after you've paid your deductible. The percentage varies by plan.
Then, your safety net, or out-of-pocket maximum kicks in
Out-of-pocket maximum is the most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copays, and coinsurance, your Premera plan pays 100% of the costs of covered benefits.
5. Find 24-hour care

For bruises, bumps, and sore throats, your Premera plan includes urgent care within your Partner System and virtual Teladoc® services. Both have 24-hour options available. For life-threatening situations, go to the nearest emergency room.

1

Register for Teladoc now so you can easily get care later.

2

Find urgent care in your Partner System by logging in at premera.com.

Choose Browse directory, then choose Hospital, Urgent Care, Other Facilities under Find the care you need. Finally, choose Urgent Care/Walk-In Clinic to see facilities within your Partner System.

6. Get smarter

Take the
Healthcare Quiz

Test your healthcare knowledge:
A True or False Quiz

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7. Save my user guide

Bookmark this website to your Favorite List or your phone's home screen so you can access it when you need it most — the doctor's office.

For iPad or iPhone
  1. Tap "Add to Home screen" option from your browser's toolbar.
  2. Tap "Add to Home screen."
For Android
  1. Tap the menu button, then tap the bookmark button.
  2. Add the site to your bookmarks.
  3. Access your bookmarks and long press the bookmark you created.
  4. Tap the option to "Add shortcut to Home."
8. Premera in your pocket

An app designed to make healthcare easier and simpler.

On Premera's mobile app, you can find a doctor, check the current balance of your deductible and out-of-pocket max, use it as a digital ID card, and much more.

Premera Blue Cross complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. © Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County.

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