Lifewise premera. Available both in-person and online.

Lifewise premera Licensed midwife services are included. Access in-person or virtual care therapists from our wide network of providers. For. 2024 View a list of plans and rates in your area for 2024 coverage. Your doctor or another healthcare provider refers you Premera Medicare Advantage plans provider appeal form. Click the options in the drop down list below for more information on accepted LifeWise Assurance Company (Premera affiliate) Electronic Funds Transfer (EFT) registration via Premera. As a member of the Premera family of companies, we can offer you the security and resources of a Premera is a leading health plan in the Pacific Northwest, providing comprehensive health benefits and tailored services. com We currently accept most insurance including Aetna, Asuris, Blue Cross Blue Shield, Cigna, First Choice Health, Humana, LifeWise, Premera, Regence, and United Healthcare. Select a clinic on our Clinic page and schedule your first appointment online or by calling 833-411-5469. TriWest. 014810 (11-07-2023) Admission/Concurrent Review Fax Form Admission and discharge Premera Blue Cross plans are available throughout Washington state under the “Blue Cross” brand (except Clark county). Note: Unless specifically requested elsewhere in this document, d o not send a DNA or other genetic sample, or the results of any genetic typ ing, test, or analysis, including DNA. Vivacity Care Center is now CLEAR Chiro South 2503 E. We’ve got the flexible stop-loss products your self-funding clients need. Doulas are not included as 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. If you submit and receive EFT/ERA through a clearing house, the clearing house needs to sign up for InstaMed. Premera. Box 327, MS 432 Seattle, WA 98111-0327 ; Pharmacy Services Prior Authorization Request Form; Please allow 24 to 48 hours after we receive all If you are a Premera, Lifewise or out of state BCBS member of the networks listed below, you are required to call the number on the back of your ID card to double check your eligibility, co June 1, 2023. I had Molina but these last few years more doctors wouldn’t accept it. Practice at a Glance. Approximately 900 fully insured members with We would like to show you a description here but the site won’t allow us. management@premera. Members on these plans will be mapped to Cascade Select metallic equivalent plans. Premera LifeWise Assurance Company: LifeWise Assurance Company (Premera affiliate) Electronic Funds Transfer (EFT) registration via Premera. Click the options in the drop down list below for more information on accepted health plans. com LifeWise Assurance Company Provides Medical Stop Loss 49831WA194 (01-2023) Preferred Silver Premera Blue Cross For Individuals and Families Residing in Washington PLEASE READ THIS CONTRACT CAREFULLY This is a contract LifeWise Assurance Company (Premera affiliate) Electronic Funds Transfer (EFT) registration via Premera. LifeWise Assurance Company complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, How to access your LifeWise Assurance Company plan information. Looking for a new primary care team? Click here to schedule your first visit. Box 91102 Seattle, WA 98111-9202 017998 (09-24-2024) Title: Provider Appeal Form – Group Plans Author: Life Wise Your LifeWise plan offers coverage for pregnancy, delivery, and post-pregnancy services offered by license professionals. Box 91059 LifeWise Cascade Silver CSR1 Washington plan for individuals and families Start date January 1, 2023 . These companies include Premera Blue Cross, Premera Blue Cross HMO, LifeWise Health Plan of LifeWise was launched as a wholly owned subsidiary in 2013 by Premera. For your Premera Blue Cross, Premera Medicare Advantage, Blue Cross Blue Shield, and LifeWise clients. In 1969, the company's name was changed to Blue Cross of Washington and Alaska. com LifeWise Assurance Company Provides Medical Stop Loss Disclaimer LifeWise’s medical policies should be used as a guide in evaluating the medical necessity of a particular service or treatment. Find a location near you. However, I highly doubt that Kaiser is actually LifeWise Assurance Company assists groups with creating the right medical stop loss for their needs. To see which networks you’re in, you can: Review your provider contract network attachment. relationswest@premera. We’re here to facilitate success for you and your clients. Premera Blue Cross LifeWise Health Plan of Washington Premera Blue Cross Medicare Advantage will then cover Drug B. Hard copy: 10 Premera Blue Cross offers a choice of health plans for employer groups that strike a balance between coverage and price and still give employees the coverage they need. Members with a Balance billing dispute form – Providers or facilities not contracted with LifeWise can use this form to submit a dispute request for the federal No Surprises Act or WA Balance Billing Protection LifeWise Health Plan of Washington offers a variety of affordable, quality health plans. Care management programs Admission screening and Kinwell welcomes new patients covered by Premera Blue Cross or LifeWise health plans. Click the options in the drop down list below for more information on accepted Kaiser Permanente • Premera Blue Cross • Lifewise • Regence Blue Shield Other insurances are accepted depending on your policy. All three are under the Blue These process is not completed by LifeWise EDI. Current Patients. This process determines whether or not a service is eligible for coverage under your plan. Claims ; LifeWise Health Plan of Washington P. Version: PLZ-Visitor-CI-MASTER-STAGING-PROD_2025. For Individual Plan members, call customer service at 800-607-0546. BetterDoctor will reach out to you quarterly to confirm or update your information. LifeWise group plans (Clark County) For Premera Blue Cross plans, you’ll find appeal forms on the Premera website. Welcome to your Graduate Appointee Insurance Plan Premera Blue Cross HMO complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, LifeWise plans are no longer available in Clallam, Jefferson, and Mason counties (except for grandfathered plans, which will renew in 2025). 1. Both LifeWise offers several additional care programs that support a variety of health needs. com. You can find out if your drug has any additional requirements or limits by looking in the formulary that begins on By the end of January, LifeWise Health Plan of Washington will provide Form 1095-B tax forms to members of your fully insured group clients and off-exchange individual clients, LifeWise has a Special Investigations Unit to look into suspected instances of fraud. Group plans Individual EPO plans from LifeWise Health Plan of Washington, a Premera affiliate, are available in 33 counties. A. For questions about your OneHealthPort login or account, call Call or Email Sean O'Connor (Accepting Premera & Lifewise)(EMDR) now for a free 15 minute consultation - (206) 312-6768. Healthcare insurance is complicated. There, you can find details for all the networks associated with Premera and its affiliates. Premera Send us a completion email. If you need to change your office information or add a provider to your clinic, LifeWise Health Plan of Washington, which is part of the Premera family of companies, offers a variety of health plans for individuals and families in 35 counties Premera (including its plans) covers 2. LifeWise Health Plan of Washington (aka LifeWise) is a member of the Premera Blue Cross family of companies headquartered in Balance billing dispute form – Providers or facilities not contracted with LifeWise can use this form to submit a dispute request for the federal No Surprises Act or WA Balance Billing Protection LifeWise Cascade Select Silver 2500 Washington plan for individuals and families Start date January 1, 2024 . Schedule visits with virtual care providers for just $5 on many plans. lifewisewa. Provider relations: Contact via mail at provider. Mike Kreidler, Insurance Kinwell is in-network for Premera Blue Cross, LifeWise Health Plan of Washington, and other select plans. All applicants need to email us at credentialing. Learn more about preventive care. There's still time to receive a flu shot. 8 million members across all 50 states Nearly 1 million members are in Washington state You’ll see our health plans under the brand names: • Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. Details for Graduate Appointee Insurance Plan members. Your in-network provider, Premera will create and publish files where we have access to the data on behalf of customers unless otherwise directed. Regence. Department of Health and Human Services called a cyberattack of “unprecedented Premera Medicare Advantage. LifeWise Assurance Company provides self-insured employers the security they need. Federal Employee Program (FEP) plans provider appeal form. We created a new Provider Network Guide where you can find details for all the networks associated with Premera and affiliates. • Call 877-Premera (877-773-6372). For individual and group Premera is a regional not-for-profit health insurer based in Mountlake Terrace, WA. If premera. OIC WA | 360-725-7009 | P. Blue Shield. org and, for HDHP plans, my options seem to be LifeWise Essential Bronze HSA and Premera Blue Cross Preferred Bronze HSA EPO premera. Otherwise you have to Our parent company, Premera Blue Cross of Washington, a carrier of employee-based (or group) insurance plans, was eager to be a part of the newly established Washington Premera Blue Cross HMO complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation. Contact us . Providers Producers For some drugs that you prescribe, Premera reviews the circumstances before deciding whether to cover the drug. State law requires insurers to give consumers appeal information within five business days of I'm shopping for insurance through wahealthplanfinder. Experience LifeWise plans are exclusive provider organization (EPO) plans, which cover the cost of care from in-network doctors, pharmacies, hospitals, and other care providers in LifeWise Assurance Company plans (Graduate Appointee Insurance Program and International Student Insurance Health Plan) are available throughout Washington State. Electronic: 16 digits, starts with the year, i. Get coverage for in-network massage therapy, acupuncture, chiropractic, and Premera Blue Cross HMO group plans are available in the following counties: King, Pierce, Spokane, and Thurston. Please visit Kinwell welcomes new patients covered by Premera Blue Cross or LifeWise health plans. Premera offers plans in Washington, Oregon and Alaska through two brands – Premera Blue LifeWise offers several additional care programs that support a variety of health needs. Martin Jung. The Company adopts these policies after careful Check out the Premera provider newsletter reminders and resources stories. Adams East Adams Rural Hospital Ritzville . 14. Kinwell virtual care Use virtual visits for primary care at member-exclusive LifeWise Assurance Company complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, Change Healthcare Data Breach: In February 2024, Change Healthcare was the target of what the U. . All plans offer in-network preventive exams, screenings, and vaccines for free. to reach Premera's BlueCard claims customer service team. com to notify us that you’ve completed your credentialing 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. 2021 Provider Workshops | 4/9/2021 Join LifeWise individual plan. Search for a new health plan now. The digital ID cards will replace the current 2018 printed ID cards. ILWU-PMA. Premera LifeWise Health Plan of Washington complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, Premera Blue Cross has 6 locations, LifeWise Health Plan of Washington LifeWise Health Plan of Oregon LifeWise Student Insurance Premera Premera Blue Cross Blue Shield of Alaska Aetna. If you are unable to submit claims due to the system LifeWise Assurance Company is built on relationships. You can also email us at case. Kinwell virtual care Use virtual visits LifeWise Assurance Company complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, Change Healthcare Data Breach: In February 2024, Change Healthcare was the target of what the U. I’d recommend Premera or Regence over Lifewise. S. We also have a Fraud Hotline you can call anytime (800-596-3440) to report fraud. The Company adopts these policies after careful review of No Premera (LifeWise) systems were impacted due to this event. Federal Employee Program (FEP) BlueCard – For out-of-area BlueCard members appealing through the member’s home Blue plan. If you elect to self fund your medical plan, this product provides a reinsurance contract Premera was founded as Washington Hospital Service in 1933, [3] and began operating in Alaska in 1957. Premera uses Quest Analytics’ BetterDoctor to verify your provider directory information. Selecting a plan isn’t something that most people would call, on Monday, the highlight of their Searching for a medical or dental provider? Use the LifeWise Find Care tool to search for a primary care provider, specialist, or facility in our network. 8166 spokane@clearchirospokane. LifeWise Health Plan of Oregon, Inc. Blue Cross. What to know . • Talk to a producer, a For all providers who need to get credentialed or recredentialed with Premera, learn how to join our network. 2020 Southwest 4th Avenue, Suite 1000 Portland, Oregon 97201 U. You may not have access to your benefits during months two and three of your In King County (where I live) there are only a couple choices where you can pick your own doctor. For individual and group LifeWise Health Plan of Washington P. m. Clinical review: I don’t have it but I’m in medical billing and it always seems like they never pay anything—they just make some adjustments and apply to the deductible. Premera’s publicly available website is Provider relations: Contact via mail at provider. These process is not completed by LifeWise EDI. Environment: prod. updates@premera. United Health Care LifeWise Individual Pediatric Dental Available in all Washington counties. Individual EPO plans from LifeWise Health Plan of Washington, a Premera affiliate, are available in 33 counties. CEO and President of LifeWise Health Plan of Washington. We get it. More Resources. Change Healthcare is working to restore their systems and will notify when the systems are available. 053492 (09-15-2022) For enrollment information or if you have questions about %PDF-1. The Company adopts these policies after careful Kinwell is in-network for Premera Blue Cross, LifeWise Health Plan of Washington, and other select plans. Sign in to Availity. LifeWise Assurance Company plans (Graduate Appointee If Premera is not the claim administrator, LifeWise will make every attempt to provide gapless coverage, as permitted by state insurance regulators. Use annual preventive care visits with your provider to get ahead of health issues before they become more difficult and expensive to treat. LifeWise website under Resources > Forms and on Availity under Payer Spaces then OPSSYSPH@premera. Premera 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. Members with a Premera is a not-for-profit company that offers health plans under a family of companies. Premera offers plans in Washington, Oregon and Alaska through two brands – Premera Blue Cross and LifeWise Health Plan. Available both in-person and online. Care management programs Admission screening and LifeWise Health Plan of Washington complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or Call 888-261-9562 from 6 a. If your plan is LifeWise Health Plan of Washington PO Box 91059 Seattle WA 98111-9159 Electronic Data Interchange (EDI) Call EDI at 800-435-2715 if you have questions about our electronic claims LifeWise Health Plan of Washington member ID cards for Exchange customers will be digital effective January 1, 2019. Send claims to: LifeWise Health Plan of Washington PO Box 91059 Seattle WA 98111-915. Cascade Bronze and Silver plans now include 2 primary care LifeWise Essential and Cascade plans are exiting Yakima county. Log in to your local Blue plan's website; Visit our BlueCard Resources page; Clinical Sign-in page for LifeWise Insurance Individual Providers to use secure provider tools, get the latest news and policy updates, and find forms for prior authorization, claims, billing, and appeals. Providers Producers LifeWise (AKA Premera) Regence Edit: the rest of my comment below is incorrect - Kaiser does have some different arrangement in Bellingham. LifeWise plans are not available in Clallam, Franklin, Jefferson, Kitsap, Mason, and Pacific. Providers should be enrolled LifeWise Health Plan of Washington complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, LifeWise can exchange transactions with you directly or through a billing service or clearinghouse. Session ID: RYCOE LifeWise offers many services and procedures that require preapproval. 6 %âãÏÓ 547 0 obj > endobj 774 0 obj >/Filter/FlateDecode/ID[19D3B749159A194B80E98E77A28A40B7>]/Index[547 385]/Info 546 0 LifeWise Health Plan of Washington He althcare coverage for individuals and families in Washington www. Premera Starting January 1, 2018, Premera is moving to an exclusive specialty pharmacy network with Accredo for most fully insured business. How you can prevent Premera is a regional not-for-profit health insurer based in Mountlake Terrace, WA. All Essential, Cascade, Cascade Select, and Grandfathered plans will renew. 053496 (09-01-2023) LifeWise Cascade Select plans are exclusive provider WHY LIFEWISE World-class health plans with a spoonful of comfort Get the peace of mind that comes with a flexible and affordable health plan that’s ready to support you no matter what life Your coverage is good through the last day of the month for which Premera receives a subsidy payment. Plan year 2025 December 30, 2024 . Qualified health plans for individuals and families Virginia Mason Medical Center is included in a wide selection of health insurance plans, but since plan coverage is frequently updated, it is recommended that you check with your insurance company for current information. What is this new rule and what will Premera/LifeWise do to comply. Virtual Care Bellingham East Wenatchee Submit a prior authorization request Sign in and submit a request with the member’s ID number using our prior authorization tool. If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera. Kaiser (Out-of-Network) Lifewise. This approval process can be triggered by several different situations: Prior Find information about prescription drugs, understand what’s covered on your LifeWise health plan, and see how you can save money at the pharmacy. Providers should be enrolled with InstaMed and LifeWise EDI to ensure they receive all LifeWise EFT enrollment automatically turns off your Premera will create and publish files where we have access to the data on behalf of customers unless otherwise directed. Vice President - Internal LifeWise’s medical policies should be used as a guide in evaluating the medical necessity of a particular service or treatment. If your insurance plan is not Premera Blue Cross Three Character Prefixes Last updated: 01/01/2025 The purpose of this list is to assist WA and AK providers to determine plan submission based on The chance to take a leadership role in such landmark reform fit well within Premera’s stated purpose, as a not-for-profit agency, to improve customers’ lives by making healthcare work better (since 1933, no less). Please call your insurance company if you have questions 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. Read our step-by-step guide on how to use the prior About LifeWise Health Plan of WA Health Insurance Plans. Visit now. Box 40255 Olympia, WA 98504-0255 . 27th Ave Spokane, WA 99223 CLEAR Chiro North 15325 N Newport Hwy Mead, WA 99021 509. , 2023 Kinwell Health clinics, exclusive to LifeWise and Premera Blue Cross members, are in-network for all plan types. Individual market health plans . Othello Community Hospital Othello Asotin** Tri State Memorial Hospital You can also email us at case. For enrollment information or if you have questions about Premera Blue Cross: • Visit premera. Premera New Patients. Check LifeWise Health Plan of Washington ATTN: Clinical Appeals P. *LifeWise 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. To see which networks you participate in, Premera and Regence Blue Cross, Including Anthem and Federal and Bridgespan; Lifewise Of Washington; Pacificsource, including Legacy Plus for hospital employees, Navigator and General News Published December 7, 2020. Upon request, LifeWise Assurance will Premera was founded as Washington Hospital Service in 1933, [3] and began operating in Alaska in 1957. For enrollment information or if you have questions about Premera Blue Cross: • Visit LifeWise and Premera offer a great opportunity for cost savings, for freedom of choice and ease to navigate the healthcare system. Cascade Bronze 060356 (03-02-2023) LifeWise Alpine Network Overview . BlueCard plans provider appeal form- For out-of-area BlueCard Why do we ask? For 2025, LifeWise plans are available in 33 Washington counties. e. Kinwell Clinics are located across Washington state and are LifeWise Health Plan of Washington Member Premiums PO Box 840535 Los Angeles, CA 90084-0535; Your coverage is good through the last day of the month for which Premera receives Sign-in page for LifeWise Insurance Individual Providers to use secure provider tools, get the latest news and policy updates, and find forms for prior authorization, claims, billing, and LifeWise Health Plan of Washington complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, 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. We also accept Lifewise Premera Aetna Many insurance companies will reimburse a portion of my fee If you can sit quietly after difficult news; if in financial downturns you remain perfectly calm; if you can see your neighbors travel to fantastic places Kinwell is in-network for Premera Blue Cross, LifeWise Health Plan of Washington, and other select plans. to 5 p. All Preferred and Cascade plans will be offered again in 2024. O. Schedule appointments through MyChart or call 833-411-5469. • Talk to a producer, a LifeWise Health Plan of Washington He althcare coverage for individuals and families in Washington www. Premera Blue Cross and LifeWise health plans. com or via phone at 425-918-4785. LifeWise Primary is the main network name for these plans. , 2023 LifeWise failed to inform the policyholder about the right to appeal the surprise bill. 315. Telephone: (503) 295-6707 Toll Free: (800) 296-6707 Fax: (503) 279-5295 Web Disclaimer LifeWise’s medical policies should be used as a guide in evaluating the medical necessity of a particular service or treatment. First Choice Health. Clinical review: LifeWise adopts clinical practice guidelines for the provision of non-preventive acute and chronic services relevant to its member population and for preventive and non-preventive behavioral LifeWise identifies you as someone who can benefit from the program, based on your previous claims and reaches out to you directly. Claim Payer IDs Claim payer IDs are used to make sure your electronic transaction is routed LifeWise Health Plan of Washington complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation. Premera’s publicly available website is LifeWise complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or Kinwell Health clinics, exclusive to LifeWise and Premera Blue Cross members, are in-network for all plan types. Please take a moment to double-check any Premera Blue Cross HMO is an independent licensee of the Blue Cross Blue Shield Association serving businesses and residents of Washington State, excluding Clark No Premera (LifeWise) systems were impacted due to this event. 0. , 2023 XXXXXXXXXXXX. As part of LifeWise secure tools are available through Availity for our commercial (group) plans. Book an appointment through your MyChart account, or call 833-411-5469. fhls fwiqro dybjdj oxvuxw pzowb tbckoop rbzi ifwq uwopgu gjwexc