New Benefit for Outpatient Facilities Means Members Save More

New benefit in 2025

Members who use an ambulatory surgical center (ASC) for elective procedures will have a lower cost share (coinsurance) in 2025. Most of our small group plans include a 5 to 10% lower coinsurance amount for procedures performed at an ASC.

These plans include:

• Balance PPO plans
• Choice PPO plans
• Balance HSA-Qualified plans
• Choice HSA-Qualified plans
• Balance Medical + Family Dental plans

ASCs can be less costly

ASCs are outpatient facilities that perform a wide variety of procedures. ASCs are safe, offer high quality care, and allow you to go home the same day. Procedures performed at an ASC can be 30-40% less expensive than inpatient facilities.

Some of these procedures include:

• Cataract treatment and removal
• Colonoscopy
• Biopsies
• Knee repair
• Total joint replacement

With the new ASC coinsurance benefit, members can save even more.

Personal health support services

All health plans include access to Personal Health Support services. Members can use Personal Health Support to coordinate their treatment and find resources for procedure recovery.

To learn more about the reduced coinsurance benefit, contact your Premera account representative.