PBC HMO

Premera Blue Cross HMO member feedback leads to change.

See what drugs will require prior authorization and the preferred alternatives.

Set members up for success for the new plan year.

Last month, our subrogation vendor updated their name from Rawlings to Machinify.

Changes coming in 2026 to hormone therapy medication access in Washington.

To ensure timely delivery of ID cards to your groups, complete your enrollment early.

Many product changes and legislative impacts require members to receive new cards for the 2026 plan year.

Visit our producer website to access the 2026 forms for your new and renewing groups.

Premera Blue Cross HMO sends communications to members to promote benefits, products, and services available as part of their plan.

Premera follows guidelines and complies with state and federal mandates on preventive care including vaccines.

Beginning with 2026 health plans, the Group Master Applications have been renamed to Employer Group Applications.

Important details on how Premera approaches the requirement ahead of the December 31, 2025 due date.

Premera Blue Cross HMO is making a commitment to improve prior authorization for both members and providers.

Our next consumer advisory council meeting is on September 30, 2025, and we’ll be reaching out to members and employers shortly.

Last month Premera implemented a new vendor to support the secure member inbox feature in the member portal.

Starting May 10, members creating new web accounts will default to electronics Explanation of Benefits.

Eligible members will receive opt-in invitations for at-home test kits beginning the first week of May.

Effective January 1, 2026, Premera Blue Cross members will have access to one of the largest dental networks in the nation.

Effective April 15, 2025, pharmacies in the Kroger West region returned to the Premera pharmacy network.

Premera uses Digital Health Messages and videos to promote the importance of colorectal and cervical cancer screenings.

Premera Blue Cross HMO is upgrading the member sign-in experience to increase account security and enhance user experience.

New features aim to reduce administrative tasks for providers.

Effective January 1, 2025, Premera members who use an ambulatory surgical center (ASC) for their elective procedure can save on out-of-pocket costs.

Our next consumer advisory council meeting is on April 22, 2025, and we’ll be reaching out to members and employers shortly

Premera Blue Cross HMO is connecting with members through Digital Health Messages, the consumer advisory committee, and more.

Premera Payment Integrity is partnering with a vendor to implement a pilot program related to Social Security Disability Insurance.

Learn more about the changes coming in the new plan year.

Members can save more on elective surgeries by taking advantage of a new benefit available January 1, 2025.

Producers can save time by using the new subscription function in Insight Reporter.

Premera wants to provide information to our producers that they find useful and relevant. Here’s your chance to tell us what we should cover in 2025.

The faster you can find what you need, the better you can manage your business.

Visit Premera.com to access renewal documents for your fully insured groups.

Visit Premera.com for 2025 Premera Blue Cross HMO small group benefit highlights.

Effective January 1, 2025, Premera Blue Cross HMO groups will have Diabetes Management Plus embedded as part of their plan.

Get more details on plan designs and new offerings available to large groups for the 2025 plan year.

Our most popular plans have expanded to meet the needs of your clients.

Federal law also requires employer groups to notify CMS if their prescription drug coverage for Medicare beneficiaries is creditable.

The group master applications and member enrollment forms are now available on Premera.com.

The removal of the cap on rebates means the member saves at the pharmacy counter and the health plan pays less.

Visit Premera.com to view the 2025 Preferred Choice benefit highlights.