PBC HMO Archives - Premera Producers (WA)

PBC HMO

Introducing the Emergency Department (ED) Coding Program

June 11, 2026

Premera Blue Cross HMO is reducing unnecessary variation in emergency department billing to support cost management.

PBC HMO

HMO 101: What Care Should You Get?

June 11, 2026

Understand the types of care available and how to pick what's right for you when you need it.

PBC HMO

The Consumer Advisory Council Application is Open! Here’s What That Means.

June 11, 2026

We believe that your feedback is fundamental to us becoming the best health plan we can be.

PBC HMO

Matchmaker fulfills 10,000 behavioral health care requests

May 14, 2026

Premera Matchmaker for Behavioral Health makes it easier for members to access mental health providers that meet their needs.

PBC HMO

Enrollment Data Transfer to Washington Health Care Authority

May 14, 2026

Starting May 2026, Premera will send three years of enrollment data plus monthly feeds to the Washington Health Care Authority, as required by law, with HIPAA protections.

PBC HMO

HMO 101: The Joy of Movement

May 14, 2026

Move your body in a way that feels right.

PBC HMO

HMO 101: Looking at food and nutrition differently

May 14, 2026

Offering members a less problematic approach to nutrition and food.

PBC HMO

Accessing Advanced Primary Care at Kinwell

May 14, 2026

Premera Blue Cross HMO members have access to advanced primary care through Kinwell

PBC HMO

Supporting Member Sexual and Reproductive Health

April 9, 2026

Premera Blue Cross HMO reaches out to members with educational information on sexual and reproductive health.

PBC HMO

Premera Blue Cross HMO members have access to Premera Blue Cross resources

April 9, 2026

Premera Blue Cross HMO members can sign up for personalized text messages, access virtual care providers, and exclusive deals on health and fitness from Blue365.

PBC HMO

We’re trying to do more for mental health awareness

April 9, 2026

Premera Blue Cross HMO will conduct member outreach to educate on mental health services.

PBC HMO

What is Health Coverage That Counts?

April 9, 2026

A new campaign dives into how Premera is lowering costs and improving access with a focus on what it takes to deliver better value.

PBC HMO

Coming Soon: Find Care Refresh

March 11, 2026

A simpler and improved Find a Doctor experience is coming to our members.

PBC HMO

PBC HMO members work with their PCP to improve their healthcare experience

March 11, 2026

A strong PCP relationship is the heart of PBC HMO—better outcomes, simpler care, lower costs.

PBC HMO

Helping members make the most of their HMO plan

March 11, 2026

Upcoming campaigns and resources will make members aware of health plan features and how to get the most out of the plan.

PBC HMO

Health and Wellness Discounts with Blue365: New Vendors in 2026

February 12, 2026

This year Blue365 expanded its vendors, offering even greater health and wellness discounts for eligible Premera members.

PBC HMO

Premera Blue Cross and Premera Blue Cross HMO Health Plans and Vaccines

February 12, 2026

Premera plans will continue to cover preventive vaccines at no cost to our members.

PBC HMO

We’re raising awareness about cancer screening coverage

February 12, 2026

Learn how covered cancer screenings help catch disease early—no referrals needed for key preventive services under Premera Blue Cross HMO plans.

PBC HMO

HMO 101: Helping Members Manage Their Chronic Conditions

January 8, 2026

Premera Blue Cross HMO helps members manage chronic conditions with multiple resources.

PBC HMO

The Consumer Advisory Council Application is Open! Here’s What That Means

January 8, 2026

Premera Blue Cross HMO member feedback leads to change.

PBC HMO

Pharmacy Formulary and Medical Policy Changes for January 2026

December 11, 2025

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

PBC HMO

Annual Wellness Checkups are Crucial to Keeping Members Healthy

December 11, 2025

PBC HMO

Many Premera Blue Cross HMO Members Start Their Plans on January 1, 2026

December 11, 2025

Set members up for success for the new plan year.

PBC HMO

Subrogation Vendor Changes Name to Machinify

November 13, 2025

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

PBC HMO

WA HB 1971 – Access to Hormone Therapy Medication

November 13, 2025

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

PBC HMO

Get Your Enrollment in Early to Guarantee ID Card Delivery

November 13, 2025

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

PBC HMO

Fully Insured Groups Will Receive New ID Cards for 2026

November 13, 2025

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

PBC HMO

2026 Small Group Sales Forms Now Available

October 8, 2025

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

PBC HMO

What We’re Communicating to Members in October

October 8, 2025

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

PBC HMO

Premera Health Plans and Vaccines

September 11, 2025

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

PBC HMO

Group Master Applications Are Now Employer Group Applications

September 11, 2025

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

PBC HMO

Annual Gag Clause Prohibition Compliance Attestation

September 11, 2025

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

PBC HMO

Right Care, Right Place, Right Time: A New Era for Prior Authorization

August 14, 2025

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

PBC HMO

The Consumer Advisory Council Application is Open! Here’s What That Means.

August 14, 2025

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

PBC HMO

Changes to the Secure Inbox on Member Portal

May 7, 2025

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

PBC HMO

Newly Created Premera Accounts to Default to Electronic EOB

May 7, 2025

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

PBC HMO

In-Home Test Kits Launched on April 28, 2025

May 7, 2025

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

PBC HMO

Dental Choice Network Significantly Expands with National Dental GRID

May 7, 2025

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

PBC HMO

Kroger Returns to Premera Pharmacy Network

May 7, 2025

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

PBC HMO

Premera Promotes Colorectal and Cervical Cancer Screening

May 7, 2025

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

PBC HMO

Updates to Security Platforms Requires Member Action

February 12, 2025

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

PBC HMO

Premera Supports Provider Partners with Six New Availity Features

January 9, 2025

New features aim to reduce administrative tasks for providers.

PBC HMO

ICYMI: New Benefit Means Lower Cost Shares at ASCs

January 9, 2025

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

PBC HMO

The Consumer Advisory Council Application is Open! Here’s What That Means.

January 9, 2025

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

PBC HMO

Ways We're Connecting With Our Members

November 14, 2024

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

PBC HMO

New Payment Integrity Program: Social Security Disability Insurance

November 14, 2024

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

PBC HMO

Pharmacy Formulary and Prior Authorization Changes for January 2025

November 14, 2024

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

PBC HMO

New Benefit for Outpatient Facilities Means HMO Members Save More

November 14, 2024

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

PBC HMO

Save Time with New Insight Reporter Subscriptions

November 14, 2024

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

PBC HMO

What Do You Want to Know in 2025

November 14, 2024

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.

PBC HMO

Producer Forms Page Improvements

November 14, 2024

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

PBC HMO

2025 Premera Blue Cross HMO Small Group Renewal Documents Now Available

October 10, 2024

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

PBC HMO

2025 Premera Blue Cross HMO Small Group Benefit Highlights Now Available

October 10, 2024

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

PBC HMO

Diabetes Management Plus for Fully Insured in 2025

October 10, 2024

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

PBC HMO

2025 Large Group Health Plan Guide Now Available

September 12, 2024

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

PBC HMO

2025 Preferred Choice Health Plan Guides Now Available

September 12, 2024

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

PBC HMO

Medicare Part D Notification and Creditable Coverage Reports

September 12, 2024

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

PBC HMO

The HMO 2025 Group Master Application Now Available

September 12, 2024

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

PBC HMO

Recent Law for Medicaid Drugs Impacts Private Health Plans

September 12, 2024

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

PBC HMO

2025 Preferred Choice Benefit Highlights Now Available

August 7, 2024

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

PBC HMO

Outreach That Works: PBC HMO Communications Drive Action, Support Lower Total Cost of Care

Introducing the Emergency Department (ED) Coding Program

HMO 101: What Care Should You Get?

The Consumer Advisory Council Application is Open! Here’s What That Means.

Matchmaker fulfills 10,000 behavioral health care requests

Enrollment Data Transfer to Washington Health Care Authority

HMO 101: The Joy of Movement

HMO 101: Looking at food and nutrition differently

Accessing Advanced Primary Care at Kinwell

Supporting Member Sexual and Reproductive Health

Premera Blue Cross HMO members have access to Premera Blue Cross resources

We’re trying to do more for mental health awareness

What is Health Coverage That Counts?

Coming Soon: Find Care Refresh

PBC HMO members work with their PCP to improve their healthcare experience

Helping members make the most of their HMO plan

Health and Wellness Discounts with Blue365: New Vendors in 2026

Premera Blue Cross and Premera Blue Cross HMO Health Plans and Vaccines

We’re raising awareness about cancer screening coverage

HMO 101: Helping Members Manage Their Chronic Conditions

The Consumer Advisory Council Application is Open! Here’s What That Means

Pharmacy Formulary and Medical Policy Changes for January 2026

Annual Wellness Checkups are Crucial to Keeping Members Healthy

Many Premera Blue Cross HMO Members Start Their Plans on January 1, 2026

Subrogation Vendor Changes Name to Machinify

WA HB 1971 – Access to Hormone Therapy Medication

Get Your Enrollment in Early to Guarantee ID Card Delivery

Fully Insured Groups Will Receive New ID Cards for 2026

2026 Small Group Sales Forms Now Available

What We’re Communicating to Members in October

Premera Health Plans and Vaccines

Group Master Applications Are Now Employer Group Applications

Annual Gag Clause Prohibition Compliance Attestation

Right Care, Right Place, Right Time: A New Era for Prior Authorization

The Consumer Advisory Council Application is Open! Here’s What That Means.

Changes to the Secure Inbox on Member Portal

Newly Created Premera Accounts to Default to Electronic EOB

In-Home Test Kits Launched on April 28, 2025

Dental Choice Network Significantly Expands with National Dental GRID

Kroger Returns to Premera Pharmacy Network

Premera Promotes Colorectal and Cervical Cancer Screening

Updates to Security Platforms Requires Member Action

Premera Supports Provider Partners with Six New Availity Features

ICYMI: New Benefit Means Lower Cost Shares at ASCs

The Consumer Advisory Council Application is Open! Here’s What That Means.

Ways We're Connecting With Our Members

New Payment Integrity Program: Social Security Disability Insurance

Pharmacy Formulary and Prior Authorization Changes for January 2025

New Benefit for Outpatient Facilities Means HMO Members Save More

Save Time with New Insight Reporter Subscriptions

What Do You Want to Know in 2025

Producer Forms Page Improvements

2025 Premera Blue Cross HMO Small Group Renewal Documents Now Available

2025 Premera Blue Cross HMO Small Group Benefit Highlights Now Available

Diabetes Management Plus for Fully Insured in 2025

2025 Large Group Health Plan Guide Now Available

2025 Preferred Choice Health Plan Guides Now Available

Medicare Part D Notification and Creditable Coverage Reports

The HMO 2025 Group Master Application Now Available

Recent Law for Medicaid Drugs Impacts Private Health Plans

2025 Preferred Choice Benefit Highlights Now Available