Large Group

Make sure your groups are off to a smooth start with these helpful tips.

Starting January 1, 2026, Premera will expand the Radiology Benefit Management (RBM) program to include site of service review.

For fully insured groups in Washington state, your pharmacy model will change on January 1, 2026.

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

Help your group clients understand their responsibilities about disclosing prescription drug coverage and creditable coverage status information.

Out-of-network Savings Solutions for OptiFlex and self-funded groups goes into effect January 1, 2026.

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

The 2026 large group health plan guide includes an overview of products, services, and plan designs available for the 2026 plan year.

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

Learn more about the outreach Premera has done for members this summer.

Preventive screenings for breast and cervical cancer will be expanded beginning January 1, 2026, to include more comprehensive care and patient navigation services.

Blue365 is a discount program coming to Premera Blue Cross members that offers discounts to gym memberships, hearing aids, and more.

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

Spokane Obstetrics and Gynecology has issued a contract termination. Premera Blue Cross is working diligently to renegotiate.

Submit your enrollment by December 4, 2025, to ensure ID card delivery before January 1, 2026.

Beginning January 1, 2026, Premera is expanding its site of service benefit to include ambulatory surgical centers for elective procedures. It also now includes freestanding birth centers for low-risk pregnancies.

Premera extends Personal Health Support expertise to include Premera Cancer Support with Thyme Care.

Business and occupation taxes are increasing. Here’s what you can expect.

The last date a group can renew on the Heritage Prime network is January 1, 2026.

Premera recently updated its OptiFlex frequently asked questions including questions on stop loss and surplus scenarios.

Your fully insured and OptiFlex large groups can save in 2026 with the Early Bird Advantage.

The updates will improve the user interface, include security updates, and reporting capabilities.

In 2026 Digital Health Messages will expand to include all self-funded groups, reinforcing our commitment to improve member health outcomes through innovative engagement tools.

In 2026 we’re making it easy for self-funded groups to connect members to wellness and condition management point solutions.

Enhanced Case Management maternal health program to replace the BestBeginnings app.

Learn about the new programs coming for GLP-1 drugs.

If you missed the May Producer Education Series, the recording is now available.

Annual drug data for group business has been submitted.

Self-funded groups looking to provide an employee assistance program can offer ComPsych in 2026.

Effective January 1, 2026, some of the vendors for primary and urgent virtual care will change.

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

Learn more about the communications and outreach done by Premera to connect members to their health plan services.

Join us this month to learn about some of the products and services coming to self-funded groups in 2026.

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.

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

Groups utilizing the Heritage Prime network will need to shift to the Heritage PPO network no later than January 1, 2026 renewals.

Employer groups can select one of three different funding options that works best for them.

Next month, Premera Blue Cross will launch a Digital Health Messages campaign targeting groups with Kinwell Connect.

Premera integrated member feedback into updates on the personal funding account web page.

Following revised IRS guidelines, we're sharing updates with you on how members will now access their 1095-B forms.

Premera Blue Cross invites you to join us next month for our first Producer Education Series of 2025.

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

Get the latest information on Prescription Drug Data Collection Reporting under the Consolidated Appropriations Act.

The race, ethnicity, and language (REL) questionnaire is now available for members on their Premera web portal and Premera mobile app.

Help your group clients understand their responsibilities about disclosing prescription drug coverage and creditable coverage status information.

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

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

Brightline, the vendor that supports the Premera Behavioral Health Solution for Children, recently announced that it will drastically change its business model. These changes resulted in a significant reduction in service availability.

Take action on behalf of your OptiFlex and self-funded groups.

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.

New enhancements coming to Personal Health Support on January 1, 2025.

Alerts from Rx Savings Solutions can help members save on their prescriptions.

Your clients can host an on-site immunization clinic at their workplace this fall.

Effective January 1, 2025, fully insured and OptiFlex 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 new year is closer than you think. Review these important dates to help you plan.

Online coping group classes offer an opportunity for emotional resilience.

Following the doctor’s recommendation for a procedure or elective surgery is already a big deal, finding and accessing high-quality, affordable care shouldn’t be.

A buy-up for self-funded employer groups starting with January 1, 2025, plan effective dates

Premera Blue Cross will soon limit the Heritage Prime network availability.

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

Fully insured and OptiFlex large groups can receive a rate adjustment off their proposed increase by completing their renewal early.

Members with personal funding accounts with their Premera health plan will now receive checks from Optum Bank.

If a group’s average payroll count changed from the prior year, it means the group may need to complete the Group Size Attestation form.

Beginning January 1, 2025, Premera Blue Cross is expanding access across the top four Premera Designated Centers of Excellence specialties.

OptiFlex groups that opted-in to receive communications from Premera will see those communications throughout the year.

Ready to help your groups save on pharmacy? Check out our 15-minute update on ancillary pharmacy products available in 2025.

New options coming to the 2025 Preferred Choice product portfolio. Watch the series to learn more.

Our Producer Education Series in May features a variety of topics to keep you informed on the latest Premera updates.

Employer groups can rely on Premera as a partner when integrating vendors into their health plan strategy.

Join us next week to get the latest on provider contract negotiations with MultiCare Health System.

Campaigns will encourage members to sign up and start saving on their prescriptions with Rx Savings Solutions.

Helping our members find a doctor is a big part of member satisfaction for Premera Blue Cross HMO.

Campaigns will encourage members to sign up and start saving on their prescriptions with Rx Savings Solutions.

These emails aim to improve member experience with their health plan and help them feel more confident when engaging with their plan.

These emails aim to improve member experience with their health plan and help them feel more confident when engaging with their plan.

Get the latest information on Prescription Drug Data Collection Reporting under the Consolidated Appropriations Act.

The first series of 2024 will cover hot topics in the news to pharmacy.

Help your group clients understand their responsibilities about disclosing prescription drug coverage and creditable coverage status information.

What you need to know about form 1095-B

What do you want to learn more about from Premera in 2024?

Premera Blue Cross has communication timelines to support employer groups of every size no matter when their plan starts.

Synergie Gene/Cell Therapy Risk Protection