Small Group Archives - Premera Producers (WA)

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Action needed: Confirm your agency finance contact by July 1

June 11, 2026

Premera is transitioning to electronic payments for producers and agencies. To streamline the process, update your agency’s finance or commissions contact today.

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Introducing the Emergency Department (ED) Coding Program

June 11, 2026

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

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Here’s what you missed last month

June 11, 2026

Jump to the highlights and segments you care about most from last month’s Producer Education Series.

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MultiCare remains in-network through June 30, 2026

June 11, 2026

Premera and MultiCare agreed to extend negotiations for all Premera health plans.

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Important document changes for groups of 1-2

June 11, 2026

The documentation requirements have changed for groups of 1-2 subscribers. Make sure you have what you need.

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New 6-tier formulary redesign gives clients flexibility and value

June 11, 2026

Redesigned 6-tier formulary helps manage rising pharmacy costs while reducing unnecessary member disruption.

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More ways to save: Price Assure pharmacy program can help lower costs in 2027

June 11, 2026

Price Assure can help lower pharmacy costs and expand savings opportunities for members in 2027.

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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.

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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.

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Expanded HSA Investment Options Means More Ways to Grow Savings in 2026

May 14, 2026

Members with health savings accounts now have more options to grow their savings.

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Latest Recommendations from the U.S. Preventive Services Task Force

May 14, 2026

These updates help members access recommended preventive services and support without unnecessary barriers—making it easier for producers to position preventive care value in Premera plans.

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Automatic PCP Designation for Select Health Plans Now Live

April 9, 2026

Select small group health plans and Premera Pathfinder plans now have automated primary care provider designation.

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RxDC Reporting Reminder: What Groups Need to do by April 24

April 9, 2026

Premera can submit data on your group’s behalf but we may need more information.

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Understand New and Renewing Requirements for Groups of 1-2

April 9, 2026

For new and renewing groups beginning May 1, 2026.

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Enhanced Case Management helps members overcome barriers—and helps employers lower total cost of care

April 9, 2026

Digital-first coaching and care coordination help members improve outcomes, stay engaged, and reduce avoidable utilization for employers.

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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.

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Registration Open: The Q2 Producer Education Series is Next Month

April 9, 2026

Mark your calendar—the Q2 Producer Education Series is coming in May.

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ICYMI: Q1 Producer Education Series Recording Now Available

March 13, 2026

Last week experts at Premera discussed the evolution of GLP-1s, state and federal legislation, the fully insured product ecosystem, and more.

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'Talk to your doctor': How primary care lowers costs, improves outcomes

March 12, 2026

Premera is taking a strategic step in lowering the cost of care-elevating primary care.

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More Ways to Grow HSA Savings in 2026

March 11, 2026

Coming soon! Members with health savings accounts will have more investment options to grow their savings.

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Coming Soon: Find Care Refresh

March 11, 2026

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

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Complete Your Survey By March 19

March 11, 2026

Check your email to complete your producer survey by March 19.

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Payment Integrity Programs to Launch Throughout 2026

March 11, 2026

Payment Integrity extends programs to include laboratory tests.

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Update: Prescription Drug Data Collection (RxDC) Reporting

February 12, 2026

A quick look at what producers need to know for RxDC reporting—plus a critical April 24 deadline you can’t miss.

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Coming Soon! PCP Designation Will Help Members Access Care in 2026

February 12, 2026

We’re making access to primary care easier. Learn how PCP designation gives members a faster path to care and savings.

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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.

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Groups With 1 to 2 Employees Have Updated Underwriting Requirements

February 12, 2026

Premera is implementing important changes to the Washington state small group underwriting requirements for groups size 1-2 subscribers.

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Webinar Alert! Kinwell Wellness Workshops

February 12, 2026

Upcoming member webinar: An Introduction to Managing Prediabetes and Diabetes with Lifestyle Medicine.

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Accessing Spring Health for Virtual Mental Health

February 12, 2026

Here’s how members can get virtual mental health care through Spring Health.

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The 2026 Producer Education Series is Here—Sign Up Today!

February 12, 2026

Join us to learn more about what’s happening at Premera, industry hot topics, product performance, and more.

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Add This to Your Favorites: The New Producer Learning Center

February 12, 2026

The updated Producer Learning Center makes it easier to find sales materials for medical plans, virtual care, and other services. Everything is now organized by funding type.

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Pharmacy Formulary and Medical Policy Changes for January 2026

December 11, 2025

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

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2026 Reports Available for Medicare Part D Creditable Coverage

December 11, 2025

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

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Reminder to be Ready for January 2026

December 11, 2025

Don’t miss key deadlines for personal funding accounts, ID cards, and more.

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MarketPlace Sign In Experience Changes Coming in January

December 11, 2025

MarketPlace to implement multifactor authentication at the end of January.

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Premera Mailer Reminds Members to Set Up Online Account

December 11, 2025

In December 2025 and February 2026, members will receive postcards from Premera Blue Cross encouraging members to create online accounts.

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The Premera Spokane Office is Moving: What to Know and How to Support Your Clients

December 11, 2025

During the transition to our new location, employers should conduct business with Premera by mail, phone, or electronically whenever possible.

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Small Group Network Flyers Recently Updated

November 13, 2025

View the recently updated flyers for small group plans using the Heritage and Dental Choice or the Heritage and Dental Choice networks.

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Subrogation Vendor Changes Name to Machinify

November 13, 2025

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

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WA HB 1971 – Access to Hormone Therapy Medication

November 13, 2025

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

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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.

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ICYMI: 2026 Small Group Product Launch

October 8, 2025

If you couldn’t join us for the 2026 Small Group Product Launch last month, the recording and Q & A recap is now available.

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2026 Benefit Highlights for Small Group, Preferred Choice Now Available

October 8, 2025

Get a snapshot of our 2026 small group and Preferred Choice plans.

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Advanced Imaging Prior Authorization Incorporates Site of Care Review

October 8, 2025

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

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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.

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WA SB 5213 Pharmacy Benefit Mandate effective January 1, 2026

October 8, 2025

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

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Premera Health Plans and Vaccines

September 11, 2025

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

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Medicare Part D Notification and Creditable Coverage Reports

September 11, 2025

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

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Don’t Miss Out! Exclusive Small Group Producer Education Series

September 11, 2025

Premera hosts Producer Education Series exclusive to small group business.

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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.

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Save the Date! Small Group Producer Education Series Coming in September

August 14, 2025

Join us in September to learn about industry trends, new products, and plan updates coming for the 2026 plan year.

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Member Communications and Outreach in June and July

August 14, 2025

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

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Stay Informed: Updates to Breast and Cervical Cancer Screenings

August 14, 2025

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

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Blue365 a Free Health and Wellness Discount Program Coming in October

August 10, 2025

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

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

August 14, 2025

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

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Spokane Obstetrics and Gynecology Contract Termination

August 14, 2025

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

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Changes Coming to Optum Financial PFA Employer Portal

August 14, 2025

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Site of Service Expansion Means Groups and Members Save

August 14, 2025

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.

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Changes Coming to Optum PFA Employer Portal

July 10, 2025

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

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Washington Small Group Renewals Now Available through MarketPlace

July 10, 2025

Get access to your client’s renewal package faster through MarketPlace.

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Changes Coming to Premera Maternity Program

June 12, 2025

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

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Contribution Update in Small Group Marketplace

June 12, 2025

Changes to contribution section make it easier for varied contributions.

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Evernorth Announces GLP-1 Changes

June 12, 2025

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

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The Q2 Producer Education Series Recording is Now Available

June 12, 2025

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

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Prescription Drug Data Submitted to CMS

June 12, 2025

Annual drug data for group business has been submitted.

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Changes Coming to Premera Virtual Care Bundle

May 7, 2025

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

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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.

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Member Communications and Outreach in April and May

May 7, 2025

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

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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.

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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.

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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.

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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.

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Premera Improves Member Website on Personal Funding Accounts

April 10, 2025

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

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Important Update: 1095-B Form Distribution Changes

February 12, 2025

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

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Your Next Producer Education Series is Coming Up

February 12, 2025

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

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Updates to Security Platforms Requires Member Action

February 12, 2025

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

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Designated PCPs Can Save Members More

January 9, 2025

Members who designate a primary care provider have a lower office visit cost share.

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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.

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Race, Ethnicity, and Language Questionnaire Now Available on Premera Web Portal and App

January 9, 2025

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

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2025 reports available for Medicare Part D creditable coverage

December 18, 2024

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

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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.

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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.

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New Benefit for Outpatient Facilities Means Members Save More

November 14, 2024

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

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Producer Forms Page Improvements

November 14, 2024

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

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Enhancing Personal Health Support for Fully Insured and OptiFlex Funded Plans

October 10, 2024

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

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2025 Small Group Renewal Documents Now Available

October 10, 2024

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

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2025 Small Group Benefit Highlights Now Available

October 10, 2024

Visit Premera.com for 2025 benefit highlights for small groups.

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Members Save on Prescriptions with Rx Savings Solutions

October 10, 2024

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

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Host an Onsite Immunization Clinic

October 10, 2024

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

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Diabetes Management Plus for Fully Insured and OptiFlex in 2025

October 10, 2024

Effective January 1, 2025, fully insured and OptiFlex groups will have Diabetes Management Plus embedded as part of their plan.

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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.

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Kinwell’s New Coping Skills Group Helps Members with Life Challenges

August 7, 2024

Online coping group classes offer an opportunity for emotional resilience.

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Navigating the Healthcare Landscape to Access Quality Care

August 7, 2024

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.

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New Issuer of Personal Funding Account Checks

July 11, 2024

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

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Complete Your Group Size Attestation Form

July 11, 2024

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.

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Washington Small Group Filing Successfully Submitted

June 12, 2024

Premera Blue Cross and Premera Blue Cross HMO have successfully submitted the 2025 Washington Small Group filing with the Office of the Insurance Commissioner.

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Be Sure to Update Your Group Contact information

April 9, 2024

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Two Rx Savings Solutions Campaigns launch for Premera Blue Cross HMO

March 13, 2024

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

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We Make It Easy for Members to Find a Doctor

March 13, 2024

We Make It Easy for Members to Find a Doctor

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New Video Makes It Easy for HMO Members to Find a Doctor

March 13, 2024

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

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Two Rx Savings Solutions Campaigns Launch the Week of March 18

March 13, 2024

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

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Premera Blue Cross HMO First Use Plan Emails for 2024 Launch

March 13, 2024

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

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First Use Plan Emails for 2024 Launch This Month

March 13, 2024

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

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Update: Prescription Drug Data Collection (RxDC) Reporting

February 7, 2024

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

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Save the Date! Producer Education Series Coming in March

February 7, 2024

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

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2024 Reports Available for Medicare Part D Creditable Coverage

January 11, 2024

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

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Planning For Tax Season: Form 1095-B

December 14, 2023

What you need to know about form 1095-B

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We Want to Hear From You

December 14, 2023

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

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Help Your Employer Groups Promote Their Plan

December 14, 2023

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

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Direct-to-consumer drug programs: What producers should know

Action needed: Confirm your agency finance contact by July 1

Introducing the Emergency Department (ED) Coding Program

Here’s what you missed last month

MultiCare remains in-network through June 30, 2026

Important document changes for groups of 1-2

New 6-tier formulary redesign gives clients flexibility and value

More ways to save: Price Assure pharmacy program can help lower costs in 2027

Matchmaker fulfills 10,000 behavioral health care requests

Enrollment Data Transfer to Washington Health Care Authority

Expanded HSA Investment Options Means More Ways to Grow Savings in 2026

Latest Recommendations from the U.S. Preventive Services Task Force

Automatic PCP Designation for Select Health Plans Now Live

RxDC Reporting Reminder: What Groups Need to do by April 24

Understand New and Renewing Requirements for Groups of 1-2

Enhanced Case Management helps members overcome barriers—and helps employers lower total cost of care

What is Health Coverage That Counts?

Registration Open: The Q2 Producer Education Series is Next Month

ICYMI: Q1 Producer Education Series Recording Now Available

'Talk to your doctor': How primary care lowers costs, improves outcomes

More Ways to Grow HSA Savings in 2026

Coming Soon: Find Care Refresh

Complete Your Survey By March 19

Payment Integrity Programs to Launch Throughout 2026

Update: Prescription Drug Data Collection (RxDC) Reporting

Coming Soon! PCP Designation Will Help Members Access Care in 2026

Health and Wellness Discounts with Blue365: New Vendors in 2026

Groups With 1 to 2 Employees Have Updated Underwriting Requirements

Webinar Alert! Kinwell Wellness Workshops

Accessing Spring Health for Virtual Mental Health

The 2026 Producer Education Series is Here—Sign Up Today!

Add This to Your Favorites: The New Producer Learning Center

Pharmacy Formulary and Medical Policy Changes for January 2026

2026 Reports Available for Medicare Part D Creditable Coverage

Reminder to be Ready for January 2026

MarketPlace Sign In Experience Changes Coming in January

Premera Mailer Reminds Members to Set Up Online Account

The Premera Spokane Office is Moving: What to Know and How to Support Your Clients

Small Group Network Flyers Recently Updated

Subrogation Vendor Changes Name to Machinify

WA HB 1971 – Access to Hormone Therapy Medication

Fully Insured Groups Will Receive New ID Cards for 2026

ICYMI: 2026 Small Group Product Launch

2026 Benefit Highlights for Small Group, Preferred Choice Now Available

Advanced Imaging Prior Authorization Incorporates Site of Care Review

2026 Small Group Sales Forms Now Available

WA SB 5213 Pharmacy Benefit Mandate effective January 1, 2026

Premera Health Plans and Vaccines

Medicare Part D Notification and Creditable Coverage Reports

Don’t Miss Out! Exclusive Small Group Producer Education Series

Annual Gag Clause Prohibition Compliance Attestation

Save the Date! Small Group Producer Education Series Coming in September

Member Communications and Outreach in June and July

Stay Informed: Updates to Breast and Cervical Cancer Screenings

Blue365 a Free Health and Wellness Discount Program Coming in October

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

Spokane Obstetrics and Gynecology Contract Termination

Changes Coming to Optum Financial PFA Employer Portal

Site of Service Expansion Means Groups and Members Save

Changes Coming to Optum PFA Employer Portal

Washington Small Group Renewals Now Available through MarketPlace

Changes Coming to Premera Maternity Program

Contribution Update in Small Group Marketplace

Evernorth Announces GLP-1 Changes

The Q2 Producer Education Series Recording is Now Available

Prescription Drug Data Submitted to CMS

Changes Coming to Premera Virtual Care Bundle

Changes to the Secure Inbox on Member Portal

Member Communications and Outreach in April and May

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

Premera Promotes Colorectal and Cervical Cancer Screening

Premera Improves Member Website on Personal Funding Accounts

Important Update: 1095-B Form Distribution Changes

Your Next Producer Education Series is Coming Up

Updates to Security Platforms Requires Member Action

Designated PCPs Can Save Members More

ICYMI: New Benefit Means Lower Cost Shares at ASCs