Premera Preferred Silver 2500 HSA WA

These are the details for a 2014 Obamacare Plan. To see the available 2015 plans take a look at our plan comparison for the state of Washington. Compare Plans

Plan Information
Company Premera Blue Cross
State WA
Metal Tier Silver
Plan Type PPO

Cost Sharing Benefits

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $2,500 Data Not Available
Deductible (Family) $5,000 Data Not Available
Coinsurance 20% Data Not Available
Out of Pocket Maximum (Individual) $4,100 Data Not Available
Out of Pocket Maximum (Family) $8,200 Data Not Available
Services In Network Out of Network
Primary Care Visit 20% coinsurance Data Not Available
Specialist Visit 20% coinsurance Data Not Available
In Patient Hospital Services 20% coinsurance Data Not Available
Emergency Room Services 20% coinsurance 20% coinsurance
Mental / Behavioral Health 20% coinsurance Data Not Available
Imaging (CT/PET Scans, MRIs) 20% coinsurance Data Not Available
Rehabilitative Speech Therapy 20% coinsurance Data Not Available
Rehabilitative Occupational & Physical Therapy 20% coinsurance Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services 20% coinsurance Data Not Available
X-ray and Diagnostic Imaging 20% coinsurance Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx 20% coinsurance
Preferred Brand Rx 20% coinsurance
Non Preferred Brand Rx $0
Specialty Drugs 0.2

Other Plans

Other plans that are available in the state.

Plan Name
Preferred Gold 1000
Preferred Gold 1500
Preferred Silver 2000
Preferred Silver 2000 CSR 73
Preferred Silver 2000 CSR 87
Preferred Silver 2000 CSR 94
Preferred Silver 3000
Preferred Silver 3000 CSR 73
Preferred Silver 3000 CSR 87
Preferred Silver 3000 CSR 94
Preferred Silver 2500 HSA
Preferred Silver 2500 HSA CSR 73
Preferred Silver 2500 HSA CSR 87
Preferred Silver 2500 HSA CSR 94
Preferred Bronze 5500
Preferred Bronze 6350
Preferred Bronze 5250 HSA
Multi-State Plan Blue Cross Gold 1000
Multi-State Plan Blue Cross Gold 1500
Multi-State Plan Blue Cross Silver 2000
Multi-State Plan Blue Cross Silver 2000 CSR 73
Multi-State Plan Blue Cross Silver 2000 CSR 87
Multi-State Plan Blue Cross Silver 2000 CSR 94
Multi-State Plan Blue Cross Silver 3000
Multi-State Plan Blue Cross Silver 3000 CSR 73
Multi-State Plan Blue Cross Silver 3000 CSR 87
Multi-State Plan Blue Cross Silver 3000 CSR 94
Multi-State Plan Blue Cross Silver 2500 HSA
Multi-State Plan Blue Cross Silver 2500 HSA CSR 73
Multi-State Plan Blue Cross Silver 2500 HSA CSR 87
Multi-State Plan Blue Cross Silver 2500 HSA CSR 94
Multi-State Plan Blue Cross Bronze 5500
Multi-State Plan Blue Cross Bronze 6350
Multi-State Plan Blue Cross Bronze 5250 HSA
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