Regence BlueShield   LifeWise of WA   Group Health   Comprehensive Plans     Balance 1000     Balance 1500     Welcome 500   Catastrophic Plans     Balance 2500     Balance 5000     Welcome 1750     Welcome 3500   HSA Plan     HealthPays HSA   Plan Rates   Apply Now!   Provider Directories   Exclusions &    Limitations   HSA Plans   Individual Dental   Group Medical   Group Dental   Grp Life & Disability   About the Plan   Premiums   Application   US Citizens   Foreign Nationals   Long Term		(Available to Washington State Residents Only) SUMMARY OF BENEFITS BALANCE 1500 FOR INDIVIDUALS & FAMILIES BALANCE 1500 - LOTS OF COVERAGE - Alliant Plus Network The Balance 1500 Plan - '08 is a comprehensive plan with a lot of coverage. This is a good family plan since maternity care is covered Your deductible is slightly higher than the Balance 1000 plan, but your premium will be lower. But remember, your deductible doesn't apply to preventive care (in- or out-of-network), or to most in-network office visits, so you get a lot of coverage withour your deductible coming into play. These plans let you choose between the Alliant Plus in-network and out-of-network options, with different levels of coverage. In-network care includes access to the more than 1,000 Group Health doctors and clinicians, and also includes the thousands of contracted community providers and the many doctors who practice with Virginia Mason and The Everett Clinic. Out-of-network care includes services from any other doctor, anywhere with discounted care from First Choice Health and Beech Street providers. Click here to look up a provider. Benefits Alliant Plus In-Network Alliant Plus Out-Of-Network Annual Deductible $1,500 per member or $4,500 per family Memeber Coinsurance 30% 30% Out-Of-Pocket Limit* $6,000 per member or $18,000 per family Benefits No Deductible After Deductible, Member Pays Office Visits $30/visit $30/visit Manipulative Therapy $30/visit, up to 10 visits PCY** $30/visit, up to 10 visits PCY Acupuncture $30/visit, up to 8 visits PCY $30/visit Naturopathy $30/visit, up to 3 visits PCY $30/visit Maternity Care Outpatient prenatal and postpartum visits. $30/visit $30/visit Mental Health Services Outpatient: Limit total visits PCY to 12 combined for both in- and out-of-network. $30/visit $30/visit Lab/X-Ray Services Covered in full Covered in full Benefits After Deductible, Member Pays Materinty Care Delivery & Associated hospital care. 30% 30% Mental Health Services Inpatient: Limit total days PCY to 12 combined for both in- and out-of-network. 30% 30% Hospital Visits - Inpatient Hospital room and board; inpatient surgery; anesthesia, intensive and coronary care; laboratory tests; radiology services; drugs while in hospital. 30% 30% Emergency Care $100 + 30% $150 + 30% Benefits Deductible Does Not Apply Preventive Care For children and adults; including physicals and immunizations, as established in Group Health's preventive care schedule. $30/visit $30/visit $300 individual/ $600 family annual benefit maximum Prescription Drugs Outpatient: Drugs and medicines that require prescription, including injectables, contraceptive drugs, devices, and supplies. $3,000 annual maximum combined for in- and out-of-network. $10 generic 30% brand name 50% non-formulary Mail order: $5 discount for 30-day supply $15 generic 30% brand name 50% non-formulary Vision Care $200 hardware benefit per 12 months. Not subject to coinsurance. $30 for routine eye exam $30 of eye exam fee reimbursed per 12 months * Member coinsurance and emergency care copayment apply to out-of-pocket limit. Deductible does not apply to out-of-pocket limit. ** PCY = per calendar year Note: This is a summary of benefits. The contents are not to be accepted or construed as a substitute for the provisions of the master policy or agreement. Other terms and conditions apply. Lifetime benefit maximum of $2 million applies to all plans. All plans cover on-the-job-injury-related health care costs for partners, proprietors, or corporate officers who are not covered by a workers' compensation act, subject to the plan's cost shares and benefit limitations. Coverage provided by Group Health Options, Inc. E-mail us for more information and a free quote or CALL TOLL FREE 1-800-875-4490 (in the U.S.) or 1-253-854-0199 (outside the U.S.) Fax: 1-253-896-9411 Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424 Serving all of Washington at 800-875-4490, Seattle at 206-682-1628, Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291. Copyright© 1998-2009, Maddock & Associates  |  Privacy Statement Problems viewing this page? Contact the webmaster.