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 WELCOME 500 FOR INDIVIDUALS & FAMILIES WELCOME 500 - THE MOST COVERAGE - Group Health Network The Welcome 500 Plan - '08 offers the most coverage of any of the Welcome plans. Your first five visits are covered with a simple $30 copayment. You won't need to start paying toward your $500 deductible until you've exhausted those five visits. This might be the plan for you if you want a level of cost predictability every time you go to the doctor. These plans give you access to the Group Health network of doctors, who practice at more than two dozen medical centers statewide, plus thousands of contracted providers. Also, you can self-refer to most specialists at Group Health medical centers, which makes getting the care you need as easy as possible. The Welcome Plans have no coverage out of network benefits. Click here to look up a provider. Benefits   Group Health Network Annual Deductible   $500 per member or $1,500 per family Memeber Coinsurance   20% Out-Of-Pocket Limit*   $4,000 per member or $12,000 per family Benefits   After Deductible, Member Pays     First 5 visits: You pay only your copayment. Your deductible and coinsurance do not apply until after the 5th visit for services indicated by Office Visits Includes urgent care.   $30/visit + 20% Preventive Care For children and adults; including physicals and immunizations, as established in Group Health's preventive care schedule.   $30/visit + 20% Manipulative Therapy   $30/visit + 20%, up to 10 visits PCY** Acupuncture   $30/visit + 20%, up to 8 visits PCY Naturopathy   $30/visit + 20%, up to 3 visits PCY Maternity Care Outpatient prenatal and postpartum visits. Delivery & associated hospital care.   $30/visit + 20% $500 per day to 5 days/admit + 20% Mental Health Services - Inpatient   $500 per day to 5 days/admit + 20% coinsurance Up to 12 days PCY Mental Health Services - Outpatient   $30/visit + 20%, up to 12 visits PCY Lab/X-Ray Services   First $500 PCY covered in full Then 20% and deductible apply Hospital Visits - Inpatient Hospital room and board; inpatient surgery; anesthesia, intensive and coronary care; laboratory tests; radiology services; drugs while in hospital.   $500 per day to 5 days/admit + 20% coinsurance Prescription Drugs - Outpatient Drugs and medicines that require prescription, including injectables, contraceptive drugs, devices, and supplies.   $20 copay generic/$40 copay brand name $3,000 annual benefit maximum Not subject to deductible Mail order: $5 discount for 30-day supply Emergency Care Group Health or Group Health-designated facilities: Non-Group Health or non-Group Health-designated facilities worldwide:   $100 + 20% $150 + 20% Vision Care   $30 + 20% for routine eye exam and $200 hardware benefit per 12 month period. Hardware not subject to deductible or coinsurance. * Member coinsurance applies. Deductible is not included in 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.