POPULAR PLANS

Whatever your health insurance needs, if you reside in Washington State you will find a great selection of plans here. We’ve surveyed the insurance industry and selected the carriers and plans that fit Washington best, allowing you to choose a plan that meets your specific coverage needs while helping you maintain control of your budget.

 

This site is designed to be a convenient one-stop shopping experience, but if you need our help we are only a toll-free phone call away.

PPO - Preferred Provider Organization

GETTING A PLAN THAT IS JUST RIGHT FOR YOU.

What is a PPO plan?

PPO plans, or "Preferred Provider Organization" plans, are one of the most popular types of plans in the Individual and family market. PPO plans allow you to visit whatever in-network physician or healthcare provider you wish without first requiring a referral from a primary care physician.

How does a PPO plan work?

As a member of a PPO plan, you'll be encouraged to use the insurance company's network of preferred doctors and you usually won't need to choose a primary care physician. No matter which healthcare provider you choose, in-network healthcare services will be covered at a higher benefit level than out-of-network services. It's important to check if you provider accepts your health plan so you receive the highest level of benefit coverage.

You will probably have an annual deductible to pay before the insurance company starts covering your medical bills. You may also have a co-payments for certain services or be required to cover a certain percentage of the total charges for your medical bills.

A PPO plan may be right for you if:

  • You want the freedom to choose almost any medical facility or provider for your healthcare needs.

  • You want a portion of out-of-network claims to be covered by your insurance company.

  • You don't want to get referrals before visiting a specialist.

Health Savings Accounts

A HEALTH SAVINGS ACCOUNT (HSA) IS A TAX-FAVORED SAVINGS ACCOUNT CREATED FOR THE PURPOSE OF PAYING MEDICAL EXPENSES.

Tax-Deductible
Contributions to the HSA are 100% deductible (up to the legal limit) — just like an IRA.

 

Tax-Free
Withdrawals to pay qualified medical expenses are never taxed.

Tax-Deferred

Interest earnings accumulate tax-deferred, and if used to pay qualified medical expenses, are tax-free.

HSA money is yours to keep!


Unlike a Flexible Spending Account, unused money in your HSA isn’t forfeited at the end of the year; it continues to grow, tax-deferred.

HMO - Health Maintenance Organizations

GETTING A PLAN THAT IS JUST RIGHT FOR YOU.

What is an HMO plan?

HMO means "Health Maintenance Organization." HMO plans offer a wide range of healthcare services through a network of providers who agree to supply services to members. With an HMO you'll likely have coverage for a broader range of preventive healthcare services than you would through another type of plan.

How does an HMO plan work?

As a member of an HMO, you'll be required to choose a primary care physician (PCP). Your PCP will take care of most of your healthcare needs. Before you can see a specialist, you'll need to obtain a referral from your PCP.

Though there are many variations, HMO plans typically enable members to have lower out-of-pocket healthcare expenses. You may not be required to pay a deductible before coverage starts and your co-payments will likely be minimal. You also typically won't have to submit any of your own claims to the insurance company. However, keep in mind that you'll likely have no coverage for services rendered by out-of-network providers or for services rendered without a proper referral from your PCP.

An HMO plan may be right for you if:

  • You're shopping for a plan with lower premiums.

  • You want a plan without a deductible and don't mind having an out-of-pocket limit.

  • You need preventive care services such as coverage for checkups and immunizations.

 
 
 

(206) 933-0100

(800) 810-5739

  • Facebook Social Icon

Providing health insurance access, options and choices to individuals, families and businesses in Washington State. 

© 2020 by Washington Health Insurance, All Rights Reserved.