Premera Blue Cross | Medical Plan Booklets

1/1/2020 - 12/31/2020


 

January – December 2020 Medical Booklet Endorsement with clarifications to benefits and exclusions

 

Premera Medical Plans Agriculture Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans Business Services Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans Community Services Org. Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans Construction Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans End-Line Manufacturing Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans Information Technology Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans Retail Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

Premera Medical Plans Wholesaling Industry Health Trust
Sterling $250 Heritage Prime Heritage
Sterling $500 Heritage Prime Heritage
Sterling $750 Heritage Prime Heritage
Sterling $1,000 Heritage Prime Heritage
Sterling $1,500 Heritage Prime Heritage
Sterling $2,000 Heritage Prime Heritage
Sterling $2,500 Heritage Prime Heritage
Sterling $3,000 Heritage Prime Heritage
Sterling $4,000 Heritage Prime Heritage
Sterling $5,000 Heritage Prime Heritage
Titanium $200 Heritage Prime Heritage
Titanium $350 Heritage Prime Heritage
Titanium $500 Heritage Prime Heritage
HSA $1,500 Heritage Prime Heritage
HSA $2,500 Heritage Prime Heritage
HSA $3,500 Heritage Prime Heritage
HSA $5,000 Heritage Prime Heritage

 

 

 

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