- Medicare Advantage Enrollment Application
- Dental Enrollment Form – Must be submitted within 60 days of enrollment to sign up for optional dental plan
- LIS Premium Chart
- Plan Change Form
- Producer of Record (POR) Change Request
- Print-Your-Own 2019 MA Kit
- Premera Blue Cross MA 2019 H7245 Star Rating
- Premera Blue Cross MA 2019 H9302 Star Rating
King, Pierce, Snohomish, Thurston
- Benefit Highlights Brochure (King, Pierce, Snohomish, Thurston)
- Sales Presentation (King, Pierce, Snohomish, Thurston)
- Summary of Benefits – $42 Alpine HMO, $146 Charter HMO (King, Pierce, Snohomish, Thurston)
- Summary of Benefits – $0 Peak HMO, $40 Sound HMO (King, Pierce, Snohomish, Thurston)
- Summary of Benefits – $0 HMO, $55 Classic HMO, $167 Classic Plus HMO (King, Pierce, Snohomish, Thurston)
- Trifold Brochure (King, Pierce, Snohomish, Thurston)
Skagit, Whatcom
- Benefit Highlights Brochure (Skagit, Whatcom)
- Sales Presentation (Skagit, Whatcom)
- Summary of Benefits – Core HMO (Skagit, Whatcom)
- Trifold Brochure (Skagit, Whatcom)
- Whatcom Only: Summary of Benefits – $42 Alpine HMO, $146 Charter HMO
- Whatcom Only: Summary of Benefits – $0 Peak HMO, $40 Sound HMO
Lewis
- Benefit Highlights Brochure (Lewis)
- Trifold Brochure (Lewis)
- Sales Presentation (Lewis)
- Summary of Benefits – $0 HMO, $55 Classic HMO, $167 Classic Plus HMO (Lewis)
Spokane, Stevens
- Benefit Highlights Brochure (Spokane, Stevens)
- Summary of Benefits – $0 HMO, Total Health HMO (Spokane, Stevens)
- Sales Presentation (Spokane, Stevens)
- Trifold Brochure (Spokane, Stevens)
A full list of plan PDFs can be found here: https://www.premera.com/wa/producer/products/medicare-advantage-plans (Producer site)
And here https://medicare.wapremera.websales.guidewellconnect.com/sbu/tools-resources (Consumer Site)
Medicare Supplement
- Medicare Supplement Brochure
- Medicare Supplement Enrollment Form
- Outline of Medicare Supplement Coverage
- Silver & Fit Flyer
- Producer of Record (POR) Change Request
- Medicare Supplement Enrollment Tool – Help with Guarantee Issue Guidelines & Documentation
- Medicare Supplement Automatic Funds Transfer Form
- Medicare Supplement Deniable Conditions
A full list of plan PDFs can be found here: https://www.premera.com/wa/producer/products/medicare-supplement-plans/