Premera & Providence – Big Network Changes. Part 2: Small Groups, 1-50 – Plans offering the Larger Network
With the new agreement, only a few small group plans will be able to offer Providence as a PPO.
Groups in the “under 51” market use either the Premera Heritage (larger) network, or the Heritage Signature (smaller) network.
Today the networks are pretty similar. But as of 1.1.2017, Providence (which also includes Swedish, Pacific Medical, and Kadlec) will only be available on the larger of the two networks.
For small groups with a direct contract through Premera, there are only a handful of plans that can be upgraded to the larger “Heritage” network.
If you have an employer that renews on 2.1.2017 or after, you can ask Premera to quote you the four plans noted above. If you move a group to one of these plans with the Heritage network, the normal renewal will change for that group to be January 1st.
Looks like it will be another busy “busy season”.
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I love numbers. I'm a math geek. I read benefits industry articles and periodicals for relaxation (but, honestly, I'm still a fun gal). I also like to share what I've learned and you'll find it all here.