Customer service representatives are available weekdays from 8 a.m. to 5 p.m. Pacific time. Or, reference our frequently asked questions (FAQ) page.
Toll Free: 800-592-6804
Toll Free: 800-842-5357
LifeWise Health Plan of WashingtonP.O. Box 91059Seattle, WA 98111-9159
LifeWise offers a variety of plans and a wide choice of doctors and hospitals. If you have a qualifying life event such as the birth of a child or change in marital status, you may be eligible to purchase a health plan as a special enrollment. Find out if you qualify and find a health plan that's right for you.
Open enrollment for 2016 will begin in October.
7001 220th St. SW. Bldg. 1Mountlake Terrace, WA 98043
3900 East Sprague Ave.Spokane, WA 99220
LifeWise Health Plan of WashingtonAttention: Payment ProcessingP.O. Box 91060Seattle, WA 98111-9160
P.O. Box 770Bend, OR 97708-7709800-592-6804
Phone: 888-261-1756Fax: 888-260-9836
If you can't find your answers here, call one of our knowledgeable Customer Service Representatives at 800-592-6804.
How do I apply for a health plan?You can get a quote and apply online for individual and family plans.
To apply by mail, complete the Individual and Family Application (one application per family) and mail it to:
LifeWise Health Plan of WashingtonP.O. Box 91120Seattle, WA 98111-9220
What can I do if my application has been denied?You may be eligible for coverage through the Washington State Health Insurance Pool (WSHIP), created by the Washington State Legislature. It provides health coverage to Washington residents who cannot find adequate commercial health coverage due to their health conditions, or because they reside in a county where commercial individual coverage is not offered.
Can I change my plan during a plan year?Whether you purchased your plan through the Washington Healthplanfinder or direct from us, you can only make changes outside of the open enrollment period if you have a qualifying event.
Can I make changes to my plan outside of open enrollment?Only in certain circumstances. One of the new rules starting in 2014 is that you can only join or make changes to a plan during the open enrollment period. There are some exceptions though: if you get married, have a child or lose your job, for example, you'll be able to make changes to your plan.
How do I find a doctor or facility that’s in my network? Consult the provider directory or call us at 800-592-6804 to request a printed provider directory.
Am I covered outside the state of Washington?You are covered when you travel nationwide by visiting a preferred provider with our partner network, PHCS/MultiPlan. When seeing a provider through PHCS/MultiPlan, it is covered as a regular in-network service. Outside the U.S. benefits are not provided for treatment or drugs considered experimental or investigational by U.S. medical standards
Are immunizations available only at the doctor’s office?Seasonal immunizations are available at any in-network paharmacy.
How do I file a claim?Healthcare providers normally bill LifeWise directly for services to you and your enrolled dependents. If you need to submit a claim to LifeWise you can follow these instructions.
Complete and sign a claim form:
Send your completed claim form and a copy of all itemized statements and claims to:
LifeWise Health Plan of WashingtonP.O. Box 91059Seattle, WA 98111
How do I file a complaint or appeal a claim?You may appeal any LifeWise decision you find unacceptable. And you may file an appeal related to a complaint that was not resolved to your satisfaction.
Here’s how: Mail us a letter stating your intention to appeal a LifeWise decision. Describe the circumstances of your situation with as much relevant detail as possible. Please provide us with your name, member identification number, current address, and telephone numbers where we may contact you during business hours.
Mail your letter to:
Customer ServiceLifeWise Health Plan of WashingtonP.O. Box 91102Seattle, WA 98111-9202
How do I use my LifeWise member ID card?Always carry your LifeWise member ID card and show it to physicians, other providers and pharmacists whenever you need care or prescriptions.
To help ensure that your claims are paid properly, encourage your providers to make a copy of the front and back of your card each time you visit.
Here you can learn what each item on your ID card means:
Please Note: This is a sample ID card. Your card may vary depending on your plan.
Member: The person eligible for covered services.
Prefix: These three letters are necessary for processing your claims.
Identification #: Helps to verify your eligibility and coverage. The three letters preceding your identification number are required for processing your claims.
Suffix: This number indicates the member’s relationship to the subscriber.
Group #: Identifies the benefits of your particular plan.
RxGrp# and BIN #: Pharmacists use this number to process your prescriptions.
Date Printed: The day your card was issued.
Rx Symbol: Indicates that you have prescription coverage.
Medical Network: Name of your health-care provider network.
Office visit copay: Amount you pay on the day you see your provider.
Emergency room (copay): Amount you pay on the day you receive emergency room services.
Retail Rx (copay): Amount you pay for any prescription (up to a 30-day supply) when you visit a participating pharmacy.
Please note: Some health plans include preferred and non-preferred brands in the second level of coverage.
Mail-Order Rx (Copay): The amount you pay for any prescription (up to a 90-day supply) when you use Express Scripts Home Delivery. The amount varies based on your copay as described above. Learn more about Express Scripts mail-order.
Remember the back of your ID card provides key information, including important Customer Service phone numbers you and your providers may need.
If you have any additional questions or require further assistance, please contact us.
How do I make a payment to my plan?Pay online or by phoneThis service allows individuals to pay their monthly bill online or by phone. You can use a credit or debit card or an electronic transaction from your checking or savings account. Pay My Bills Online.
Pay by mailYou can make payments by mail with a check or money order made out to LifeWise Health Plan of Washington. Please include your member identification number (located on your card) on your check or money order.
Mail payments to:
LifeWise Health Plan of WashingtonP.O. Box 91060Seattle, WA 98111-9160
You can avoid the time and expense of mailing payments through the use of monthly automatic fund transfers. Funds are transferred on the first day of each month. Get details, or sign up, by downloading an Automatic Fund Transfer Authorization request. You can also pay by credit card. After your first bill, you can begin paying your monthly rate with a credit or debit card.
Do I have a grace period for paying my bill?Payment is due on the 1st of every month. You have a 10-day grace period to make your payment per the contract.
If my plan is cancelled due to nonpayment can I get reinstated?You have a one-time reinstatement. To be eligible, you must bring your account to current within 30 days of the final bill. To check for your reinstatement eligibility, please call Customer Service at 800-592-6804.
How do I cancel a plan?You may cancel your LifeWise plan by submitting the request in writing with a signature provided from the subscriber when cancelling the entire plan or, when cancelling specific dependants.
If you are a spouse, domestic partner or dependant 18 years of age or older enrolled within our plan, you can also cancel yourself from the policy if requested in writing with a signature provided.
We will need to know the names and member identification numbers of plan members in your family, your current address and telephone number.
You can fax your written and signed request to:LifeWise Health Plan of Washington – “cancel request”Fax #425-918-3727
You can mail your written and signed request to:Customer ServiceLifeWise Health Plan of Washington – “cancel request”P.O. Box 91120Seattle, WA 98111-9220
What is the difference between pharmacy benefits and pharmacy discount programs? If you are a member of a LifeWise plan that offers pharmacy benefits, you receive coverage for a portion of the cost of prescriptions.
If your plan does not offer a pharmacy benefit, you can trim your prescription expenses through the Pharmacy Discount Program. Participating pharmacies offer you cost savings of up to 50 percent. To take advantage of this program, you must show your LifeWise member identification card at a participating pharmacy when you fill a prescription.
Can I get my prescription by mail? Yes. If your plan includes pharmacy benefits, you have access to a comprehensive, nationwide network of retail pharmacies and to a convenient mail order pharmacy, Express Scripts Home Delivery.
You can also order specialty drugs for the treatment of complex or rare conditions through our specialty pharmacies: Accredo (an Express Scripts specialty pharmacy) or Walgreens Specialty Pharmacy.
Learn more about your mail pharmacy options.
Which prescription drugs are not covered?The Drug List Search allows you to search for a drug by name or drug class to find out whether it is covered. You can also log in to your member account to get drug costs specific to your plan.