Health Plans

  • 2015 Health Plans

    Open enrollment period ended on March 31, 2014. Your next opportunity to enroll in a new plan begins on November 15, 2014 for an effective date of January 1. 2015.

    You may be able to make changes to your 2014 plan if you’ve had a qualifying life event (e.g. a new child, marriage). If you’ve had a qualifying life event, call us at 855-339-9699.

    Individual and Family Plans

    We offer plans from three metallic levels – bronze, silver or gold. Monthly health plan costs vary by:

    • Metallic level
    • Number of people on the plan
    • Ages of people covered
    • Tobacco usage
    • Location

    All plans have the same benefits. The amount you pay for your medical care will vary depending on the plan you choose.

    Medical Care Pay Chart 

    10 Essential Benefits

    Healthcare reform says all health plans must include ten essential benefits. The basic benefits include:

    1. Outpatient Care – the care you receive without being admitted to a hospital
    2. Emergency Room – trips to the emergency room
    3. Inpatient Care – treatment in the hospital for inpatient care
    4. Maternity and Newborn Care – care before and after your baby is born
    5. Mental Health and Substance Use Disorder Services – this includes behavioral health treatment, counseling, and psychotherapy
    6. Prescription drug coverage
    7. Rehabilitative and Habilitative Services – services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more
    8. Laboratory Services – lab tests
    9. Preventive and Wellness Services – services including counseling, screenings, and vaccines to keep you healthy and to manage a chronic illness
    10. Pediatric Services – including dental and vision care for children*

    * Plans offered by all carriers outside of Washington Healthplanfinder have pediatric dental benefits built into them regardless of dependents being covered on the plan. The additional cost for this benefit is minimal. If you are shopping inside the Washington Healthplanfinder, you are not required to buy pediatric dental if no one in your family is under 19 years of age as that benefit is sold separately. 

    2014 Health Plans

    2014 Health Plan Rates

    If you are a current LifeWise member and would like to change your plan, please log in, and then click on "Change your plan" under "Account Information". You can also call us at 888-304-0693 and we’ll help you change your plan.

    You can also review any of our rate sheets based on your county of residence.

    Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Garfield, Grant, King, Kittitas, Okanogan, Walla Walla, Whitman, and Yakima counties (Area 1,5) 

    Clallam, Clark, Cowlitz, Grays Harbor, Island, Jefferson, Mason, Lewis, Kitsap, Klickitat, Pacific, Pierce, San Juan, Skagit, Skamania, Snohomish, Thurston, Wahkiakum and Whatcom counties (Area 2,3) 

    Ferry, Lincoln, Pend Oreille, Spokane, and Stevens counties (Area 4) 

    Sales Brochure– includes high-level comparison of plan benefits

    Enrollment Application – be sure to review Eligibility and Enrollment information.

    Call us at 888-304-0693 with questions or to discuss your plan options.