Testing the abilities - Regence BlueShield

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Regence RealValue In-Network Upfront Office Visits Upfront office visits: first two per calendar year Not subject to deductible Preventive Care and Immunizations Not subject to the deductible Member Responsibility Coinsurance applies after deductible is met and until coinsurance maximum is reached $35 copay 0% Professional Services Deductible applies after upfront office visit benefit 35% limit is met. Office and inpatient services and supplies. Outpatient Radiology and Laboratory 35% Complex Outpatient Imaging (CT Scan, MRI, PET, MRA, SPECT, Bone Density) Hospice Respite care limited to 14 days inpatient/outpatient per lifetime 50% 35% © 2012 Regence. Private and Confidential. 8
Regence RealValue In-Network Member Responsibility Coinsurance applies after deductible is met and until coinsurance maximum is reached Mental Health Treatment 35% Skilled Nursing Facility 30 days per calendar year Hospital Services/Ambulatory Surgical Center Inpatient and outpatient services and supplies Emergency Room Services $200 copay per ER visit (waived if directly admitted). Prescription Medication Coverage 35% 35% 35% Rx discount program only (includes generic & brand formulary drugs) © 2012 Regence. Private and Confidential. We cover certain preventive medications according to United States Preventive Services Task Force (USPSTF) guidelines at 100%, no deductible, no copay at participating pharmacies only. Member must have a prescription. We cover self-administered chemotherapy medications at 100% according to state law. 9
Page 1 and 2: Regence RealValue SM Producer Train
Page 3 and 4: New WA Products • Quote date 4/15
Page 6 and 7: Regence RealValue BENEFIT DESIGN ©
Page 10 and 11: Regence RealValue Exclusions • Ac
Page 12 and 13: Outside the Service Area • Outsid
Page 14 and 15: Dental Options As with the Evolve s
Page 16 and 17: Regence RealValue Network • The R
Page 18 and 19: King County Hospital Participation
Page 20 and 21: Snohomish County Hospital Participa
Page 22 and 23: Kitsap and Thurston Counties Hospit
Page 24 and 25: Network Service Area - Definitions
Page 26 and 27: Covered services received Within- T
Page 28 and 29: Referral to an Out-of-Network Provi
Page 30 and 31: Pricing Rates • Approved Annual r
Page 32 and 33: Member Card © 2012 Regence. Privat
Page 34 and 35: RealValue EOB © 2012 Regence. Priv
Page 36 and 37: Regence RealValue MARKETING © 2012
Page 38 and 39: Key Messages • More of what you n
Page 40: Questions Q&A Producer Support 800-

Testing the abilities - Regence BlueShield

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