2020 Washington Small Group Plans

The information on this page is for small group plans beginning January 1, 2020. Small groups in Washington are employers with one to 50 employees.

Quicklinks

 

Learn what we have to offer

Download a brochure: Health Plans for Washington Small Groups (pdf) 

 

At your service: plans and networks come with choice

Our health plan products are a unique combination of networks and plan designs to fit the needs of you and your employees.

For 2020 we offer Washington businesses two product portfolios: Navigator and Voyager, with 32 plans to choose from.

These products are part of our continued effort to simplify how members make informed decisions about their health and promote more engagement with their healthcare providers. The products further refine our mission to provide you with quality of care, accountability, access, affordability, and member choice.

Navigator—for exceptional coordinated care

Navigator gives you a more integrated approach to care—helping members get the right care, at the right time, in the right place. It’s care that’s coordinated to simplify the member experience, improve access to care, and promote member engagement through shared decision-making within an accountable network of providers.

Navigator is available for purchase by employers located in the following counties:

  • Clark
  • Pierce
  • Spokane

Voyager gives you the broadest choice of networks

As a preferred provider organization (PPO), Voyager means greater choice for members. For those who prefer a more self-guided experience, Voyager gives members expanded access to our broadest network of providers.

Voyager is available for purchase by businesses located throughout the state of Washington.

 

Review medical plans

Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts. If members receive services from out-of-network providers, their deductible and out-of-pocket limit will be higher than the amounts listed in the table below.

Medical handbook samples (PDFs): 

Plan

Deductible

Out-of-pocket Maximum

Preventive Services
No deductible, member pays:

Office Visits
After deductible, member pays:

SBCs (PDFs)
by Network
Summaries (PDFs)
by Network
Platinum 500^ $500 $3,000 Covered in Full Primary/Urgent Care: $10*,
Specialist: $20*
Navigator / Voyager Navigator / Voyager
Gold 1000^ $1,000 $6,000 Covered in Full Primary/Urgent Care: $25*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Gold 2000^ $2,000 $6,000 Covered in Full Primary/Urgent Care: $25*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Gold 2500^ $2,500 $6,000 Covered in Full Primary/Urgent Care: $25*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Gold 3500^ $3,500 $6,000 Covered in Full Primary/Urgent Care: $25*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Silver 3000 $3,000 $8,150 Covered in Full Primary/Urgent Care: $35*,
Specialist: 40%
Navigator / Voyager Navigator / Voyager
Silver 4500^ $4,500 $8,000 Covered in Full Primary/Urgent Care: $30*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Silver 5500^ $5,500 $8,000 Covered in Full Primary/Urgent Care: $30*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Silver 6500^ $6,500 $8,000 Covered in Full Primary/Urgent Care: $30*,
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Bronze 7500 $7,500 $7,500 Covered in Full Primary/Urgent Care: $35*,
Specialist: Covered in Full
Navigator / Voyager Navigator / Voyager
Gold HSA 3000 $3,000 $3,000 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
Silver HSA 3000 $3,000 $6,750 Covered in Full 20% Navigator / Voyager Navigator / Voyager
Silver HSA 4500 $4,500 $4,500 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
Silver HSA 5500 $5,500 $5,500 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
Bronze HSA 5000 $5,000 $6,750 Covered in Full 50% Navigator / Voyager Navigator / Voyager
Bronze HSA 6750 $6,750 $6,750 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager

^Adult vision included on this plan.

*Not subject to deductible. 

 

Brochures, enrollment forms, and more 

Brochures (PDFs):  

Quote Request and Forms (PDFs):

Visit our Washington Forms and Materials page for more sales materials.

 

For producers

     You can order sales kits for small group clients online!

      Order printed materials  

     Visit our Washington Forms and Materials page for more sales materials.