Page 4 - Waterjet Holdings- OE Guide 2015
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Find In-Network Care Medical/Prescription
and Save on Your
Expense Drug Coverage
1. Visit www.premera.com/wa/
visitor/ind-a-doctor Premera Blue Cross
2. Click on “Search” under the Find Premera Blue Cross administers our comprehensive medical plans
a Doctor/Specialist heading
effective January 1, 2015. Premera Blue Cross’s network offers exceptional
3. Follow the instructional prompts access to in-network providers and deep discounts on services. This
depending on the type of results in lower costs to you and our plan. Premera Blue Cross also
search you are conducting provides extensive online resources including care comparison tools.
You can search for providers
and facilities by name and Prescription Drugs
by a certain distance you are
willing to travel. Additionally, you Premera Blue Cross also administers our pharmacy coverage. If you
can search for in-network care are a current Home Delivery participant, you will need to request a new
based on a specialty, condition, prescription from your doctor as your current mail order prescriptions will
treatment or service. not transfer automatically to Premera Blue Cross.
It’s important to search for Additionally, some prescription tiers may change. To determine which
physicians and facilities within
the Premera network to receive tier your prescription would fall under effective January 1, please review
the highest possible beneit Premera Blue Cross’s formulary at information from their website at
coverage that your plan offers. www.premera.com/wa/visitor/pharmacy.
Browse the providers nearest
you!
Monthly Medical Plan Contributions
You can fund your HSA through HRA Plan
a one-time transfer from your Non-Tobacco Tobacco
IRA. The law allows you to move Employee $78.87 $98.59
money from your IRA into your Employee + Spouse $200.88 $251.10
HSA and avoid the taxation and Employee + Child(ren) $196.92 $216.64
penalties generally associated Family $243.12 $293.34
with early withdrawals from HSA Plan
an IRA. Allowing HSA owners Non-Tobacco Tobacco
to access their IRA funds Employee $64.02 $80.03
provides another option to Employee + Spouse $187.40 $234.26
fund the HSA. Rules and Employee + Child(ren) $169.56 $185.57
restrictions apply—contact Family $258.79 $305.64
Human Resources for additional Spousal Surcharge
information.
Spousal Surcharge
HRA Non-Tobacco $61.01
HRA Tobacco $76.26
HSA Non-Tobacco $61.69
HSA Tobacco $77.12
Waterjet Holdings 4
and Save on Your
Expense Drug Coverage
1. Visit www.premera.com/wa/
visitor/ind-a-doctor Premera Blue Cross
2. Click on “Search” under the Find Premera Blue Cross administers our comprehensive medical plans
a Doctor/Specialist heading
effective January 1, 2015. Premera Blue Cross’s network offers exceptional
3. Follow the instructional prompts access to in-network providers and deep discounts on services. This
depending on the type of results in lower costs to you and our plan. Premera Blue Cross also
search you are conducting provides extensive online resources including care comparison tools.
You can search for providers
and facilities by name and Prescription Drugs
by a certain distance you are
willing to travel. Additionally, you Premera Blue Cross also administers our pharmacy coverage. If you
can search for in-network care are a current Home Delivery participant, you will need to request a new
based on a specialty, condition, prescription from your doctor as your current mail order prescriptions will
treatment or service. not transfer automatically to Premera Blue Cross.
It’s important to search for Additionally, some prescription tiers may change. To determine which
physicians and facilities within
the Premera network to receive tier your prescription would fall under effective January 1, please review
the highest possible beneit Premera Blue Cross’s formulary at information from their website at
coverage that your plan offers. www.premera.com/wa/visitor/pharmacy.
Browse the providers nearest
you!
Monthly Medical Plan Contributions
You can fund your HSA through HRA Plan
a one-time transfer from your Non-Tobacco Tobacco
IRA. The law allows you to move Employee $78.87 $98.59
money from your IRA into your Employee + Spouse $200.88 $251.10
HSA and avoid the taxation and Employee + Child(ren) $196.92 $216.64
penalties generally associated Family $243.12 $293.34
with early withdrawals from HSA Plan
an IRA. Allowing HSA owners Non-Tobacco Tobacco
to access their IRA funds Employee $64.02 $80.03
provides another option to Employee + Spouse $187.40 $234.26
fund the HSA. Rules and Employee + Child(ren) $169.56 $185.57
restrictions apply—contact Family $258.79 $305.64
Human Resources for additional Spousal Surcharge
information.
Spousal Surcharge
HRA Non-Tobacco $61.01
HRA Tobacco $76.26
HSA Non-Tobacco $61.69
HSA Tobacco $77.12
Waterjet Holdings 4
