|Medicare rating: 3.5 to 4 stars||A.M. Best financial strength rating: A||BBB rating: B-||NCQA rating: 3 stars||Consumer Affairs rating: Not rated||J.D. Power ranking: Not ranked|
Quick Premera Medicare Advantage Plans review: Premera is a regional health insurance provider serving Washington and Alaska with in-network providers, modest out-of-pocket costs, and average customer service ratings.
Premera is a regional health insurance provider that administers Medicare Advantage Plans in 14 counties in Washington and Alaska. It’s the largest health plan in the Pacific Northwest and provides insurance coverage for more than two million people. This nonprofit independent licensee of the Blue Cross Blue Shield Association has operated in Washington since 1933 and in Alaska since 1952.
Premera offers a wide selection of Medicare Advantage Plans, all of which provide benefits beyond those included in Original Medicare. In some cases, plan premiums are $0, meaning that you only pay the standard Part B premium for your coverage. All plans have networks made up of thousands of doctors, specialists, therapists, and hospitals. Because these plans only cover care you get from in-network providers, they’re not a good fit for everyone. It’s a good idea to review each plan’s out-of-pocket costs, coverage options, and copays to determine whether it meets your health care needs.
Pros and Cons of Premera Medicare Advantage Plans
|What we like about Premera Medicare Advantage Plans:||The drawbacks of Premera Medicare Advantage Plans:|
What do Premera Medicare Advantage Plans Cover?
Also called Medicare Part C, Medicare Advantage Plans combine Part A and B benefits with various extra services, but there are limits to what your Premera plan will pay. Most Premera Medicare Advantage Plans include:
- Prescription drug coverage
- Wellness benefits, such as free gym memberships
- Wellness over-the-counter medications
- Worldwide emergency
Premera Medicare Advantage Plan Options
Premera has several Medicare Advantage Plans available, although options may vary depending on where you live. All plans are HMOs and most include medical and prescription drug coverage and fitness benefits. Some selections include optional dental coverage. In-office copays are generally affordable and telehealth visits tend to be even cheaper. Monthly premiums range between $0 and $55. Annual maximum out-of-pocket costs are as low as $5,000 or as high as $6,700. Most plan premiums and copay charges are less in 2022 compared to 2021 pricing.
Here are the Premera Medicare Advantage Plan options for 2022:
|Plan name||Monthly premium||Annual deductible||Office visits||Annual maximum out-of-pocket cost|
|Premera Blue Cross Medicare Advantage Peak + Rx (HMO)||$0||$0 health
|$5 primary care/$40 specialist||$6,700|
|Premera Blue Cross Medicare Advantage (HMO)||$0||$0 health
|$5 primary care/$40 specialist||$6,500|
|Premera Blue Cross Medicare Advantage Sound + Rx (HMO)||$35||$0 health
|$0 primary care/$45 specialist||$6,500|
|Premera Blue Cross Medicare Advantage Alpine (HMO)||$24||$0
No drug coverage
|$0 primary care/$45 specialist||$6,500|
|Premera Blue Cross Medicare Advantage Classic (HMO)||$55||$0 health
|$0 primary care/$30 specialist||$5,000|
*Based on pricing in Olympia, Washington in 2022
Premera Medicare Advantage Plans Reviews and Ratings
Premera has moderate scores across available consumer websites. In general, members give average approval ratings for the plan’s care and services, although many find customer service experience to be lacking.
Trusted ratings and reviews can help you understand how an insurer’s plans stack up against the competition. See how Medicare, A.M. Best, the Better Business Bureau and more rate Highmark Medicare Advantage plans.
|Medicare rating: 3.5 to 4 stars||Premera’s Medicare Advantage Plans have an overall rating range of 3.5 to 4 stars for quality and performance from the Centers for Medicare & Medicaid Services.|
|A.M. Best financial strength rating: A||A.M. Best is a credit rating agency specializing in the insurance industry. In August 2019, A.M. Best upgraded its Financial Strength Rating to A (Excellent) from A- to Premera Blue Cross and its subsidiaries.
An A rating indicates stability to meet ongoing obligations.
|BBB rating: A-||Premera is not accredited with the Better Business Bureau but has a B- rating and has closed 30 complaints in the last three years.|
|NCQA rating: 3 stars||The National Committee for Quality Insurance has ratings for two Premera plans. Both plans have overall ratings of 3. across NCQA’s three categories, and both plans rate 3.0 in consumer satisfaction and treatment. One plan rates 3 in prevention while the other is given a score of 3.5.|
|Consumer Affairs rating: Not rated||Not rated|
|J.D. Power ranking: Not ranked||In its 2021 Medicare Advantage Study, J.D. Power measured Medicare Advantage Plan satisfaction based on coverage and benefits, provider choice, cost, customer service, information and communication, and billing and payment. Premera is not ranked in the top ten.|
Learn More From Our Sources
- Better Business Bureau | Premera Blue Cross | Last accessed July 2022
- JDPower | 2021 U.S. Medicare Advantage Study | Last accessed July 2022
- Medicare | How Do Medicare Advantage Plans Work? | Last accessed July 2022
- NCQA | NCQA Health Insurance Plan Ratings 2019-2020 – Summary Report (Medicare) | Last accessed July 2022
- Premera | Medicare Advantage Plans | Last accessed July 2022
- Premera | About Premera | Last accessed July 2022