Health Plans

Asuris NW Health Plans

Asuris NW Health in Washington

When you choose Asuris, you’re getting a health care partner. One that can help with your needs every step of the way, from quick health information to answers about claims, and from online wellness programs to one-on-one help with serious health conditions.

Platinum Gold Silver Bronze
Premium
$$$$

Out-of-pocket
$
Premium
$$$$

Out-of-pocket
$
Premium
$$$

Out-of-pocket
$$
Premium
$$

Out-of-pocket
$$$
Eligibility
Individuals and families
Eligibility
Individuals and families
Eligibility
Individuals and families
Eligibility
Individuals and families

Good choice if you…
……want the lowest out of pockets costs when you need health care services. Provides the peace of mind worth a higher monthly premium

Good choice if you…
…want to pay very little out of pocket if you need health care services with lower copays, coinsurance, and no deductible on some services and that peace of mind is worth paying a slightly higher monthly premium

Good choice if you…
…want a balance between your out of pocket costs and monthly premium.

This plan also has an HSA option

Good choice if you…
…don’t expect to need health care services and want a lower monthly premium.

This plan also has an HSA option

Preventive Care

we put your good health first

Preventive care and early detection are key to long-term health and well-being. That’s why we cover:

  • Routine well-baby care, physicals, well-woman’s care, immunizations and health screenings
  • Counseling for tobacco use cessation
  • Generic medications for tobacco use cessation

You’re covered for these services 100% when you see a network provider. Deductibles and coinsurance may apply when you see out-of-network providers.

10 Essential Benefits

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

  1. Outpatient Care - the kind you get without being admitted to a hospital
  2. Emergency Services - for issues that could lead to death or disable you if you do not treat them.
  3. Inpatient Care - covers room and board, tests, drugs, and care from doctors and nurses while admitted, which may include organ and tissue transplants, and hospice and respite 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 Drugs - covers retail, mail order, and specialty drugs.
  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 - covers lab tests, X-ray services, and pathology, and imaging and diagnostics such as MRI, CT scan, and PET scan.
  9. Preventive and Wellness Services - including mammograms, colonoscopies, vaccines. Covered in full if you use in-network providers for care such as routine physicals, screening, and immunizations. Disease management coordinates care for diabetes, asthma, and other conditions.
  10. Pediatric Services - including dental care (preventive, basic, major) and vision care (eye exam, lenses, and eyewear).