Regence NowSelect for Individuals and Families

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Unique Features

A catastrophic health plan that includes four office visits.
Preventive care has a $200 limit per calendar year that applies to routine exams, immunizations and certain routine cancer screenings.
Back to basics means you don't have to pay for what you don't need, like maternity, prescriptions and vision.

Coverage at a Glance

Deductible:	Deductible Options: $2,500, $5,000, $7,500, $10,000	Prescription Benefits Dental Vision No Referrals Maternity Preventive Care Alternative Care Mental Health
Annual OOP Max:	Not applicable on this plan
Lifetime Max:	$2 million per member
Copay:	$35 preferred providers $35 participating/recognized providers
Coinsurance:	20% preferred providers, 50% participating/recognized providers
Coinsurance Max:	$5,000 per person $15,000 per family
Networks:	Preferred Providers Find a Doctor

Basic Features

Cost Sharing
Deductible	$2,500 per member ($5,000, $7,500 and $10,000) Family maximum of three individual deductibles
Coinsurance Max	$5,000 per person $15,000 per family
Lifetime Max	$2 million paid by Regence per member
Copay	You pay $35 when using preferred providers You pay $35 when using participating/recognized provider
Coinsurance	You pay 20% when using preferred providers You pay 50% when using participating / recognized providers
Everyday Needs
Prescriptions	Rx discount program Mail order not available
Preventive Care	You pay coinsurance only No deductible All preventive care services, including related lab tests, screening procedures and x-rays are limited to $200 per calendar year (routine colorectal cancer screenings not subject to maximum)
Office Visits	First four visits in the calendar year: You pay $35 copay using preferred providers You pay $35 copay using participating /recognized providers No coinsurance No deductible After four visits in the calendar year: Deductible and coinsurance
Diagnostic X-Ray Services	Deductible and coinsurance
Outpatient Lab Services	Limited to $400 in the calendar year: Covered at 100%; no coinsurance No deductible for first $400 After $400, deductible and coinsurance
Special Needs
Alternative Care	Covered as any other condition Acupuncture limited to 12 visits per calendar year maximum Spinal manipulations limited to 10 manipulations per calendar year maximum
Mental Health	Deductible and coinsurance Inpatient: 8 days per calendar year Outpatient: 12 visits per calendar year
Other Considerations
Networks	Preferred Providers Preferred network (most medical services)

Benefit Summary

Rates

Optional Ben

Complete your health care plan with Dental coverage: DentalOne

No deductibles, no annual maximums
$15 per visit copay for basic dental services

Learn more about DentalOne »

Exclusions and Limitations

PDF (34k) Exclusions and Limitations: Regence NowSelect

Medical Exlusions and Limitations
Acupuncture	12 visits per calendar year
Alcoholism	Not covered
Ambulance	$2,000 per calendar year; ground only
Cosmetic Surgery	Not covered
Custodial Care and Rest Cares	Not covered
Drug Abuse/Addiction Treatment	Not covered
Growth Hormone Therapy	$25,000 per calendar year
Hearing Aids	Not covered; this exclusion does not apply to cochlear implants
Home Health Care	130 visits per calendar year
Home Medical Equipment	$2,500 per calendar year
Hospice	6 months maximum
Marital and Family Counseling	Marital counseling not covered; family counseling covered as specified in the Mental Disorders benefit
Maternity	Not covered
Mental Health Treatment	Inpatient: 8 days per calendar year Outpatient: 12 visits per calendar year
Occupational Injury	Provided for the subscriber only
Rehabilitative Care (Inpatient)	$4,000 per calendar year
Rehabilitative Care (Outpatient)	$2,000 per calendar year
Skilled Nursing Facility Care	30 days per calendar year
Smoking Cessation	Not covered
Spinal Manipulation	10 manipulations per calendar year
Sterilization	Not covered
Temporomandibular Joint Disorder	Not covered
Vision	Not covered
Waiting Periods
Pre-existing Conditions	9-month waiting period
Transplants	$250,000 lifetime maximum 12-month waiting period
This does not include all benefits, limitations, exclusions and other terms of coverage (such as eligibility and cancellation provisions) applicable to this plan. Please refer to a contract for a complete list and more in-depth explanation of benefits and the limitations and exclusions that apply.

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