Four Front PPO Group Plan Summary of Benefits

• Agent	• Agent	• Agent	• Agent
• Employer	• Employer	• Employer	• Employer
• Provider	• Provider	• Provider	• Provider


	Need Coverage? »
	Choosing the Right Plan »
	Plan Information
	Find a Doctor »
	Reference Library »
	Regence Advantages »
	Medical Mgmt Programs »
	Online Enrollment »
	Customer Service »

FourFront^SM Plan Summary of Benefits

You are welcome to post any of these forms on your company Intranet site for use by your employees. However, these documents are subject to change at any time and we ask that you link directly to our Web site when posting forms on your Intranet. If you need help in doing this, please send us an email at wa_info@regence.com and let us know how we can be of service.

MEDICAL PLANS

2008	2007
Preferred Plan FourFront - $15 Copay Preferred Plan FourFront - $25 Copay Benefit Options for Preferred Plan FourFront Exclusions and Limitations	Small Groups (2-50)
	Preferred Plan FourFront - $15 Copay Preferred Plan FourFront - $25 Copay Benefit Options for Preferred Plan FourFront Exclusions and Limitations to Coverage
	Large Groups (51+)
	Preferred Plan FourFront - $15 Copay Preferred Plan FourFront - $25 Copay Benefit Options for Preferred Plan FourFront Exclusions and Limitations to Coverage

**VISION PLANS**
Preferred Plans Vision Care Option Summaries of Benefits
2008	2007
Vision Care Option #7 Vision Care Option #11 (Except HSA-Qualified Preferred Plan 80/80/60)	Vision Care Option #7 Vision Care Option #11 (Except HSA-Qualified Preferred Plan 80/80/60)

The benefit information contained in the documents above is effective on the date stated on the bottom of each document. For renewing groups, benefit changes are effective upon the group's renewal unless otherwise stated.

Note: To view and print the documents listed on this page, you must have the Adobe® Acrobat® Reader installed. Get more information and/or download the free Adobe Acrobat Reader.


	2008 Regence BlueShield. All rights reserved. Regence BlueShield serves much of the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association. Regence Ethics Privacy Policy Fraud and Abuse Site Feedback