Is the Regence Group Blue Cross Blue Shield?
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Is Regence in network with a Washington treatment center?
Submit a pharmacy pre-authorization through covermymeds.com or submit a claim with TransactRx. View requirements BlueCard® Program Other Blue Plans’ pre-authorization requirements may differ from ours. Easily obtain pre-authorization and eligibility information with our tools. Explore now
Why Regence health insurance?
The Regence Group is a nonprofit Blue Cross Blue Shield licensed health insurance company. It's health insurance plans are under the Blue Cross Blue Shield name in Utah, and Oregon and the …
What is the Regence Group?
We’re here to help you make sense of it with answers to many of the common questions we hear from our members. If you don’t see your question below, sign in to your account and select My …
Electronic authorizations
Use Availity’s electronic authorization tool to quickly see if a pre-authorization is required for a medical service or submit your medical pre-authorization request. Some procedures may also receive instant approval.
Pharmacy
View medication policies and pre-authorization requirements. Submit a pharmacy pre-authorization through covermymeds.com or submit a claim with TransactRx.
What to do if you have an emergency?
If you have an emergency, call 911 or go to the nearest emergency room. If you need care outside of regular business hours and it isn't an emergency situation, first call your doctor's office to see if your doctor or provider has extended office hours.
What to do in an emergency situation?
In an emergency situation, call 911 or go to the nearest emergency room. Hospital care outside of your service area is a covered benefit. In- or out-of-network benefits will apply depending on your insurance plan. In an emergency situation, prompt care comes first.
What is premium deductible?
Premium: The amount that you pay for your health plan every month. Deductible: The amount you pay for covered health care services before your health plan starts to pay. With an annual $2,000 deductible, for example, you pay the first $2,000 of most covered services yourself.
What is a copay?
Copay: A fixed amount ($15, for example) you pay for a covered health care service, usually when you receive the service. Coinsurance: Your share of the costs of a covered health care service. For most care, you pay any deductibles before coinsurance kicks in.
What is a medical emergency?
A medical emergency is when you believe that you have medical symptoms that require immediate medical attention to prevent loss of life, loss of a limb, or loss of function of a limb. The symptoms may be an illness, injury, severe pain or a medical condition that is quickly getting worse.
What is copayment in medical insurance?
Copayments are the fixed dollar amount that you must pay directly to the provider for an office visit, emergency room visit or prescription medication each time you receive a service or medication. To understand what copayments you are responsible for, refer to the Medical Benefits section of your benefit booklet. To find your benefit booklet, sign in to and go to the Benefits page.
What is a PCP?
Your primary care provider (PCP) is the best person to help you find and get care from specialists, behavioral health care providers and hospitals. For this reason, we suggest that you establish a relationship with a PCP of your choice, even if it is not required by your plan.
Why choose Regence
See how our affordable Regence plans offer coverage, access and convenience—so you can live your best.
Standing together, no matter the distance
We’re proud to stand with you during this challenging time. See what we’re doing in your community to keep people safe and healthy.
How it works
Search for a procedure or test—if several options pop up, select the best match. You can filter your results by specialty, hospital, pricing, location and more.
Use the Cost Estimator to
Get your estimated out-of-pocket expenses for common medical conditions, surgeries, tests and exams
See your doctor or midwife
Begin your prenatal care with a call to your provider as soon as you know you're pregnant.
Call Regence Advice24
Give us a call —toll-free, day or night—to get support for questions and health issues during your pregnancy or after your baby arrives.
Add your baby to your health plan within 30 days
If you get your insurance through an employer, work with the plan administrator to enroll your baby. If you purchased your plan yourself, contact us for help.
Get free birth control
Birth control is covered 100% under most plans. Talk to your doctor about your options. See the Preventive care list to find out which kinds are included in your plan.
