Regence Evolve CoreSM, Evolve Core 2.0SM, Evolve PlusSM ,
Evolve HSA PlanSM, Evolve HSA Plan 2.0SM, Evolve HSA 100 PlanSM, Evolve HSA 100 Plan 2.0SM
Regence Evolve products are available for individuals and families who want health care coverage but who are not eligible to participate through group coverage. Applications for Individual products are subject to underwriting approval based upon the individual’s and/or family’s health.
Product features
- Dedicated Customer Service phone numbers
- Dental coverage can be added to these products at the time of enrollment. Two plans are available:
- Option I is an incentive plan with a flexible calendar year maximum.
- Option II is a dollar-based plan with no deductible.
Benefit structure and provider networks
The following products have categories of benefit levels:
- Evolve Core
- Evolve Plus
- Evolve HSA Plan
- Evolve HSA 100 Plan
The following products have in- and out-of-network benefits:
- Evolve Core 2.0
- Evolve HSA Plan 2.0
- Evolve HSA 100 Plan 2.0
Regence Evolve Core, Evolve Plus, Evolve HSA Plan and Evolve HSA 100 Plan
These products use our established provider networks for the highest benefit levels. These products have categories of benefit levels.
Members can seek services from any provider. The benefits are designed to encourage members to seek services from our Preferred Value Care or Participating (Traditional) providers. A member’s benefit level is determined by his or her choice of provider and the services received.
Regence Provider networks |
Categories of benefit choices |
Benefit levels |
Out-of-pocket costs |
Preferred* |
Category 1 |
Highest |
$ |
Participating |
Category 2 |
Medium |
$$ |
Non-contracted |
Category 3 |
Lowest |
$$$ |
Regence Evolve Core 2.0, Evolve HSA Plan 2.0 and Evolve HSA 100 Plan 2.0
Benefits on these products are in- and out-of-network. Members receive the highest level of benefits when they seek services from in-network providers.
Individuals can select the Preferred BlueOption Network, Preferred ValueCare Network or Preferred FocalPoint Network.
On our in- and out-of-network products, out-of-network providers are reimbursed at non-participating reimbursement rates. There is no hold harmless requirement, even if the provider is contracted with a different Regence network. To keep members’ out-of-pocket costs to a minimum, please refer members to in-network providers. Payment for out-of-network services will be directed to the member.
Validate your information in our Provider
Directory. Enhance your provider profile on the Provider Center.
Note: To print a PDF document, you need Adobe® Reader®. Download it now for free.
|
