Employer-Sponsored Group Plans

Small Group Plans (1-50 employees)

Group Health has new small group plans for 2014 that include the 10 essential health benefits required by health care reform. Options include level of coverage, the provider network, and how costs are shared between the plan members and the health plan. Refer to the attached summaries for plan-specific benefit information, network definitions, and plan choices.

Summary of Plans, Networks, and Benefits 2014 (PDF)

Small Group Service Area Map 2014 (PDF)

Large Group Plans (51+ employees)

All plans feature a variety of copayment, deductible, and coinsurance options.

Network Choices from Group Health Cooperative

Core (previously known as Group Health)
Defined network
Nearly 1,100 doctors at Group Health Medical Centers plus more than 9,000 additional providers in our service area.

Alliance
Defined network
Nearly 1,100 doctors at Group Health Medical Centers, 450 doctors at Virginia Mason Medical Center, nearly 400 physicians at The Everett Clinic, plus more than 9,000 additional providers in our service area.

Network Choices from Group Health Options, Inc.

Options Select
Defined network
Nearly 1,100 doctors at Group Health Medical Centers plus more than 9,000 additional providers in our service area.

Alliant Select
Defined network
Nearly 1,100 doctors at Group Health Medical Centers, 450 doctors at Virginia Mason Medical Center, nearly 400 physicians at The Everett Clinic, plus more than 9,000 additional providers in our service area.

Options
Point-of-service plan
Nearly 1,100 doctors at Group Health Medical Centers, and more than 9,000 doctors additional providers available in our service area. Covered at the out-of-network benefit level are Virginia Mason Medical Center and The Everett Clinic providers, First Choice Health provider network of 50,000 regional providers in Oregon, Idaho, Montana, Alaska, and Washington, plus hundreds of thousands of providers in other states with First Health Network. Also covered out-of-network is any licensed provider in the U.S.

Alliant Plus
Point-of-service plan
Nearly 1,100 doctors at Group Health Medical Centers, 450 doctors at Virginia Mason Medical Center, nearly 400 physicians at The Everett Clinic, plus more than 9,000 additional providers in our service area. Covered at the out-of-network benefit level are First Choice Health provider network of 50,000 regional providers in Oregon, Idaho, Montana, Alaska, and Washington, plus hundreds of thousands of providers in other states with First Health Network. Also covered out-of-network is any licensed provider in the U.S.

Access PPO
Preferred provider organization
Nearly 1,100 doctors at Group Health Medical Centers, more than 2,200 doctors and thousands of additional practitioners in our service area, First Choice Health provider network of 50,000 regional providers in Oregon, Idaho, Montana, Alaska, and in Washington outside of our service area, plus hundreds of thousands of providers in other states with First Health Network.

Options PPO
Preferred provider organization
Nearly 1,100 doctors at Group Health Medical Centers, and thousands of additional providers in our service area, including UW Physicians, Seattle Children's, Providence Health Care, Franciscan Health System and more. Plus First Choice Health provider network of 50,000 regional providers in Oregon, Idaho, Montana, Alaska, and Washington, and hundreds of thousands of providers in other states with First Health Network. Covered at the out-of-network benefit level is any licensed provider in the U.S.


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