Individual & Family Plans

Individual plans for you and your family

Looking for health coverage? Enjoy affordable coverage and personalized care with Group Health.

Pick a plan that's right for you.

Individual plans for you and your family

Looking for health coverage? Enjoy affordable coverage and personalized care with Group Health.

Pick a plan that's right for you.

Compare Benefits

You can easily compare all of our individual plans below, including your annual deductible, maximum out-of-pocket costs, doctor visit costs, prescription coverage, and cost of emergency room visits.

You can choose from three coverage levels: Bronze, Silver, and Gold. The Bronze HSA offers a tax-free way to build savings for qualified medical expenses. Our Catastrophic plan is offered only through Washington Healthplanfinder.

Plan NameAnnual DeductibleAnnual Out-of-Pocket MaxPrimary Care Office VisitPrescription DrugsLab/X-ray ServicesWhere to Purchase
Core Bronze (PDF)
Annual Deductible
$5,000 individual / $10,000 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
$40 copay
Prescription Drugs
40% coinsurance generic and brand
Lab/X-ray Services
40% coinsurance
Where to Purchase
GHC Healthpays HSA Bronze (PDF)
Annual Deductible
$4,000 individual / $8,000 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
20% coinsurance
Prescription Drugs
20% coinsurance generic / 40% coinsurance brand
Lab/X-ray Services
20% coinsurance
Where to Purchase
GHO Healthpays HSA Bronze (PDF)
Annual Deductible
$4,000 individual / $8,000 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
In network: 20% coinsurance / Out of network: 50% coinsurance
Prescription Drugs
In network: 20% coinsurance generic, 40% coinsurance brand / Out of network: 50% coinsurance generic
Lab/X-ray Services
20% coinsurance
Where to Purchase
Plan NameAnnual DeductibleAnnual Out-of-Pocket MaxPrimary Care Office VisitPrescription DrugsLab/X-ray ServicesWhere to Purchase
Core Silver (PDF)
Annual Deductible
$1,500 individual / $3,000 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
$20 copay
Prescription Drugs
$10 copay generic, no deductible / 40% coinsurance brand
Lab/X-ray Services
20% coinsurance
Where to Purchase
Core3 Silver (PDF)
Annual Deductible
$1,250 individual / $2,500 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
$20 copay / No deductible required on first 3 primary care visits
Prescription Drugs
$10 copay generic, no deductible / 40% coinsurance brand
Lab/X-ray Services
30% coinsurance
Where to Purchase
Connect3 Silver (PDF)
Annual Deductible
$1,250 individual / $2,500 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
In network: $20 copay / Out of network: 50% coinsurance / No deductible required on first 3 in-netwo
Prescription Drugs
In network: $10 copay generic, no deductible, 40% coinsurance brand / Out of network: 50% coinsuranc
Lab/X-ray Services
In network: 30% coinsurance / Out of network: 50% coinsurance
Where to Purchase
Plan NameAnnual DeductibleAnnual Out-of-Pocket MaxPrimary Care Office VisitPrescription DrugsLab/X-ray ServicesWhere to Purchase
Core Gold (PDF)
Annual Deductible
$750 individual / $1,500 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
$10 copay
Prescription Drugs
$10 copay generic, no deductible / 20% coinsurance brand
Lab/X-ray Services
10% coinsurance
Where to Purchase
Core3 Gold (PDF)
Annual Deductible
$500 individual / $1,000 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
$10 copay / No deductible required on first 3 primary care visits
Prescription Drugs
$10 copay generic, no deductible / 20% coinsurance brand
Lab/X-ray Services
20% coinsurance
Where to Purchase
Connect3 Gold (PDF)
Annual Deductible
$500 individual / $1,000 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
In network: $10 copay / Out of network: 40% coinsurance / No deductible required on first 3 in-netwo
Prescription Drugs
In network: $10 copay generic, no deductible, 20% coinsurance brand / Out of network: 40% coinsuran
Lab/X-ray Services
In network: 20% coinsurance / Out of Network: 40% coinsurance
Where to Purchase
Plan NameAnnual DeductibleAnnual Out-of-Pocket MaxPrimary Care Office VisitPrescription DrugsLab/X-ray ServicesWhere to Purchase
Core Basics Plus (PDF)
Annual Deductible
$6,350 individual / $12,700 family
Annual Out-of-Pocket Max
$6,350 individual / $12,700 family
Primary Care Office Visit
No charge (after deductible) / No deductible required on first 3 primary care visits
Prescription Drugs
No charge (after deductible)
Lab/X-ray Services
No charge (after deductible)
Where to Purchase

Note: Deductible applies unless otherwise noted.

Rates vary based on plan, age, and smoker or non-smoker. View the rates (PDF)

This is an overview of benefits. The contents are not to be accepted or construed as a substitute for the provisions of the medical coverage agreement. Other terms and conditions may apply. A list of excluded services and other limitations can be found in each plan's Summary of Benefits and Coverage document.

Look Beyond Health Insurance Options

Because all health plans must now offer coverage that includes the 10 essential health benefits, health plans look more alike than ever before. So how do you decide? Choose a plan that gives you the most value — and the best price — based on the way you use health care services.

  • If you anticipate using a lot of health care services, you may want a plan with a higher monthly premium but lower out-of-pocket costs. Consider the Group Health Core Gold plan.
  • If you're healthy and rarely use health care services, you may prefer a plan with lower premiums and higher out-of-pocket costs. Consider the Group Health Core Bronze plan.
  • If you're under age 30 or you qualify for financial hardship (as determined on a case-by-case basis), you may want a Catastrophic plan available through Washington Healthplanfinder.
  • Want something in between? The Group Health Core Silver plan may be just right for you.

Current Members, Get the Details You Need

To get information on your current plans and benefits, visit the member site. MyGroupHealth for Members

How does your current plan map to the new plans and benefits?

Group Health Cooperative 2014 plan highlights (PDF)

Group Health Options, Inc. 2014 plan highlights (PDF)

In addition to the 10 essential health benefits, view other benefit changes (PDF).

Key Enrollment Dates

2015 Open Enrollment

Nov. 15, 2014 – Feb. 15, 2015

2014 Enrollment for Under Age 19

March 15 – April 30, 2014

Enroll Outside of Open Enrollment

You may enroll or modify your coverage outside of these enrollment periods under certain circumstances.

Learn more about qualifying events >

Enrollment for American Indian/Alaskan Natives

For those who qualify for our Core Bronze AIAN plan, there is an enrollment period every month. Learn more (PDF) about this plan.



Provider & Facility Directory

Find out which doctors, providers, and facilities are in the Core and Connect plan networks.

Drug Formulary

See our drug formulary for a list of medications usually covered under a member's plan.

Save money with the new health care changes.

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer varius magna non metus vulputate auctor.

Helping you shop for a Group Health plan.

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer varius magna non metus vulputate auctor.

Need to Change Plans or Add Dependents?

Find out how to change plans, add dependents, or change from a dependent to a subscriber on your own plan.

Terms You Should Understand

A glossary (PDF) of health plan and health reform terms you'll encounter in choosing a plan.

Primary Care and Specialty Care

Copays vary depending on whether the service is considered primary care or specialty care. You can find out which types of care have a lower copay, and which types have a higher copay be reviewing this list.

Optional Adult Dental Benefits

Individual 2014 medical plans purchased directly from Group Health will offer optional Group Health adult dental benefits, administered by United Concordia Dental. For details, see adult dental benefits (PDF).

If you have purchased a Group Health medical plan from the Washington Healthplanfinder or wish to add our dental coverage to your existing medical plan, complete a dental application (PDF). If you are newly purchasing a medical plan directly from Group Health (not through the Washington Healthplanfinder), you can choose to add adult dental coverage as part of your medical application process. For questions regarding dental benefit coverage or claims, contact us at 1-866-568-5994.

Pediatric Dental Benefits

Individual 2014 medical plans purchased directly from Group Health will automatically include dental benefits for children up to age 19. This coverage is administered by United Concordia Dental. Coverage varies depending on which medical plan you enroll in. For details, see pediatric dental benefits (PDF).

Washington Healthplanfinder

Group Health Cooperative is offering a range of plans for 2014 through Washington Healthplanfinder. Many people will save money buying health coverage through this exchange marketplace. If you're single with an income up to $44,680 or a family of four with income up to $92,200, you may be eligible for assistance to lower your premiums and other out-of-pocket costs. If you're looking for a catastrophic plan, you can purchase it through the exchange marketplace.

See if you qualify for assistance >