⅄ Per day copay, limit of 5 copays per stay
*Cost-sharing reductions may be available through Washington Healthplanfinder that could lower the amount you pay when you get health care. Whether you qualify depends on your income and family size. You must enroll in a Silver plan to get cost-sharing reductions.
** Vision for children in all plans is included. Routine Eye Exam for Children – $0 (limit 1 per year), Eyeglasses for Children – $0 (limit one frame and one pair [two lenses]/calendar year or contacts.
***American Indians and Alaska Natives (AI/AN) are eligible for cost-sharing subsidies through any metal-level named plan. If you’re an enrolled tribal member of a federally recognized tribe or a shareholder in an Alaska Native Corporation and your income is within a certain range (at or below 300% of the Federal Poverty Level), you won’t have copays, deductibles, or coinsurance costs. Regardless of income, you won’t have any costs when using a tribal or urban Indian clinic or when your Contract Health Services program refers you to another doctor for more care.
➔ See Our Health Care Benefit Managers