Comprehensive Coverage

NWPP contracts with Premera Blue Cross to provide care to NWPP plan participants and their eligible family members at a discounted rate. Participants have access to the BlueCard® PPO network, one of the largest national networks available. Your BlueCard® PPO Plan covers:

• Medical services, including physician and hospital services
• Teladoc® virtual care doctor visits
• In-network preventive benefits covered at 100%
• Access to a nationwide network of doctors
• Medical supplies and equipment, including hearing aids
• Maternity leave benefits
• Behavioral health and chemical dependency services, and more

NWPP offers prescription coverage via CVS/Caremark to plan participants in two convenient ways: Retail Pharmacy or Mail Order Pharmacy.

Retail Pharmacy is best for short term or single use prescriptions, with up to a 34-day supply per fill. When you visit an in-network CVS/Caremark pharmacy, your costs are:

• Generic medications, preferred brands, or when generic is not available: 20% coinsurance
• Non-preferred brand drugs: 30% coinsurance

Mail Order Pharmacy is best for maintenance medications for ongoing conditions and can offer up to a 90-day supply per fill if prescribed. Ordering through mail order can save you money, as prescriptions costs can be lower. When you order through CVS/Caremark mail order pharmacy your costs are:

• Generic medications for up to a 90-day supply: $10
• Preferred brand drugs for up to a 90-day supply: $30
• Non-preferred brand drugs for up to a 90-day supply: $50

Please see your Summary Plan Description booklet for any restrictions around brand names where a generic is available, and/or specialty drugs.

The NWPP Self-Funded Vision Plan is available to all participants and eligible family members. Participants may see any provider they choose and submit the claims to NWPP for reimbursement for the following benefits.

Frequency limits do not apply for dependent children under the age of 19 and are covered if deemed medically necessary.

Need a reimbursement? Download a claim form here.

The NWPP dental care program is offered to all active plan participants and eligible family members through Delta Dental of Washington PPO Plan. Delta Dental is a leading dental benefits provider in Washington state with approximately 90% of dentists in the state of Washington participating in the Delta Dental of Washington network.

For a complete list of procedures, costs, and exclusions, please see the Delta Dental Summary Plan Description booklet.

Many preventive care services are covered at 100% when performed by an in-network provider.

These include:

• Well-adult and well-child physicals
• Blood pressure and cholesterol screenings
• Routine immunizations, flu shots and COVID boosters
• Appropriate preventive screening tests like mammograms, colonoscopies, prostate exams, and more

Covered eligible in-network preventive care is paid in full by NWPP — with no deductibles, coinsurance, or co-pays. In some cases, if you already have a diagnosed medical condition, these types of services may be considered diagnostic rather than preventive and subject to annual deductible, copays, and coinsurance. Eligible preventative services received outside of the preferred network are subject to plan deductible and coinsurance.

Disability coverage is available to all active employees, and to COBRA self-pay participants who elect to pay for the coverage. If you are disabled and unable to work due to a non-occupational accident or illness, NWPP will pay a weekly disability benefit, depending on eligibility, of $500 – $1,000 a week for up to 26 weeks maximum. If eligible at the time of the disability, the benefit will begin the first day of the accident, hospitalization, or outpatient surgery, or start on the eighth day of disability due to non-hospitalized sickness.

A Death Benefit is available to all active employees, and to COBRA self-pay participants who elect to pay for the coverage. With this coverage the following dependent death benefits are provided:

Once coverage is elected and paid for, it is important to designate a beneficiary to receive the benefit. Please note that if eligibility terminates, the death benefit coverage will be continued for 31 days pass termination only.

Vacation Benefits are part of the fringe benefits offered to NWPP plan participants as part of their wage package and funded through employee contributions. These taxed funds are negotiated with employers and passed onto employees directly within regular monthly compensation.