Medical Benefits

What are the Medical Benefit Plans?

We offer you and your families a choice to enroll between 5 different medical plans:
$500 Deductible PPO (Plan 1)
$1,000 Deductible PPO (Plan 2)
$1,500 Deductible PPO (Plan 3)
$4,000 Deductible PPO (Plan 4)
$5,000 HDHP plan (Plan 5).

In-Home Care and Telehealth Options
Listed below are the in-home and virtual care options provided by Regence Group Administrators.

MDLIVE
Via video chat or phone calls with board-certified providers members can seek care for: non-emergency conditions. Visit www.mdlive.com/rga, or call 1.877.596.8826.

Talkspace
Talkspace is designed for private and convenient mental health support. Members can exchange unlimited messages (text, voice, and video) with their personal therapist immediately after registration. Visit talkspace.com/partnerinsurance to get started.

DispatchHealth
DispatchHealth provides urgent in-home medical care with the same out-of-pocket cost as an urgent care center visit. Services are available everyday from 5 a.m. to 7 p.m. PST Cost shares are collected at the time of visit. To learn what conditions DispatchHealth treats, and determine if the service is available in your area, visit dispatchhealth.com.

Omada Health for Musculoskeletal Care
Omada for Muscle & Joint Health is personalized, science-backed virtual physical therapy that can help with almost any concern, such as chronic pain, posture, work conditioning, surgery recovery, women’s health and more. Get started by logging in to your RGA member portal, navigate to “Explore your Benefits”, then click “Go to virtual physical therapy” which will take you to the Omada app.

Prescription Drug Benefits with Express Scripts

Formulary
A drug formulary is a list of prescription drugs, both generic and brand name, used by practitioners to identify drugs that offer the greatest overall value. A committee of independent, actively practicing physicians and pharmacists maintain the formulary. Please note, formulary lists can change for several reasons. You can view your plan’s formulary list by logging into your member portal.

The Keenan Pharmacy Care Management Program (KPCM)
The Keenan Pharmacy Care Management Program (KPCM) offers an independent, unbiased review of prescription medications by engaging physicians and members directly to ensure that the best possible drug therapies are chosen, based on their clinical effectiveness and overall cost to patients and the plan. In most cases, this program will help you reduce your out‐of‐pocket costs for prescription medications. The KPCM program is provided in partnership with US‐Rx Care. Refer to your carrier materials for additional information. Zoomcare Primary care, urgent care and specialty care all in one convenient place. Zoomcare offers same day video or in-person options in select metro markets. Visit www.zoomcare.com/schedule or download their app.