Coverage that fits your life

Healthcare is complex, but it shouldn’t feel overwhelming. Premera Blue Cross is working to make the care experience simpler, more personal, and easier to navigate. With faster answers, intuitive digital tools, and real-time help from people who understand your needs, we’re focused on one thing: helping members get the care they need, without the stress.

Stories that matter

How we’re improving the care experience

Premera is improving the healthcare experience through personalized support and smarter digital tools, helping members get the best care that best fits their lives

Enhanced case management

The Challenge

Navigating healthcare can be overwhelming. Some, particularly those with complex or chronic conditions, struggle to coordinate their coverage and get the care they need.

Our Approach

Premera’s personalized care approach helps members get better results while keeping costs down. With one point of contact, secure chat, and built-in behavioral health support, members get coordinated, whole-person care that’s easier to manage. Our Personal Health Support Program builds on this approach with one-on-one concierge support to help members navigate care, understand their benefits, manage claims, and connect with the right providers.

Smarter digital tools

The Challenge

People seeking healthcare often face confusing, outdated tools that make it hard to find care, understand benefits, or get accurate information when they need it.

Our Approach

We’re investing in smarter digital tools that make healthcare easier to access and understand. Our redesigned member portal, Find Care tool, and mobile app give members simple, self-service options to check benefits, find providers, and see cost estimates, all in one place. We also use Quest Analytics’ BetterDoctor portal to keep our provider directory accurate and up to date.

Artificial intelligence (AI)

The Challenge

Finding behavioral health care is often difficult—limited provider availability, long wait times, and mismHealthcare can move too slowly. Long wait times for approvals and delayed communication can keep people from getting the care they need, when they need it. This adds frustration, extra costs, and unnecessary health risks.

Our Approach

Premera uses artificial intelligence (AI) to make healthcare faster and easier. AI helps approve claims and prior authorizations faster, reducing wait times and improving service. Through the Premera Health Hub, it also connects members to wellness and condition-management programs that fit their individual needs.

Policy we support

Premera advocates for policies that remove friction within the healthcare system, including:

  • Stabilizing provider–health plan negotiations through limits on premature public contract-termination notices, reducing confusion and preventing members from unnecessary worry about losing access to their providers.
  • Streamlining prior authorization requests to reduce turnaround times, helping patients get needed care sooner and lowering administrative costs.
  • Modernizing prior authorization with digital tools (APIs) to give members clearer information and faster, smoother approvals.
  • Preparing for new addiction treatment criteria with additional lead time so treatment for addiction and co-occurring conditions is implemented safely and effectively.