With the Group Health Options plan, when you choose Options in-network care, you get access to providers at all Group Health medical centers. In addition, you have access to a number of contracted community physicians in the area. If you choose out-of-network care, you can see First Choice Health Network or Beech Street providers at a discounted rate. Or you can see any licensed provider you want for most covered services. Your out-of-pocket costs will be higher than if you choose care inside the Options network.

• Find a Group Health Options provider with the Group Health Options Provider Directory.
• Find the details of your medical coverage in your Summary Plan Description booklet (choose the link below based on whether you are in the “Sound” or “SoundPlus” plan).
  • Sound Plan Group Health Option Summary Plan Description (including 1/1/11 Benefit Changes)
  • SoundPlus Plan Group Health Option Summary Plan Description (including 1/1/11 Benefit Changes)
  • Eligible Dependent Children Definition
• Eligibility or claims questions? Call the Trust office at (206) 282-4500 or (800) 225-7620. And check out the “Numbers to Know” section at the far right-hand side of this page for a quick phone guide for other benefit and wellness questions.

Find out more about other aspects of your medical plan.

• Your LiveWell Health Reimbursement Arrangement is an account used to pay for covered medical expenses. HRA funding is received through a combination of automatic credits and your completion of the Health Profile / PHA when it is offered. The maximum annual HRA funding is $500 for employee only coverage and $1,000 for family coverage. The funds in your HRA will be used to cover the first eligible medical expenses covered by the plan in each calendar year. This includes your doctor office visits, lab tests, or other eligible, covered medical expenses.
• LiveWell Prevention @100% means that preventive services, such as annual physical exams, routine immunizations and screenings are covered at 100% when provided by an in-network provider.
• Other LiveWell programs include the annual Health Profile, Lifestyle Coaching and other programs to help you achieve and maintain a healthy lifestyle.