Use the online e-Enrollment Application

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Benefit Schedules
Evolve HSA 50 | Evolve HSA 80 | Evolve HSA 100 | Evolve Optional Dental
Rate Schedules
Evolve HSA 50 | Evolve HSA 80 | Evolve HSA 100

To be eligible to apply for an Individual plan, you must reside in the service area as defined by Regence BlueShield. The service area includes the Washington state counties of Clallam, Columbia, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Klickitat, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Skamania, Snohomish, Thurston, Wahkiakum, Walla Walla, Whatcom and Yakima Counties.

Regence Evolve HSA Plan

• Preventive care (yearly physical, Pap, PSA, etc.) covered before you meet your deductible
• Simple plans with either 80% or 50% coverage options
• Personal service and help from dedicated Regence HSA Customer Service department

Regence Evolve HSA 100 Plan

• Unique plan that covers you at 100% once your annual deductible is met
• Simple to understand and use
• Personal service and help from dedicated Regence HSA Customer Service department

Regence Evolve Dental Option 1

• $750 Annual maximum that increases on a rewards basis
  • For example, if you have at least one claim and incur less than $500 in claims in year one, we’ll increase your next year’s annual maximum by $250.
  • If you incur less than $750 in claims in year two, we’ll increase the next year’s maximum by another $250.
  • If you incur less than $1,000 in claims in year three, we’ll increase the next year’s maximum by yet another $250.
  • By year four you could have a $1,500 maximum benefit.
• No deductible for preventive care
• Discounts available through the national Regence Dental network

Regence Evolve Dental Option 2

• Annual maximum of $750 (basic, restorative and major services combined)
• Your coinsurance is 0% for the first $200 and then 50% up to the $750 calendar year maximum
• No deductibles
• Discounts available through the national Regence Dental network