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This document is an application for health insurance coverage through Regence BlueCross BlueShield of Oregon, outlining eligibility requirements, application processes, and required documentation.
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How to fill out regence application

How to fill out Regence Application
01
Obtain the Regence Application form from the official website or a local office.
02
Fill in your personal information, including name, address, and contact details.
03
Provide details of your insurance needs and any specific requirements.
04
Complete the health history section with accurate information about pre-existing conditions.
05
Review the application for accuracy and completeness.
06
Submit the application form either online or by mailing it to the designated address.
Who needs Regence Application?
01
Individuals seeking health insurance coverage.
02
Families looking to enroll in a health plan.
03
Employees offered health benefits through their employer.
04
Anyone needing to switch or renew their current health insurance plan.
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People Also Ask about
What is Blue Cross Blue Shield called in Washington state?
About Premera Blue Cross Premera is headquartered in Washington State and provides health benefits to 2.8 million people nationwide. Our SEBB plans are designed with school employees in mind and are backed by best-in-class customer service and the Blue Cross Blue Shield Association.
Does Regence cover Ozempic?
Regence provides coverage for Ozempic, primarily for managing type 2 diabetes, under certain conditions. A prior authorization is usually required, where your healthcare provider must demonstrate medical necessity.
What counties does Regence cover in Washington?
Contact an Agent Plan NameAreaApplication Core + Rx King, Kitsap, Skagit, Snohomish, Thurston, Whatcom counties Click here Primary Rx Clallam, Columbia, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Thurston, Wahkiakum, Walla Walla, Whatcom, Yakima counties Click here9 more rows
What counties in Washington does Regence cover?
Contact an Agent Plan NameAreaApplication Core + Rx King, Kitsap, Skagit, Snohomish, Thurston, Whatcom counties Click here Primary Rx Clallam, Columbia, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Thurston, Wahkiakum, Walla Walla, Whatcom, Yakima counties Click here9 more rows
What counties does Premera cover in Washington?
Premera Blue Cross group plans are available throughout Washington State under the Blue Cross brand (except Clark County). Premera Blue Cross individual plans are available in the following counties:Franklin, Grays Harbor, King, Kitsap, Pacific, Pierce, Spokane, and Yakima.
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What is Regence Application?
The Regence Application is a form used for reporting healthcare-related services, claims, or coverage information to comply with regulatory standards.
Who is required to file Regence Application?
Providers of healthcare services, insurance companies, and other entities involved in healthcare delivery are required to file the Regence Application.
How to fill out Regence Application?
To fill out the Regence Application, gather necessary documentation, complete all required fields accurately, and submit the form as directed by corresponding regulatory bodies.
What is the purpose of Regence Application?
The purpose of the Regence Application is to ensure compliance with healthcare regulations and to facilitate proper reporting and processing of healthcare services.
What information must be reported on Regence Application?
The Regence Application must report specific information such as provider details, patient information, services rendered, and associated costs.
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