Washington health plan · 2025

Regence Cascade Silver · 87718WA2170014

Regence BlueShield offers this marketplace health insurance plan (Plan ID 87718WA2170014) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Silver Plan type: EPO CSR: 73% AV Level Silver Plan Issuer: Regence BlueShield
Telehealth Data pending HSA eligible No Dental Not listed Vision Not listed

Issuer actuarial value: 73.28%. Expect to pay roughly 26.72% of covered costs out of pocket, based on issuer reporting.

CMS AV Calculator output: 72.94% (27.06% member share on average). Learn about AV methodology.

2025 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

See plan search for live pricing

Before subsidies

Estimate after subsidies

Deductible

$2,500

N/A

See deductible details

Max out-of-pocket

$7,250

N/A

Review MOOP rules

Office visits

Primary care See benefits
Specialist See benefits
HSA Not eligible

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

View formulary tiers

Issuer profile See benefits
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Enrollment guidance

Stay on top of 2025 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Washington). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • 73% AV Level Silver Plan plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 87718WA2170014
Coverage year 2025
State Washington
Issuer Regence BlueShield
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 87718WA2170014-04
Available variants

Standard On Exchange Plan · 87718WA2170014-01

Open to Indians below 300% FPL · 87718WA2170014-02

Open to Indians above 300% FPL · 87718WA2170014-03

73% AV Silver Plan · 87718WA2170014-04

87% AV Silver Plan · 87718WA2170014-05

94% AV Silver Plan · 87718WA2170014-06

Last plan update Thu, 19 Jun 2025 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Washington N/A
PCPs in Washington N/A
Telehealth support Data pending
Nationwide providers N/A
N/A doctors statewide N/A PCPs N/A OB/GYN
Providers Washington All US states
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A

Drug coverage overview

3,748 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
GENERIC 2,473
NON-PREFERRED-BRAND 734
SPECIALTY 540
PREFERRED-GENERIC 1
Prior authorization Drugs
Required 413
Not Required 3,335
Step therapy Drugs
Required 0
Not Required 3,748
Quantity limits Drugs
Has Limit 972
No Limit 2,776

Customer highlights

What stands out for members

  • Issuer: Regence BlueShield · Plan ID 87718WA2170014 · 2025 filing.
  • Disease management programs available: Pregnancy, Pain Management, Depression, Low Back Pain, Heart Disease.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 87718WA2170014-04 (73% AV Silver Plan) currently displayed.
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Variant attributes

Regence Cascade Silver · Variant 87718WA2170014-04

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

73% AV Level Silver Plan

HIOS Product ID

87718WA217

Metal Level

Silver

Plan ID (Standard Component ID with Variant)

87718WA2170014-04

Plan Marketing Name

Regence Cascade Silver

Plan Variant Marketing Name

Regence Cascade Silver

Issuer & service area

Issuer-provided metadata for this variant.

Issuer Actuarial Value

73.28%

Issuer ID

87718

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

WAN001

Out of Country Coverage

No

Out of Service Area Coverage

No

Service Area ID

WAS001

State Code

WA

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.729435662

Inpatient Copayment Maximum Days

5

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$30

SBC Scenario, Having a Baby, Copayment

$1,400

SBC Scenario, Having a Baby, Deductible

$2,500

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$1,500

SBC Scenario, Having Diabetes, Deductible

$800

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$1,300

SBC Scenario, Treatment of a Simple Fracture, Deductible

$700

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family

per person not applicable | per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

30.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family

$7250 per person | $14500 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$7,250

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family

per person not applicable | per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

WAF012

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$200

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

2

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Pregnancy, Pain Management, Depression, Low Back Pain, Heart Disease

EHB Percent of Total Premium

99%

First Tier Utilization

100%

Import Date

1/13/2025

HSA Eligible

No

IsItANewPlan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Plan Effective Date

1/1/2025

Plan Type

EPO

QHP/Non QHP

Both

Source Name

SERFF

Plan ID

87718WA2170014

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family

per person not applicable | per group not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family

$2500 per person | $5000 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$2,500

TEHBDedOutofNetFamily

per person not applicable | per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

Unique Plan Design

Yes

Version Number

1

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Washington?

Regence Cascade Silver (87718WA2170014) is a Silver EPO from Regence BlueShield in Washington for the 2025 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Regence Cascade Silver support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Regence Cascade Silver HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does Regence Cascade Silver support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with Regence Cascade Silver?

The issuer lists disease management resources for: Pregnancy, Pain Management, Depression, Low Back Pain, Heart Disease.

Is there out-of-country coverage for Regence Cascade Silver?

No, out-of-country services are not covered for this plan.

Does Regence Cascade Silver cover care outside the service area?

No, the issuer indicates out-of-service-area care is not covered except for emergencies.

How do I enroll in or manage payments for Regence Cascade Silver?

Use the issuer portal https://regence.com to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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