Washington health plan · 2025

Regence Cascade Silver Legacy Network · 71281WA1360006

Regence BlueCross BlueShield of Oregon offers this marketplace plan (Plan ID 71281WA1360006). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Metal level: Silver Plan type: EPO CSR: Standard Silver On Exchange Plan Issuer: Regence BlueCross BlueShield of Oregon
Telehealth Data pending HSA eligible No Dental Not listed Vision Not listed
View issuer site

Issuer actuarial value: 70.75%. Expect to pay roughly 29.25% of covered costs out of pocket, based on issuer reporting.

CMS AV Calculator output: 70.39% (29.61% member share on average). Learn about AV methodology.

2025 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 10 Mar 2026 06:40 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

$9,200

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.
  • Standard Silver On Exchange 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 71281WA1360006
Coverage year 2025
State Washington
Issuer Regence BlueCross BlueShield of Oregon
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 71281WA1360006-01
Available variants

Standard On Exchange Plan · 71281WA1360006-01

Open to Indians below 300% FPL · 71281WA1360006-02

Open to Indians above 300% FPL · 71281WA1360006-03

73% AV Silver Plan · 71281WA1360006-04

87% AV Silver Plan · 71281WA1360006-05

94% AV Silver Plan · 71281WA1360006-06
Last plan update Thu, 19 Jun 2025 00:00 GMT
Last HealthPorta import Tue, 10 Mar 2026 06:40 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, 10 Mar 2026 06:40 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

Provider network(s)

['PREFERRED']

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

3,676 drugs tracked

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

Tier Covered drugs
GENERIC 2,445
NON-PREFERRED-BRAND 716
SPECIALTY 514
PREFERRED-GENERIC 1
Prior authorization Drugs
Required 391
Not Required 3,285
Step therapy Drugs
Required 0
Not Required 3,676
Quantity limits Drugs
Has Limit 941
No Limit 2,735

Customer highlights

What stands out for members

  • Issuer: Regence BlueCross BlueShield of Oregon · Plan ID 71281WA1360006 · 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 71281WA1360006-01 (Standard On Exchange Plan) currently displayed.
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Variant attributes

Regence Cascade Silver Legacy Network · Variant 71281WA1360006-01

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

Standard Silver On Exchange Plan

HIOS Product ID

71281WA136

Metal Level

Silver

Plan ID (Standard Component ID with Variant)

71281WA1360006-01

Plan Marketing Name

Regence Cascade Silver Legacy Network

Plan Variant Marketing Name

Regence Cascade Silver Legacy Network

Issuer & service area

Issuer-provided metadata for this variant.

Issuer Actuarial Value

70.75%

Issuer ID

71281

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

WAN002

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

0.703875443

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

$1,400

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

$9200 per person | $18400 per group

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

$9,200

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

71281WA1360006

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 Legacy Network (71281WA1360006) is a Silver EPO from Regence BlueCross BlueShield of Oregon 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 Legacy Network 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 Legacy Network 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 Legacy Network 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 Legacy Network?

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 Legacy Network?

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

Does Regence Cascade Silver Legacy Network 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 Legacy Network?

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, 10 Mar 2026 06:40 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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