Forms, Plan Booklets, plus additional helpful information you might need can be found on this website.
Temporary Plan Changes Due to COVID-19
Effective March 1, 2020, the Trust will cover medically necessary charges for telephonic, online or other consultations where the patient is not physically present with the physician or other Covered Provider at the time of the consultation as any other office visit until the COVID-19 emergency orders are lifted. The temporary waiver will allow coverage for telephonic or other virtual care visits subject to the annual deductible and coinsurance benefits, as follows:
- For a real-time interactive telephone or audio/video consultation (telehealth/telemedicine), to be covered, the telehealth/telemedicine consultation must be diagnosis and treatment focused via a live discussion or video exchange with ongoing participation by the patient and the provider throughout the visit.
- Reimbursed up to the allowed amount, for use of a telemedicine service such as Teladoc (or regional telehealth service for example via Virginia Mason or Providence) for which member paid out of pocket for services.
- Waive any out-of-pocket costs associated with testing for COVID-19 for both preferred and non-preferred providers. This includes both the cost of the test as well as office visits or other provider charges related to testing. Treatment of COVID-19 will still be subject to applicable cost sharing and PPO/non-PPO benefits depending on the provider’s status.
Update Regarding COVID-19 Outbreak
Due to the COVID-19 outbreak and in the interest of keeping the community and our staff as safe and healthy as possible, all WPAS offices (Mercer Island, Gladstone, Anchorage, Spokane) will be closed for walk-in services effective March 17, 2020. WPAS will only be conducting business via phone, email, or fax. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. Contact information can be found here.
JANUARY 2020 – AFFORDABLE CARE ACT (ACA) TAX PROVISIONS
Are you getting ready to file your 2019 federal income tax return? The Administration Office will be mailing the Form 1095-B by March 1, 2020. The form will identify if you and your family had qualifying health coverage for part or all of 2019. Please check to make sure the information on the form is accurate and keep it with the rest of your tax documents.
It is not necessary to wait for the Form 1095-B to file your taxes. Just like last year, you can check a box on your tax return, verifying you had qualifying health coverage.
If you have any questions regarding Form 1095-B, please contact the Administration Office at (866)-697-5750, option 4.