Criteria

The insurance Evergreen pays for must meet these cost-effective criteria:

  • The policy must have at least 50% prescription coverage.

  • There can be no yearly cap on prescriptions.

  • Payments must be made to a company, not to an individual.

  • Only Qualified Health Plans purchased on the Washington Health Benefit Exchange have an annual deductible limit of $2,000.

  • The plan we are paying must be your primary insurance plan.

  • We can only pay for our clients; we cannot pay for dependents unless they are also enrolled in Evergreen.

What will Evergreen not pay for?

  • Stand-alone dental or vision insurance.

  • Medicare Part B premiums or Medicare Advantage Drug Plans (MA-PDs) that do not meet specific criteria.

  • Health Savings Accounts.

  • Bronze-level Qualified Health Plans in the Health Benefit Exchange.