Individual and Family Health Plan Resources

Communications

Please note that information changes quickly. Material is current as of the date listed but may have changed since. Please reach out to our office if you have questions or to verify the accuracy of the communications below.

No communications are published at this time, please check back later.

2026 ACA Changes

Federal Poverty Level Guidelines
• Federal Poverty Level (FPL) - Glossary | HealthCare.gov
• 2025 Detailed Guidelines
• 2026 Detailed Guidelines

Silver Plan Alignment
• Premium alignment: Frequently Asked Questions (PDF)
• What is premium alignment? (PDF)

HSA Eligibility Information
• What are Health Savings Account-eligible plans? | HealthCare.gov

Expiration of Enhanced Premium Tax Credits
• Enhanced Premium Tax Credits: Who Benefits, How Much, and What Happens Next? • Bipartisan Policy Center
• How Will the Loss of Enhanced Premium Tax Credits Affect Older Adults? | KFF

Internal Revenue Service (IRS) Updated Q & A, Premium Tax Credits
• Updates to Questions and Answers about the Premium Tax Credit

Insurance Carriers

Customer service: 877-687-1197

Website
Online provider search tool
- CCCWA Exchange
  - This provider network supports Washington’s Cascade plans and non-standard plans (Essential, Balanced, and Secure).
- Cascade Complete Care
  - This exclusive provider network supports the state’s public option plans (Cascade Select). It is important to note that this network is only available within certain areas of Washington State.
RX formulary

Customer Service: 800-817-3056

Website
Online provider search tool
- LifeWise Essential & Cascade Plans will use the LifeWise Primary Network
- Cascade Select Plans will use the LifeWise Alpine Network
- LifeWise Grandfathered Plans will use the LifeWise Health Plan of Washington Preferred Network
RX formulary
- All LifeWise Metallic plans except for the American Indian/Alaskan Native eligible plans with zero cost shares use the M4 drug list
- American Indian/Alaskan Native eligible individuals with zero cost shares use the M1 drug list

Customer Service: 800-722-1471

Website
Online provider search tool
- Premera Preferred and Cascade Care plans use the Individual Signature Network
RX formulary
- All Premera Blue Cross Metallic plans except for HSA Qualified & American Indian/Alaskan Native eligible plans with zero cost shares use the M4 drug list
- Premera Health Savings Account qualifying plans use the M2 drug list
- American Indian/Alaskan Native eligible individuals with zero cost shares use the M1 drug list

Government Agencies

Customer service: 1-855-923-4633
Email: customersupport@wahbexchnge.org

Language Support: The Washington Health Benefit Exchange/Health Care Authority provides free aids and services to people with disabilities, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). They also provide free language services to people whose primary language is not English, including qualified interpreters and information written in other languages.

If you need these services, contact 1-855-923-4633.

Customer service: 1-800-562-3022

Local Health Care Authority (ACA) representative (Jefferson County) Include ACES ID and phone number with email inquiries: julie.iszley@hca.wa.gov
Washington Apple Health Programs (state Medicaid)

Individual and Family Health Plan Resources

Communications

2026 ACA Changes

Insurance Carriers

Government Agencies

Community Partners

Tools