Make the
Most of Your
Coverage
Learn how to access care and get support for your health and well-being through your SEIU 775 Benefits Group Healthcare Coverage.
Coverage That Cares for You
Your benefits include preventive care, mental health support, wellness programs, vision, hearing, dental and more. This checklist can help you understand what’s included, stay on top of important care and get the most from your coverage. If you have Coverage for Kids, your children are covered too.
Get Started
✓ Keep your insurance card in your wallet.
✓ Create your online member account.
✓ Choose a primary care provider (PCP).
✓ Make a list of your medications.
Use Your Medical Coverage
✓ Schedule an annual check-up.
✓ Get recommended screenings.
✓ Stay up to date on vaccines.
✓ Switch prescriptions to mail order.
Vision Hearing & Dental
✓ Get dental cleanings every 6 months.
✓ Schedule an annual eye exam.
✓ Book a hearing exam and consultation.
Stay Well
✓ Sign up for wellness coaching.
✓ Join fitness and lifestyle programs.
✓ Use your mental health benefits.
✓ Try massage, acupuncture or chiropractic care.
Medical Coverage
Use the information on your member ID card to create your online account with your provider
(Kaiser Permanente of Washington, Kaiser Permanente Northwest, or Aetna). Once logged in, you can find providers, schedule appointments, view test results and manage prescriptions.
If you haven’t received your member information or ID card, call MagnaCare at 1-877-606-6705.
Free Primary Care Visits
Your Primary Care Provider (PCP) is your main doctor and first stop for most health needs. PCP visits include yearly check-ups, help with health questions and care when you’re sick. Your PCP can also refer you to specialists when needed.
Kaiser Permanente
There is no cost to see your primary care provider (PCP) in-person or virtually. Note that certain tests or lab services may be subject to a separate co-pay.
Kaiser Permanente of Washington
You can find a doctor on the KPWA member website. After logging in, use the Provider Directory to search for and select an in-network provider.
Kaiser Permanente Northwest
You can find a doctor on the KPWA member website. After logging in, use the Provider Directory to search for and select an in-network provider.
Aetna
There is no cost to see your primary care provider (PCP) in-person or virtually. Note that certain tests or lab services may be subject to a separate co-pay.
You can find a doctor on the Aetna member website. After logging in, go to “Find Care” to search for providers, clinics and hospitals near you and more. You can also call 1-888-982-3862 to find a doctor.
Once you have selected a doctor, you can schedule an appointment online or call your doctor’s office directly.
Urgent & Emergency Care
Urgent care is a low-cost option for non-emergencies like flu symptoms, minor injuries or infections when your PCP isn’t available. Emergency care is for serious or life-threatening issues like chest pain or severe injuries.
Kaiser Permanente
See the standard co-pays for visit for Kaiser Permanente of Washington (KPWA) and Kaiser Permanente Northwest (KPWA).
Note that certain tests or lab services may be subject to a separate co-pay.
KPWA Medical Visit Co-pays (in-network) | |
|---|---|
Primary Care Provider / Online Visits | $0 |
Urgent Care Visits | $0 |
Emergency Room Visits | $200 |
Specialty Visits | $15 |
KPNW Medical Visit Co-pays (in-network) | |
|---|---|
Primary Care Provider / Online Visits | $0 |
Urgent Care Visits | $30 |
Emergency Room Visits | $200 |
Specialty Visits | $15 |
Aetna
Note that certain tests or lab services may be subject to a separate co-pay.
Medical Visit Co-pays (in-network) | |
|---|---|
Primary Care Provider / Online Visits | $0 Co-Pay |
Urgent Care Visits | $15 Co-Pay |
Emergency Room Visits | $200 Co-Pay |
Specialty Visits | $15 Co-Pay |
Prescription Benefits
Get the medications you need at low- or no-cost through your medical plan. Refills are simple to manage online, by phone or through your member app. Many long-term prescriptions are also available by mail-order delivery.
Kaiser Permanente
Transferring prescriptions is simple through your Kaiser Permanente account or by calling Member Services. Mail order offers the lowest cost and is available online, by phone, or in the app.
Rx KPWA Co-pays (30-day Supply) | Pharmacy | Mail Order |
|---|---|---|
Generic Contraceptives* | $0 | $0 |
Value-Based Drugs** | $4 | $0 |
Preferred Generic | $8 | $3 |
Preferred Brand | $25 | $20 |
KPNW Rx Co-pays | Pharmacy 30-day supply | Mail Order 90-day supply |
|---|---|---|
Generic Contraceptives* | $0 | $0 |
Value-Based Drugs** | $5 | $10 |
Preferred Brand | $25 | $50 |
Non-Preferred | $50 | $100 |
As of August 1, 2026:
You can receive up to a 12-month supply of hormone therapy or contraceptive medications in a single fill, reducing pharmacy trips and making it easier to stay consistent with your treatment.
*Employees of religious-based organizations are exempt from contraceptive coverage under the ACA. Enrolled Kaiser Permanente members still receive contraceptives at no cost. **Value-based drugs are generic medications.
Aetna
Aetna partners with the Sav-Rx Pharmacy Network for prescription benefits. Use your Aetna ID card when filling prescriptions at any of their 75,000 in-network pharmacies. To manage refills or use mail-order delivery, visit savrx.com to create an account or call 1-800-228-3108 for support.
Rx Co-pays | Pharmacy 30-day Supply | Mail Order 90-day Supply |
|---|---|---|
Generic Contraceptives* | $0 | $0 |
Value-Based Drugs** | $4 | $8 |
Preferred Generic | $8 | $16 |
Preferred Brand | $25 | $50 |
Non-Preferred | $50 | $100 |
As of August 1, 2026:
You can receive up to a 12-month supply of hormone therapy or contraceptive medications in a single fill, reducing pharmacy trips and making it easier to stay consistent with your treatment.
*Employees of religious-based organizations are exempt from contraceptive coverage under the ACA. Enrolled Aetna members still receive contraceptives at no cost. **Value-based drugs are generic medications.
Mental Health
Your coverage includes therapy, counseling and mental health services at low- or no-cost. Support is available in person, online or by phone. Whether you’re managing stress, grief or ongoing challenges, help is here when you need it.
Kaiser Permanente
Professional Support
Get access to therapy, medication support, group counseling, addiction treatment and more. Learn more or call 1-888-287-2680 to get matched with a mental health specialist in your area.
Self-Care Apps
Get in-the-moment and ongoing support with stress, mood, sleep, relationships, and more. Try Calm for mindfulness and better sleep, or Headspace for one-on-one coaching and self-guided tools.
Wellness Coaching
Get no-cost, one-on-one phone support to help you manage stress, reduce anxiety, and build healthy coping strategies.
Mental Health Visits (In-Network)
Outpatient: $0 co-pay
Inpatient: $100 co-pay, per day for up to 5 days per admit. Pre-authorization required or will not be covered.
Aetna
Professional Support
Get access to therapy, medication support, group counseling, addiction treatment and more. Explore resources or get started with Alma to find an in-person or virtual provider that matches your needs, identity and language.
Wellness Coaching
Get support and wellness coaching with a personalized 8-week program led by your AbleTo care team to reduce depression, stress and anxiety.
Mental Health Visits (In-Network)
Outpatient: $0 co-pay
Inpatient: $0 co-pay, per day for up to 5 days per admit. Pre-authorization required or will not be covered.
Whole Health
From one-on-one wellness coaching to naturopathic care and lifestyle tools, these benefits support your health beyond doctor visits. They’re designed to help you manage stress, build healthy habits and support your overall well-being day to day.
Pain Relief & Recovery
Access physical therapy, chiropractic care, massage and acupuncture to help relieve pain. These services support recovery from injuries, strain or the physical demands of caregiving. Your plan makes it easier to get care that keeps your body moving comfortably.
Chronic Conditions
If you’re managing a condition like diabetes, chronic pain or high blood pressure, your care team can help. Regular check-ins and treatment plans make it easier to stay healthy and prevent complications. Use your benefits to get ongoing support and monitoring.
Learn more about your benefits, co-pays and any limitations in your plan details.
All costs above are for reference only. In the event of any discrepancies, official plan documents govern.
Dental Coverage
Dental care does more than protect your teeth. Regular exams and cleanings help prevent cavities, gum disease and other oral health issues. Your plan includes routine preventive care, orthodontia benefits and access to large provider networks. Learn how to access care through your selected dental plan below.
Visit DeltaDentalWA.com and select Delta Dental PPO to find in-network dentists and create an account where you can get cost estimates and plan details. For questions, call 800-554-1907.
You can search for nearby dentists and read reviews at WillametteDental.com. To schedule appointments, call the Willamette Dental Group Appointment Center at 855-433-6825.
Expanded Coverage
In addition to your medical coverage, you have access to vision, hearing and reproductive health benefits through separate plans and provider networks. Learn what’s covered and how to get started.
VSP benefits include a yearly eye exam, up to $270 toward frames or up to $600 toward contact lenses every 12 months.
Medical eye care, including diagnosis and treatment of eye diseases and conditions, is also covered by your medical plan.
EPIC Hearing provides hearing exams, hearing aid savings and access to trusted specialists. Connect with providers in EPIC’s nationwide network and get help finding the care and solutions that fit your needs.
Progyny provides support for fertility, family-building and mid-life care. Connect with specialists, personalized care plans and a dedicated Patient Care Advocate for one-on-one guidance.
Keeping Your Coverage Active
✓ Work Required Hours
Work 80+ paid hours per month to maintain individual coverage or 120+ paid hours per month to maintain Coverage for Kids. Need more hours? Try Carina, a free job-matching benefit that helps you find more clients.
✓ Report Hours on Time
You must report your work hours each month. Late or adjusted hours must be submitted to your employer within 60 days of the worked month.
✓ Pay Monthly Co-premium
Your co-premium is your monthly payment ($25 or $125 with Coverage for Kids). It’s usually deducted from your wages, but if it can’t be, you’ll receive a letter and email with self-pay instructions.
How Work Hours Effect Coverage
Your coverage status is based on the hours you worked 2 months earlier. For example, the hours you work in January determine your coverage in March.
Use this chart to see how the month you work connects to the month your coverage applies.
Work Month | Coverage Month | |
|---|---|---|
January | March | |
February | April | |
March | May | |
April | June | |
May | July | |
June | August | |
July | September | |
August | October | |
September | November | |
October | December | |
November | January | |
December | February |
Grace Months
Unpredictable schedules can make it difficult to meet required work hours. The Grace Months benefit helps ensure continuous healthcare coverage, even when you’re unable to work as planned.
Each coverage year (August–July), you receive 2 Grace Months
that automatically extend your healthcare coverage for 1 month when your work hours fall below the requirement.
If you have Coverage for Kids,
this protection applies to your dependents too. If you meet the hours for your own coverage but fall short for Coverage for Kids, a Grace Month will be used to extend your children’s coverage for that month.
How Grace Months Work
- You get 2 Grace Months per coverage year (August–July).
- Each Grace Month extends coverage for 1 month if you don’t meet the required work hours. A Grace Month covers both you and your dependents’ coverage.
- Grace Months apply automatically—no action is needed.
- You can check your available Grace Months anytime by logging into your health benefits account.
When do my Grace Months reset?
They reset on August 1 of each year and are available as soon as you’re enrolled.
Do unused Grace Months carry over to the next year?
No. Each year on August 1, you receive 2 Grace Months. Unused Grace Months don’t roll over.
Can I use my Grace Months for consecutive months?
No, you cannot use Grace Months 2 months in a row.
What if I work enough hours for individual coverage, but not enough for Coverage for Kids?
In this case 1 Grace Month will be applied to extend your children’s coverage for that month.
If I use a credit, do I still pay my monthly co-premium?
Yes, you are still responsible for your co-premium that month.
Support Contacts
The support contacts below connect you with help when you need it. Your plan’s Nurse Help Line offers phone support from registered nurses who can answer questions and help you decide next steps.
Health Benefits Support Customer Service
Get help with questions about coverage, eligibility, applying and more.
Customer service is available Monday-Friday, 8 a.m. to 6 p.m.
1-877-606-6705
In-language support available.
Live Chat Support
Log in to your Health Benefits Account for chat support.
SEIU775BG-caregiver@magnacare.com
Can’t contact customer service during business hours?
Email and get a response within 2 business days.
Kaiser Permanente of Washington
New Member Services:
1-888-844-4607
myseiu.be/kp-new-member
Member Services:
1-888-901-4636
myseiu.be/kp-member
Mental Health Services
1-888-287-2680
myseiu.be/kaiser-bh
Nurse Helpline
1-800-297-6877
myseiu.be/kp-nurse
Member Language Assistance
1-888-901-4636
myseiu.be/kp-language
Kaiser Permanente Northwest
New Member Services:
1-888-491-1124
myseiu.be/kp-new-member
Member Services:
1-888-813-2000
myseiu.be/kp-member
Mental Health Services
1-855-632-8280
myseiu.be/kpnw-bh
Nurse Helpline
1-800-324-8010
myseiu.be/kp-nurse
Member Language Assistance
1-888-813-2000
myseiu.be/kp-language
Aetna
Member Services:
1-855-736-9469
Mental Health Services
1-800-424-4047
24 Hour Nurse Line
1-800-556-1555
Find the Right PCP
1-888-982-3862
Sav-RX
1-800-228-3108
savrx.com
Member Language Assistance
1-855-736-9469
myseiu.be/aetna-language
Dental
EPIC Hearing
EPIC Hearing
1-877-363-5638
myseiu.be/epic
Progyny
Progyny (Family-building)
1-833-233-0517
myseiu.be/progyny
VSP Vision Care
1-800-785-0699
myseiu.be/vsp
Health Coverage Tax Documents
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
Form 1095-B is an IRS tax form that shows whether you and your dependents had minimum essential health coverage during the previous year. Beginning with the 2024 reporting year, the Paperwork Burden Reduction Act relaxed the requirement to provide Forms 1095 to each covered individual.
This means that you can find your copy of Form 1095-B online through the BenefitScape web portal.
- Visit https://eeportal.bencorpaca.com/ to register for eDelivery.
- Enter the following information:
• CompanyCode: BG1234
• Your date of birth
• Your home zip code - After enrolling you will receive an email directing you to create login credentials.
- Once registered, you will receive a confirmation email and can download your form and print as needed for your records. If you need a mailed copy, BenefitScape will mail one to you within 30 days.
If you have questions or need help registering, please contact the Customer Service team at 1-877-606-6705.
Confused by insurance terms like deductible or co-pay?
Get simple definitions of common healthcare terms to better understand your coverage and costs.
Health Benefits Account
Login or create an account to check your work hours, Grace Month balance, pay co-premiums, get live chat support and more in your health benefits account, managed by MagnaCare.
Understanding Your Family-Building Benefits
Explore Your Gender-Affirming Healthcare Benefits
