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Health Insurance Options

• Preferred Provider Benefit (PPB) Plan A
Higher premiums and lower deductibles, out-of-pocket maximums and drug copays
• Preferred Provider Benefit (PPB) Plan B
Lower premiums and higher deductibles, out-of-pocket maximums and drug copays
• Preferred Provider Benefit (PPB) Plan C
High-deductible plan with option of setting up a Health Savings Account or Health Reimbursement Arrangement to cover expenses
• Preferred Provider Benefit (PPB) Plan D
Lower premiums and most services provided by West Virginia providers only
• The Health Plan
Health Maintenance Organization Plans A and B, and Preferred Provider Organization

Summary of Benefits and Coverage

A tool for evaluating and comparing PEIA Preferred Provider Benefit Plans and plans offered by The Health Plan:

• PEIA Preferred Provider Benefit (PPB) Plans
• The Health Plan (Plan A, Plan B and POS)

Find a Doctor

Find a health care provider covered by Preferred Provider (PPB) Plans in West Virginia or outside the state ... Learn more.

Comprehensive Care Partnership (CCP) Program

The CCP program provides members with routine sick care, preventive services, maintenance of chronic conditions and coordination of care with specialists. And there are reduced or no copayments or coinsurance for specified services provided by your CCP provider ... Learn more.

Get an ID Card

To request an ID Card for the Preferred Provider (PPB) Plan, contact UMR at 1-888-440-7342 (toll-free) or log on to your account at umr.com.

How to Report Insurance Fraud

If you suspect a doctor, insurance company or individual is committing insurance fraud, call PEIA at 304-558-7850. You also may e-mail the Suspected Insurance Fraud Citizen Reporting Form to peia.help@wv.gov or fax the information to 304-558-2470.

Mountaineer Flexible Benefits

Find out about optional insurance available with pre-tax earnings through Mountaineer Flexible Benefits ... Learn more.

Life Insurance and Legal Services

PEIA provides $10,000 term life insurance to members at no cost through MetLife​. Members may purchase optional life insurance with pre-tax earnings and legal services ... Learn more.
 

For More Information

Shopper's Guide
Summary Plan Description
PEIA Health Plan Comparison Calculator​​
Spousal Coverage and Surcharge Information​​
Out-of-Area Dependent Benefits​