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COMMERCIAL PLANS. Primary Care & Senior Health. Yes Yes Yes Yes PacMed, Polyclinic, Providence/Swedish, Rainier Health Network Altius Health Plans

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Yes = Contracted, in-network.

No = Not contracted, out-of-network.

Accepted = Not contracted, patient can be seen with referral and authorization.

Visit overlakehospital.org/locations to find hospital and clinic locations.

Updated: 8/24/21

COMMERCIAL PLANS

Payer, Health Plan, Purchaser Overlake Hospital Medical Center

Overlake Medical Clinics - Primary Care & Senior Health

Overlake Medical Clinics - Urgent Care

Overlake Medical Clinics - Specialty Care

Aetna Yes Yes Yes Yes

Aetna Premier Care Network Yes Yes Yes Yes

Aetna Premier Care Network Plus No No No No

Aetna Whole Health

PacMed, Polyclinic, Providence/Swedish, Rainier Health Network

Yes Yes Yes Yes

Altius Health Plans

(Coventry - First Health - Aetna)

Yes Yes Yes Yes

America's Health Plan Yes Yes Yes Yes

Assurant Health (First Choice) Yes Yes Yes Yes

Asuris Health Plan (Regence) Yes Yes Yes Yes

Avizent Yes Yes Yes Yes

Beacon Health Options Yes Yes Yes Yes

Beech Street (First Choice) Yes Yes Yes Yes

Berkley Risk Administrators Yes Yes Yes Yes

Boeing - BCBS of IL - Standard PPO Yes Yes Yes Yes

Boeing - BCBS of IL - Preferred Partnership - UW ACN

Yes Yes Yes Yes

BlueCross/Blue Shield - Out-of-State (BlueCard)

Yes Yes Yes Yes

Bridgespan Health (Regence):

RealValue and SimpleConnect Yes Yes Yes Yes

Essential and Care on Demand (Health Exchange) EPO - UW Medicine (2020)

No No No No

Essential and Care on Demand (Health Exchange) EPO – Multicare Connected Care (2020)

No No No No

Essential and Care on Demand (Health Exchange) EPO – PeaceHealth (2020)

No No No No

Real Value, Cascade, Essential, Care on Demand, HDHP (Health Exchange) EPO – (2021)

Yes Yes Yes Yes

(2)

2

COMMERCIAL PLANS, CONT’D

Payer / Health Plan / Purchaser Overlake Hospital Medical Center

Overlake Medical Clinics - Primary Care & Senior Health

Overlake Medical Clinics - Urgent Care

Overlake Medical Clinics - Specialty Care

Choice Care (Humana Commercial) Yes Yes Yes Yes

Christian Brothers (Aetna) Yes Yes Yes Yes

Christian Healthcare Ministries No No No No

Cigna Yes Yes Yes Yes

Cigna Behavioral Health Yes Yes Yes Yes

Community Health Plan of WA

Cascade Select (Health Exchange) No No No No

Coordinated Care/Centene Ambetter No No No No

Cascade Select (Health Exchange) No No No No

Coventry/CCN (Aetna) Yes Yes Yes Yes

Crawford & Co. Yes Yes Yes Yes

Definity Health (United Healthcare) Yes Yes Yes Yes

Eberle Vivian Yes Yes Yes Yes

Employee Benefit Management Services (First Choice)

Yes Yes Yes Yes

EvergreenHealth (First Choice) Yes Yes Yes Yes

Fidelity (First Choice) Yes Yes Yes Yes

First Choice Health Network Yes Yes Yes Yes

First Choice Health Preferred Network Yes Yes Yes Yes

First Health (Coventry - Aetna) Yes Yes Yes Yes

Gallagher Basset Services Yes Yes Yes Yes

Greatwest (CIGNA) Yes Yes Yes Yes

Health Payor Organization (HPO) Yes Yes Yes Yes

Healthcare Management Administrators (HMA) (Regence)

Yes Yes Yes Yes

Healthnet (First Choice) Yes Yes Yes Yes

Healthsmart Yes Yes Yes Yes

Humana Choice Care Yes Yes Yes Yes

Humana Behavioral Health No No No No

INBA (First Choice) Yes Yes Yes Yes

Kaiser Foundation Health Plan Of Washington HMO Plans Core, Alliant Select,

Options Select

Yes Yes Yes Yes

POS Plans - Options, Alliant Plus/Connect Yes Yes Yes Yes

PPO Plans - Access PPO, Options PPO Yes Yes Yes Yes

Cascade, Virtual Plus, Flex, HSA, 21, Core (Health Exchange)

Yes Yes Yes Yes

Cascade Select (Health Exchange) No No No No

Kaiser Health Plans (Out of State) Yes No Yes Yes

(3)

3 Medical Center Primary Care & Senior Health Clinics - Urgent Care - Specialty Care

King County Safety & Claims Yes Yes Yes Yes

Kitsap Health Plans (First Choice) Yes Yes Yes Yes

Liberty HealthShare No No No No

LifeWise of WA - Preferred Yes Yes Yes Yes

LifeWise of WA Primary – Essential, Cascade, Cascade Select (Health Exchange)

No No No No

LifeWise of WA Alpine – Cascade Select (Health Exchange)

No No No No

LifeWise of OR Yes Yes Yes Yes

Magellan Health Services Yes Yes Yes Yes

MHN Behavioral Health Yes Yes Yes Yes

Moda Health Plans (First Choice) Yes Yes Yes Yes

Molina Marketplace – Cascade, Core, Constant, Choice (Health Exchange)

Yes Yes Yes Yes

Cascade Select (Health Exchange) No No No No

MultiPlan Yes Yes Yes Yes

National Preferred Provider Network (NPPN)

Yes Yes Yes Yes

PacificSource Yes Yes Yes Yes

Preferred Health Network (PHN) Yes Yes Yes Yes

Premera Blue Cross PPO Yes Yes Yes Yes

Premera Cascade, Preferred (Health Exchange)

Yes Yes Yes Yes

Cascade Select (Health Exchange) No No No No

Premera Health Connect Plan Yes Yes Yes Yes

Premera Peak Care No No No No

Premera Blue Cross Preferred Yes Yes Yes Yes

Private Health Care Systems (PHCS) Yes Yes Yes Yes

Regence Group Administrators Yes Yes Yes Yes

Regence Blue Shield PPO Yes Yes Yes Yes

Regence ActiveCare AHN Eastside Health Network

Yes Yes Yes Yes

Regence ActiveCare AHN Everett Clinic No No No No

Regence ActiveCare AHN MultiCare No No No No

Regence ActiveCare AHN Providence/Swedish

No No No No

Regence ActiveCare AHN UW Medicine No No No No

(4)

4

COMMERCIAL PLANS, CONT’D

Payer / Health Plan / Purchaser Overlake Hospital Medical Center

Overlake Medical Clinics - Primary Care & Senior Health

Overlake Medical Clinics - Urgent Care

Overlake Medical Clinics - Specialty Care Regence Cascade, On Demand, Essential,

HDHP, EPO – Individual and Family (Health Exchange)

Yes Yes Yes Yes

Regence Option Care – Cascade Select (Health Exchange)

No No No No

Safeway Risk Management Yes Yes Yes Yes

Seattle Area Plumbing & Pipefitting (Aetna) Yes Yes Yes Yes

Sedgwick CMS Yes Yes Yes Yes

Sound Health & Wellness Trust (Aetna) Yes Yes Yes Yes

Three Rivers Provider Network (TRPN) Yes Yes Yes Yes

Uniform Medical Plan

Classic Yes Yes Yes Yes

Achieve 1 & 2 Yes Yes Yes Yes

High Deductible or CDHP Yes Yes Yes Yes

Plus – Puget Sound High Value Network No No No No

Plus – UW Medicine ACN No No No No

UMR (United Healthcare) Yes Yes Yes Yes

United Behavioral Health (Optum) Yes Yes Yes Yes

United Healthcare

PPO, POS, HMO (Includes Bind, Choice, Choice Plus)

Yes Yes Yes Yes

Charter Yes Yes Yes Yes

Navigate Yes Yes Yes Yes

Cascade Select (Health Exchange) Yes Yes Yes Yes

United Payors PPO Yes Yes Yes Yes

USA Managed Care Yes Yes Yes Yes

Willow Health No No No No

MEDICARE FFS & MEDICARE ADVANTAGE (MA) PLANS

Payer / Health Plan / Purchaser Overlake Hospital Medical Center

Overlake Medical Clinics - Primary Care, Internal Medicine & Senior Health

Overlake Medical Clinics - Urgent Care

Overlake Medical Clinics - Specialty Care

AARP MedicareComplete by United Healthcare

Yes Yes Yes Yes

Aetna Medicare HMO Yes Yes Yes Yes

Aetna Medicare PPO Yes Yes Yes Yes

Amerigroup Amerivantage HMO & SNP No No No No

HMO – Highline No No No No

Asuris Health Medicare HMO No No No No

Asuris Health Medicare PPO No No No No

Community HealthFirst Medicare Advantage HMO & SNP

No No No No

(5)

5 Medical Center Primary Care, Internal

Medicine & Senior Health

Clinics - Urgent Care - Specialty Care

Coordinated Care/Centene Allwell No No No No

Humana Medicare SNP HMO/PPO Yes Yes Yes Yes

Humana Medicare HMO Yes Yes Yes Yes

Humana Medicare PPO Yes Yes Yes Yes

Highline (HMSO) Accepted No Accepted Accepted

Polyclinic - PCN Accepted No Accepted Accepted

Humana Medicare - Northwest Physicians Network

Accepted No Accepted Accepted

Humana Medicare - Seattle Medical Group

Accepted No Accepted Accepted

Kaiser Foundation Health Plan of Washington - Medicare HMO

Yes Yes Yes Yes

Medicare Railroad Yes Yes Yes Yes

Medicare Traditional FFS Yes Yes Yes Yes

Molina Medicare Options Plus HMO & SNP No No No No

Premera Blue Cross Medicare Advantage HMO, HMO-POS

Yes Yes Yes Yes

Providence Health Plan - Medicare Advantage

No No No No

Regence BlueAdvantage Medicare HMO Yes - 1/1/2022 Yes – 1/1/2022 Yes – 1/1/2022 Yes – 1/1/2022 Regence MedAdvantage PPO Yes- 1/1/2022 - Yes – 1/1/2022 Yes – 1/1/2022 Yes – 1/1/2022

United Healthcare Dual Complete SNP Yes Yes Yes Yes

United Healthcare Assisted Living Plan HMO SNP

Yes Yes Yes Yes

United Healthcare Nursing Home Plan HMO SNP

Yes Yes Yes Yes

United Healthcare Medicare - Highline (HMSO)

Accepted No Accepted Accepted

United Healthcare Medicare - Northwest Physicians Network

Accepted No Accepted Accepted

United Healthcare Medicare - Polyclinic - Physician Care Network (PCN)

Accepted No Accepted Accepted

United Healthcare Medicare - Seattle Medical Group

Accepted No Accepted Accepted

United Healthcare Medicare - The Everett Clinic

Accepted No Accepted Accepted

Wellcare HMO No No No No

Wellcare PPO No No No No

Traditional Medicare Supplements (All Plans)

Accepted Accepted Accepted Accepted

(6)

6

APPLE HEALTH PLANS (MEDICAID / HEALTHY OPTIONS)

Payer / Health Plan / Purchaser Overlake Hospital Medical Center

Overlake Medical Clinics - Primary Care, Internal Medicine & Senior Health

Overlake Medical Clinics - Urgent Care

Overlake Medical Clinics - Specialty Care

Amerigroup Apple Health Yes Yes Yes Yes

Amerigroup Amerivantage HMO - Highline Accepted No Accepted Accepted

Community Health Plan of Washington Apple Health

Yes No Yes Yes

Coordinated Care Apple Health No No No No

Molina Healthcare Apple Health Yes Yes Yes Yes

United Healthcare Community Plan Apple Health

Yes Yes Yes Yes

United Healthcare Medicare - Highline (HMSO)

Accepted No Accepted Accepted

United Healthcare Medicare - Northwest Physicians Network

Accepted No Accepted Accepted

United Healthcare Medicare - Polyclinic - Physician Care Network (PCN)

Accepted No Accepted Accepted

United Healthcare Medicare - Seattle Medical Group

Accepted No Accepted Accepted

United Healthcare Medicare - The Everett Clinic

Accepted No Accepted Accepted

Washington State "Straight" Medicaid / Apple Health (Open Coupon/Non-Managed Care)

Yes Yes Yes Yes

GOVERNMENT / OTHER

Payor / Health Plan / Purchaser Overlake Hospital Medical Center

Overlake Medical Clinics - Primary Care, Internal Medicine & Senior Health

Overlake Medical Clinics - Urgent Care

Overlake Medical Clinics - Specialty Care

Champus Yes Yes Yes Yes

Crime Victims Programs (WA L&I) Yes Yes Yes Yes

Department of Health Early Intervention Program

Yes Yes Yes Yes

Indian Health Services Accepted Accepted Accepted Accepted

King County Project Access Yes Yes Yes Yes

Tricare Yes Yes Yes Yes

Tricare for Life Yes Yes Yes Yes

US Department of Labor Yes Yes Yes Yes

US Family Health Plan (USFHP by PacMed) Accepted No Accepted No

Veterans Administration Accepted Accepted Accepted Accepted

(7)

7 Medical Center Primary Care, Internal

Medicine & Senior Health

Clinics - Urgent Care - Specialty Care

Veterans Choice (Veterans Choice Card/VACAA - TriWest)

Accepted Accepted Accepted Accepted

Washington State Labor & Industries Yes Yes Yes Yes

Washington State Labor & Industries (Self-Insured)

Yes Yes Yes Yes

References

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