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
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 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
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 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
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 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