The following is a list of approved insurance carriers we accept
Accepted Insurance
- AARP Medicare Complete PPO
- Aetna PPO
- Anthem Blue Cross - Accepted if it states “send claims to local blue cross blue shield” on the back of the card
- Asuris Northwest
- Blue Cross Blue Shield - Accepted if it states “send claims to local blue cross blue shield” on the back of the card and is not a narrow network
- BridgeSpan - All plans except for narrow networks (example: RealValue)
- Cigna/Cigna Great West - All commercial plans
- Empire Blue Cross Blue Shield - Must say submit claims to your local BCBS on back of card
- Empire United Healthcare
- First Choice Health Network
- Group Health Options/Alliant Plus- ONLY through First Choice (Must show First Choice on back of card)
- HealthNet - ONLY through First Choice (Must show First Choice on back of card)
- HMA (Healthcare Management Administrators)
- Kaiser Permanente - ONLY through First Choice (Must show First Choice on back of card)
- Labor & Industries-Must have accepted commercial insurance or self-pay as back up
- Liberty Healthshare
- LifeWise Assurance
- LifeWise Health Plan of WA Preferred
- Medicare (Both Medicare and Medicare Railroad)
- Medicare Supplement Plans
- Medishare
- Motor Vehicle Accident (MVA) - PIP only, we do not bill 3rd party (Must have accepted commercial insurance or self-pay as back up)
- PacifiCare
- Premera Blue Cross PPO
- Premera Blue Cross EPO
- Premera Microsoft Health Connect Heritage, Heritage Signature & Heritage Plus 1
- Premera Prime/Heritage Network
- Providence Health (including EHN) - ONLY through First Choice (Must show First Choice on back of card)
- Regence Blue Shield (including EHN) - All commercial plans except for narrow networks (example: UW, Prov-Swed, PSHVN)
- Regence Boeing Preferred Partnership ACN (UW ACO/UW ACN)
- Regence ActiveCare AHN EHN
- Regence Uniform - All commercial plans except for narrow networks (example: PSHVN)
- Regence Medicare Advantage - PLEASE NOTE: EVERGREEN HOSPITAL IS OUT OF NETWORK, HIGHER PATIENT RESPONSIBILITY
- Uniform Medical Plan (UMP) Classic (Regence)-Example SEBB and PEBB
- Uniform Medical Plan (UMP) Achieve 1, 2 & High-Ded/CDHP (Regence)
- United Healthcare - Except narrow networks and Medicaid Community Health Plan
- United Healthcare AllSavers
- United Healthcare Medicare Community Plan Dual Complete
Accepted Insurance Carriers With Referral
The following is a list of approved insurance carriers we accept with physician referrals:
- AARP Medicare Complete HMO
- Premera Evergreen - Referral required for ASC only
- Molina Medicare - Open Access only
- TriCare - Patient responsibility to know plan requirements and network limitations - SSN REQUIRED
- TriWest - Patient responsibility to know plan requirements and network limitations -SSN REQUIRED
Accepted Insurance - Out-of-network
The following insurance plans are *Processed with out-of-network rates, patient will have higher responsibility:
- Humana POS Open Access - Dr. Bramwell and Dr. Lorimer are IN-NETWORK, all others will have higher rates
- TriCare - Patient responsibility to know plan requirements and network limitations
- Bridgespan RealValue
- United Healthcare Medica
Non-Accepted Insurance
OrthoWashington does not accept the following insurance plans:
- Aetna Narrow Network
- Amerigroup
- AlieraCare
- Coventry
- Empire of New York
- First Health
- Group Health - Can only take if First Choice is on the back of the card
- Humana Medicare PPO - Only Dr. Lorimer and WIOC are contracted
- Humana HMO
- Kaiser Foundation Health Plan of WA - Only accepted with First Choice on back of card
- LifeWise Primary (Narrow network EPO)
- Multiplan
- Private Health Care Systems (PHCS)
- Premera Narrow Networks - Premera UW, Premera Prov-Swed, Premera Overlake, etc.
- Premera Medicare Advantage
- Prime Health
- Regence Narrow Networks - Regence EVT, Regence UW, Regence Prov-Swed, Regence Evergreen, Regence ActiveCare AHN Everett Clinic, Regence ActiveCare AHN Multicare, Regence ActiveCare AHN UW Medicine
- Select Health
- SoundPath
- State Funded Plans - APPLE HEALTH, Coordinated Care, UHC Community Health Plan, DSHS/ProviderOne, Molina Medicaid
- Three Rivers
*THIS LIST IS NOT ALL INCLUSIVE AND NOT GUARANTEED. PLEASE VERIFY WITH YOUR INSURANCE PLAN USING OUR TAX IDENTIFICATION NUMBERS- WASHINGTON SPORTS MEDICINE: 91-1921733 & WASHINGTON INSTITUTE ORTHOPEDIC CENTER: 91-2087449
