Insurance Information

We Participate All the National & Local Insurances.

SOME LISTED BELOW:

• Aetna
• Alaska Medicaid
• Ambetter
• Amerigroup
• Coventry Health Care
• Community Health Plan of WA
• Providence
• Tricare
• Premera Blue Cross
• Cigna Healthcare
• First Choice Health
• Providence Health Plan
• Regence BlueShield
• United Healthcare
• Coordinated Care
• Medicaid/Apple Health
• Medicare
• DSHS/Provider One
• Molina Healthcare
• LikeWise Health Plan of WA
• Group Health Cooperative PPO
• Washington Department of Labor & Industries (L & I)

Please let us know if your insurance is not listed.

Participating or In-Network Patients

Patients are encouraged to seek care from a “Participating” or “In-Network” physician or provider in order to receive the highest level of reimbursement under their health plan. As a participating network provider, the provider has contracted with the managed care health plan or “Network” to provide services at a negotiated fee which is typically less than the providers billed charge. The negotiated fee or “Contract/Network Discount” is provided to the provider and patient, in a statement referred to as the “Explanation of Benefits”, upon processing of the insurance claim. In addition to any discount, the explanation of benefits will include payment made by the insurance company, any patient amount owed for the services such as co-pays, coinsurance, deductibles and non-covered services. It is important that patients review these statements carefully to insure claims are paid according to the patients benefits and plan coverage. The amount noted in the patient responsibility does not include payments already made to the provider for the services. Any questions regarding your insurance payment should be directed to your insurance company.

New Born First Appointment

Your baby's first appointment will be within the first week

Newborn or Dependent Changes

We understand when a change in dependent status occurs it is likely to be a very busy time in our families lives. However, it can be very costly to overlook the requirements of your health plan with relation to dependent coverage.

Upon the birth of a newborn dependent, adoption or other changes to a dependent status, you must contact the employer and/or health plan to add new dependents within the time limits defined by the health plan. Most insurance companies require notification of the change within < 30 days from the date of birth, adoption, or event date. Failure to add the new dependent may result in a lapse of insurance coverage for the new dependent, meaning all services provided during the lapse time are the responsibility of the patient. Contact the employer or health plan with further questions regarding this process.

INSURANCE REQUIREMENTS

Notify your Insurance or Human Resources Department once your baby is born. You must request your newborn be added to your insurance policy. Initial coverage under the insured parent is only good for the first 30~90 days after the baby's birth. Please verify this with your insurance company and/or your Human Resources Department.

If you have State Medicaid, you will need to notify your Medicaid carrier as soon as possible.

Insurance Referrals & Authorisations

Some health plans require insurance referrals or pre-authorizations in order to receive treatment from a specialist or for special services or medications. It is the responsibility of the patient, parent or guardian, to know their benefits and request the required referral or pre-authorization prior to receiving the services for which the referral or authorization is needed.

Referrals and Authorization renewal may be requested by contacting our Clinic at 253-878-5193.