• Print Print
  • Share
  • Text Size: A | A | A

Make Sure Your Health Plan Includes Providence

With the Affordable Care Act and all of the changes in health insurance, choosing a health plan can get a little confusing. We’d like to explain your choices and how you can continue receiving care at Providence with the best possible insurance benefits.


How do I make sure my care at Providence is covered?

For Those Who Currently Have an Individual Plan
To be absolutely certain your individual plan includes Providence, contact your insurance company. You also can contact Providence at 844-310-7768. We can check to see which insurance plans include Providence in their provider networks.

For Those Planning to buy a new Plan Through the Washington Health Benefit Exchange
If you’re planning to buy a plan at wahealthplanfinder.org, you should note that not all plans offered include Providence in their networks.

When a healthcare provider is “in-network,” it means the insurance company will cover a greater portion of your healthcare charges. When a provider is “out-of-network,” you will pay significantly more out of pocket. In addition, some insurance plans don’t cover any services received out-of-network.

When you enroll in a new plan through the Washington Health Benefit Exchange and the www.wahealthplanfinder.org website, you’ll find six plans that include Providence in their networks:

  • Community Health Plan of Washington
  • Coordinated Care (Ambetter Plans)
  • LifeWise Health Plan of Washington
  • Moda Health Plan
  • Molina Healthcare
  • Premera Blue Cross

If you have questions, please give our Customer Service Line a call at 844-310-7768 between 7 a.m. and 7 p.m., Monday through Friday, or learn more.


Which insurance companies include Providence?

Most insurance companies that offer individual plan coverage in Washington state include Providence in their provider networks. For example, plans from Premera, LifeWise and several other companies have Providence in their network.

To be certain that a plan you’re considering includes Providence, contact your insurance company. You also can contact Providence at 844-310-7768, and we can check to see which insurance plans include Providence in their provider networks.


What if my insurance company doesn’t include Providence?

If you choose a plan that does not include Providence in its network, you’ll pay significantly higher out-of-pocket costs for care received at Providence facilities and from Providence providers. In addition, some insurance plans don’t cover any services received outside the network. For your convenience and to receive the best benefits, it generally makes the most sense to switch to a plan that has Providence in its network.

If you have questions, please give our Customer Service Line a call at 844-310-7768 between 7 a.m. and 7 p.m., Monday through Friday.

Why is it important to choose a plan that includes Providence?

If you’ve been receiving care from Providence, it makes good sense to continue your care with Providence. You’ll be able to continue seeing physicians who are familiar with you and your family, and you’ll have the same access to advanced medical technology. In addition, your medical records will be readily available.

An equally important reason to choose a plan that includes Providence is that there’s a limit to the maximum amount you’ll be required to pay each year for care with Providence. For instance, once you’ve paid a certain amount in copays, coinsurance and deductibles (the amount varies depending on the plan you choose), your insurance will take over and pay 100 percent of your bills. That means there will be no more out-of-pocket costs for you.

However, if you go with an insurance plan that does not include Providence and continue to seek care with Providence, there may be no limits on your annual out-of-pocket expenses. For people with serious, chronic conditions such cancer or heart disease, out-of-pocket costs could easily amount to many thousands of dollars.

Even if you’re in perfect health, choosing a health plan that includes Providence is a smart idea. When Providence is in your health plan’s network, the area’s top physicians and the latest medical technology are available to you.

You’ll also enjoy the convenience of being able to see a primary care physician at one of the many Providence Medical Group clinics throughout the region. Providence also has two hospitals and many specialty care clinics in Southwest Washington.

Providence has been taking care of Southwest Washington families for more than 125 years. And there’s nothing we’d like more than to continue to serve you and your family.

If you have questions, please give our Customer Service Line a call at 844-310-7768 between 7 a.m. and 7p.m., Monday through Friday.


What if I want to receive care at a Providence clinic or hospital?

If you have questions about a Providence provider, clinic or hospital, call the Customer Support Line at 844-310-7768 between 7 a.m. and 7 p.m., Monday through Friday. 


What if I have more questions?

If you still aren’t 100% clear on your options or whether you need to make any changes to your insurance (and we’d hardly blame you), we’d be happy to answer your questions. Please give our Customer Service Line a call at 844-310-7768 between 7 a.m. and 7 p.m., Monday through Friday.