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Health Plans Accepted

Most health plans accepted

Providence Medical Group accepts most commercial health plans available in the Puget Sound region. We bill most insurance plans directly. Be sure you understand what your insurance plan covers so that you aren’t surprised by any unexpected charges. Please bring your insurance care with you to your appointment.

List of accepted health plans

Providence Medical Group accepts the following insurance plans for new patients. This list is subject to change, and may not include every plan we accept; please call us if you don't see your plan listed. This list does not apply to our established patients.

Billing, co-payments

If your health plan requires a co-payment for office visits, please plan to pay the receptionist before you see your doctor or other provider. If you are not covered by an insurance plan, we ask for a $75 deposit at the time of your visit. You will be billed for the remaining balance.

Billing for treatment related to a motor vehicle accident

If you are being evaluated and treated for injuries caused by a motor vehicle accident, it is your responsibility to inform the receptionist and physician upon arrival. If you carry a personal injury protection (PIP) plan on your policy, we will bill them as a courtesy to you. You will also be responsible for payment of services relating to the accident. We will provide you with documentation to submit to your auto insurance company or attorney for reimbursement.

Pay via personal check, cash, Visa or MasterCard

We accept payment by personal check, cash, Visa or MasterCard. If you need help with your bill, call our Physician Billing Office at 425-317-0699. Our billing specialists will help you evaluate your payment option plan information.

Plans for new patients - primary care

(Family Medicine, Pediatrics, Walk-In Clinic and Internal Medicine)

  • Aetna US Healthcare
  • Blue Cross/Blue Shield Federal Employee
  • Champus Tricare
  • ChoiceCare Network
  • Cigna
  • First Choice
  • First Health/Coventry
  • Great West
  • Humana Choice Care
  • Interplan Health Group
  • LifeWise (Premera Blue Cross)
  • Multiplan/Private Healthcare Systems (MPI or PHCS)
  • Premera Blue Cross (includes out-of-state)
  • Providence Health Plan, First Choice
  • Regence BlueShield
  • Regence Federal Employee Plan (FEP)
  • Regence HMA
  • Uniform Medical
  • United Healthcare

Plans for new patients - specialty care

(Cardiology, Gynecology/Oncology, Infectious Diseases, Midwifery, Neurosurgery, Obstetrics/Gynecology, Physiatry, Plastic Surgery, Sleep)

  • Aetna US Healthcare
  • Blue Cross/Blue Shield Federal Employee
  • Champus Tricare
  • ChoiceCare Network
  • Cigna
  • First Choice
  • First Health/Coventry
  • Great West
  • Group Health (note: not all specialty care may be covered)
  • Humana
  • Interplan Health Group
  • LifeWise (Premera Blue Cross)
  • Multiplan/Private Healthcare Systems (MPI or PHCS)
  • MVA
  • Premera Blue Cross (includes out-of-state)
  • Providence Health Plan, First Choice
  • Regence BlueShield
  • Regence Federal Employee Plan (FEP)
  • Regence HMA
  • Uniform Medical
  • United Healthcare (UHC)

Medicare, Medicare Advantage, other plans

Traditional Medicare is accepted at Providence Medical Group and Providence Regional Medical Center Everett. The Snohomish County Contracted Medicare Advantage plans below become effective January 1, 2013.

If you recently switched or are considering changing your Medicare plan, please let us know. Please note that Providence Medical Group does not accept all plans and we may be outside a specific plan’s preferred provider network. This could result in higher out-of-pocket costs to you.

If you have additional questions about your plan or benefits, contact your insurance provider. To learn more, call 1-800-MEDICARE or visit http://www.medicare.gov/.

Providence Health Plans

  • Providence Medicare Choice + RX (HMO-POS)
  • Providence Medicare Extra (HMO)
  • Providence Medicare Choice (HMO-POS)
  • Providence Medicare Extra + RX (HMO) 

Community HealthFirst Medicare Advantage Plans

  • Community HealthFirst MA (HMO)
  • Community HealthFirst MA Extra Plan (HMO)
  • Community HealthFirst MA Pharmacy Plan (HMO)
  • Community HealthFirst MA Special Needs Plan (HMO SNP) 

Humana Health Plans, Inc.

  • Humana Gold Plus H2012-037 (HMO)
  • Humana Gold Plus H2012-038 (HMO-POS)
  • Humana Prime Choice H6609-13 (PPO)
  • Humana Prime Choice H6609-73 (PPO)

Molina Healthcare of Washington Plans

  • Molina Medicare Options Plus (HMO SNP)

Regence BlueShield

  • Regence MedAdvantage + Rx Classic (PPO)
  • Regence MedAdvantage Basic (PPO)
  • Regence MedAdvantage + Rx Enhanced (PPO)

Soundpath Health (formerly Puget Sound Health Partners)

  • Soundpath Health Alpine (HMO)
  • Soundpath Health Sound + Rx (HMO)
UnitedHealthcare Plans
  • AARP MedicareComplete Essential (HMO)
  • AARP MedicareComplete Plan 1 (HMO)
  • AARP MedicareComplete Plan 3 (HMO)
  • UnitedHealthcare Dual Complete (HMO SNP)
  • UnitedHealthcare Nursing Home Plan (HMO SNP)

Group Health Cooperative (SPECIALTY CARE ONLY for Providence Medical Group)

  • Group Health Cooperative Clear Care Essential (HMO)
  • Group Health Cooperative Clear Care Basic (HMO)
  • Group Health Cooperative Clear Care Optimal (HMO)
  • Group Health Cooperative Clear Care Vital (HMO)

More payment information

If you are not covered by an insurance plan, we ask for a $75 deposit at the time of your visit. You will be billed for the remaining balance.

If you are being evaluated and treated for injuries caused by a motor vehicle accident, it is your responsibility to inform the receptionist and physician upon arrival. If you carry PIP/Personal injury protection plan on your policy, we will bill them as a courtesy to you. You will also be responsible for payment of services relating to the accident. We will provide you with documentation to submit to your auto insurance company or attorney for reimbursement.

For your convenience, we accept payment by personal checks, cash, Visa or MasterCard. If you would like more information on how we can assist you with your bill, please contact our Physician Billing Office at 425-317-0699. Our billing specialists will help you evaluate your payment option plan information