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Insurance options

Choose a plan that includes MultiCare

MultiCare participates in a wide variety of health insurance plans in the Puget Sound and Inland Northwest regions. Most of those plans are listed below. Since plan coverage is frequently updated it is always a good idea to check with your insurance company for current information about your plan and the coverage it provides for your choice of hospital, physician, service or procedure.


Aetna Health, Inc

800-872-3862

  • Non-HMO: Elect Choice (EPO), Aetna Health Fund/FEP, Managed Choice (POS), Open Access Elect Choice, Open Access Managed Choice (POS), Open Access Aetna Select, Open Choice
  • PPO, Select, Traditional Choice
  • Other: Affordable Health Choices (PPO or Indemnity), Healthfund HRA, Healthfund HAS Aetna Medicare Network, Prime Medicare Advantage

Asuris (Inland Northwest Only)

888-427-0470

  • PPO, Medicare Advantage

Amerigroup

800-600-4441

  • Apple Health, CHIP, HOBD, HOFC

Bridgespan (Regence)

888-857-9944

  • PPO and MultiCare AHN

ChoiceCare

877-877-0715

  • Includes Humana

CIGNA

800-997-1654

  • Managed Care Plans: HMO, POS, Network, Local Plus
  • Open Access Plans: Open Access, Open Access Plus/Open Access Plus In-Network
  • PPO Plans: PPO, EPO
  • PPO Limited Benefit Plans: Fundamental Care, Starbridge
  • Other: Choice Fund HSA & HRA, Indemnity

Community Health Plan

800-440-1561

  • Cascade Care
  • Apple Health, CHIP, HOBD, HOFC
  • Community Health First Medicare Advantage Plans standard and special needs (Medicare/Medicaid dual eligible)

Note: Medicaid-Apple Health and Medicare products are not contracted for primary care services (PCP)


Coordinated Care

877-644-4613

  • Apple Health, CHIP, HOBD, HOFC
  • Ambetter (Inland NW only)

DSHS Medicaid-Apple Health

  • For Take Charge and Family Planning only - MultiCare is covered for sterilization-related services only

First Choice Health Network

206-292-8255

  • PPO

First Health

  • PPO

Group Health

  • HMO -Trauma, emergent transfusions and outpatient radiology services ONLY at Tacoma General and Allenmore
  • All inpatient services at Mary Bridge and Valley Hospital
  • Trauma, Pediatric Specialty, Behavioral Health Specialty
  • Services at Good Samaritan,Auburn Medical Center Deaconess are not covered
  • PPO

Humana Medicare

844-628-0581

  • HumanaChoice PPO
  • Humana Gold Choice HMO

Kaiser

800-788-0710

  • HMO -Trauma, emergent transfusions and outpatient radiology services ONLY at Tacoma General and Allenmore; All inpatient services at Mary Bridge and Valley Hospital,Trauma, Pediatric Specialty, Behavioral Health Specialty
  • All services at Good Samaritan, Auburn Medical Center Deaconess are not covered for HMO
  • PPO

Medicare

  • Medicare, Medicare Railroad

Molina Healthcare of Washington, Inc.

800-869-7175

  • Apple Health, CHIP, HOBD, HOFC
  • Molina Marketplace
  • Molina Medicare Options (Medicare Advantage)

MultiPlan

800-677-1098

  • PPO, Open Access

PacificSource

855-330-2792

  • PPO
  • Medicare Advantage

PNOA

800-472-2636

  • PPO

Premera Blue Cross

888-261-9562

  • FEP, Participating, POS, PPO, LifeWise Preferred, NASCO, Peak Care Tahoma Network
  • Dimensions: Foundation/Global/Heritage

Regence BlueShield

888-367-2112

  • Traditional, PPO, Selections, Uniform Medical Plan, KingCare, MedAdvantage, BlueAdvantage, Regence Bridge Medigap, RealValue

Tricare

  • Standard, Extra, Prime, Reserve Select, Tricare for Life

United Healthcare Group

800-328-5979

  • SIGNATURE: Value (HMO) Options (PPO), Freedom
  • (SDHP), Value Access (EPO), Independence (Indemnity), POS, Choice, Select, Options PPO, Indemnity, Basics, Definity,
  • AARP Medicare Complete, Medicare Direct
  • Apple Health, CHIP, HOBD, HOFC

UW Medicine Accountable Care Network

  • Boeing employees, PEBB, SEBB

WA State Dept. of Labor and Industry

360-902-5800


If you don't see your particular plan listed, contact your health insurance plan (the member services phone number will usually be listed on your ID card) to find out what, if any, coverage is available to you when you receive services from MultiCare.

For more information about these plans, please contact the plan’s customer service department or SHIBA (Statewide Health Insurance Benefits Advisors) help line at 800-562-6900 — a free service of the Washington State Office of the Insurance Commissioner.

*Please Note: Not all MultiCare-provided services accept insurance or financial aid. Please check with your health insurance provider about your specific plan and coverage before rendering services.


Get help with open enrollment

MultiCare has a team of 30 Washington State-certified Navigators to help you with questions and enrollment. For more information or to schedule an in-person appointment, please call 833-936-0515.

Accountable Care Organizations

One of the provisions in the Affordable Care Act was the creation of Accountable Care Organizations (ACOs). An ACO is a network of doctors and hospitals that shares responsibility for providing care to patients. While the Affordable Care Act’s focus on ACOs was related to Medicare beneficiaries, ACOs are not limited to caring for patients on Medicare. 

ACOs make providers jointly accountable for the health of their patients, giving them strong incentives to cooperate and save money by avoiding unnecessary tests and procedures, and instead focusing on helping participating patients get, and stay, healthy.

MultiCare providers and services participate in several ACOs throughout the state of Washington, including:

MultiCare Connected Care

MultiCare Connected Care was established in 2014. Its Clinically Integrated Network (CIN) is comprised of doctors and other health care providers, as well as hospitals, clinics and other health care services, such as imaging, labs and pharmacies and includes health care professionals in the community, as well as MultiCare providers.

Embright

In 2019, UW Medicine, MultiCare and LifePoint Health formed the clinically integrated network Embright. Embright enables the partners to develop care delivery models that will improve patient care and experience at a more affordable cost. Together, the founding organizations represent 14 hospitals, more than 6,500 providers and over 600 outpatient sites of care.

Peak Care

MultiCare and Premera Blue Cross formed a partnership in 2018 to create an comprehensive integrated health system called Peak Care that promises a better customer experience while ensuring patients receive the care they need at a lower cost. 

Getting care through an accountable care organization may help patients reduce costs, while improving their care experience, particularly if they need care from more than one provider or program. 

Note that some of these programs only offer participation through specific employers. If you are enrolling in an individual plan through the Washington Health Plan Finder, all of these options may not be available to you.