Medicare Advantage at The Polyclinic

Medicare Advantage is preferred by The Polyclinic. Below is a list of our 2015 contracted Medicare Advantage health plans.

Polyclinic AdvocateYour Polyclinic Personal Advocate

If you have established care with a Polyclinic Primary Care Physician and are enrolled in one of these Medicare Advantage plans, you have access to The Polyclinic Personal Advocate.

Your Advocate can help you:

  • understand your benefits
  • assist you with scheduling an appointment to establish care
  • direct you to the appropriate resources
  • help resolve questions or issues with the insurance plan
  • and provide other support as needed

To reach your Advocate, call 206-860-4718
Email medicareadvocate@polyclinic.com

 


 

Connexion Insurance Solutions

The Polyclinic has partnered with Connexion Insurance Solutions to provide information and assistance to our patients as they compare the five Medicare Advantage health plans they currently accept. Connexion is licensed to sell many of the health plans provided by our contracted Medicare Advantage insurance companies.

To reach Connexion, call 1-877-217-3279, or visit www.medicareconnexion.com

 


 

AARP Medicare Complete Insured through United Healthcare

AARP MedicareComplete logo

AARP MedicareCompletePlan1 (HMO)
AARP MedicareCompletePlan3 (HMO)

Humana

Humana Medicare AdvantageHumana Choice (PPO)
Humana Gold Plus (HMO) 

Humana Community (HMO)

 

Premera Blue Cross Medicare Advantage Plans

Premera Blue Cross Medicare Advantage (HMO)
Premera Blue Cross Medicare Advantage Plus (HMO-POS)

Soundpath Health 

Soundpath Health

Soundpath Health Alpine (HMO)
Soundpath Health Sound + Rx (HMO)
Soundpath Health Charter + Rx (HMO)
Soundpath Health Peak + Rx (HMO)

Regence MedAdvantage

Regence MedAdvantage

Regence MedAdvantage Basic (PPO)
Regence MedAdvantage Plus Rx Classic (PPO)
*The Regence Blue Advantage HMO plan is not accepted at The Polyclinic

To compare your current Medicare or Medicare Advantage health plan to the health plans we currently accept, please visit www.medicare.gov and select Medicare Health Plans – 2015 Plan Data to begin your search. Additional information about Medicare options, including what is covered under Medicare Parts A and B for 2015, may be found at the Washington State Office of the Insurance Commissioner web site, http://www.insurance.wa.gov/about-oic/what-we-do/advocate-for-consumers/shiba/ or call 1-800-562-6900.

Physicians Care Network

Physicians Care Network is the managed care subsidiary of The Polyclinic and oversees and assists in coordinating the care management, claims processing and member services for enrollees of the Medicare plans: AARP MedicareComplete insured through United Healthcare; Humana Gold Plus HMO and Humana Community HMO Medicare Advantage plans, Premera Blue Cross Medicare Advantage Plans, and Soundpath Health.

The Physicians Care Network is open Monday – Friday, 08:00 – 4:30 pm. The Care Management team uses Milliman criteria. There are no rewards or incentives for UM decision making. Criteria for determinations are available upon request. If there is an adverse determination, the Medical Director is available for a peer to peer discussion. Our email is PCNCareManagement@Polyclinic.com. Claims related questions can be directed to physicianscarenetwork.claims@polyclinic.com.