Are you on a UnitedHealthcare insurance plan? The Polyclinic uses US Anesthesia Partners (USAP) to provide anesthesia services for some surgeries in our plastic surgery department and at First Hill Surgery Center. As of September 1, 2019, USAP is out-of-network with UnitedHealthcare. Please ask your insurer to see how this might affect your coverage.

Understanding Your Health Plan

We encourage all patients to check with your health insurance company before making an appointment to learn about your insurance coverage, co-pay requirements and provider networks. (Be sure to note which physicians, clinics and hospitals are included in your provider network.)

Insurance can change throughout the year. Please verify that your Polyclinic physician is a participating provider with your insurance to ensure access and coverage.

Insurance Plans - Updated for 2020

Insurance Company/Payor Provider Network Additional Information
Aetna
  • Aetna Aexel Network*
  • Aetna Premier Care Network
  • Aetna Premier Care Network with Aetna Managed Pharmacy
  • Aetna Whole Health-Puget Sound Network
  • Aetna Whole Health-Puget Sound Network with Aetna Managed Pharmacy Network
  • Elect Choice Network
  • Elect Choice Network with Aetna Managed Pharmacy
  • Managed Choice Network
  • Managed Choice Network with Aetna Managed Pharmacy
  • Open Choice Network
  • Open Choice Network with Aetna Managed Pharmacy
  • Washington Value Network
  • Washington Value Network with Aetna Managed Pharmacy Network
  • *Aetna Aexel Network is designated for Cardiology, Gastroenteroloy, and Plastic Surgery. Please know you may have higher co-pays and co-insurance if you see a non-designated provider.
    Bridgespan N/A Not in network; if offered in your county some services may be available at out-of-network rates. Contact your provider's office to confirm.
    Cigna
  • Cigna LocalPlus of Washington Network
  • Cigna LocalPlus of Washington with National Pharmacy
  • Washington OAP Direct Network
  • Washington OAP with National Pharmacy Network
  • Washington PPO-PPA Direct Network
  • Washington PPO-PPA Direct with National Pharmacy
  • Coventry
  • Multiplan
  • First Health
  • First Choice
  • First Choice Health Preferred Network
  • Humana
  • Open Access
  • Preferred PPO
  • Interplan
  • Healthsmart
  • Kaiser Permanante
  • Access PPO
  • Omni PPO
  • Options*
  • *Patients with Core, Flex or Options plans cannot see Polyclinic primary care or OB/GYN providers.
    Maritime Medical Act N/A The Polyclinic works with a number of fishing vessel companies to provide health care coverage to crewmembers covered under The Jones Act.
    Medicare
  • Medicaid/Medicare Dual Complete Community Plan
  • Medicare Advantage
  • Aetna Medicare Value Plus Plan (HMO)
  • Aetna Medicare Platinum Plus Plan (HMO)
  • Aetna Medicare Choice Plan (PPO)
  • Aetna Medicare Select Plan (PPO)
  • AARP® Medicare Advantage® Plan 1 (HMO)
  • AARP® Medicare Advantage® Plan 2 (HMO)
  • AARP® Medicare Advantage® Plan 3 (HMO)
  • HumanaChoice® (PPO)
  • Humana Gold Plus® (HMO)
  • Humana Gold Plus DE-SNP® (HMO)
  • Premera Blue Cross Medicare Advantage Classic (HMO)
  • Premera Blue Cross Medicare Advantage Classic Plus (HMO)
  • Premera Blue Cross Medicare Advantage Alpine (HMO)
  • Premera Blue Cross Medicare Advantage Charter + Rx (HMO)
  • Premera Blue Cross Medicare Advantage Peak + Rx (HMO)
  • Premera Blue Cross Medicare Advantage Sound + Rx (HMO)
  • Regence MedAdvantage + Rx Primary (PPO)
  • Regence MedAdvantage + Rx Classic (PPO)
  • Regence MedAdvantage + Rx Enhanced (PPO)
  • Regence MedAdvantage + Rx Basic (PPO)
  • Premera
  • Global
  • Heritage
  • Heritage and Dental Choice
  • Heritage Prime
  • Heritage Signature
  • Heritage Signature and Dental Choice
  • Individual Signature
  • Providence Health Plan
  • First Health Network
  • Preferred Provider (PPO)
  • Signature Network
  • Regence
  • Participating Provider Network (PAR)
  • Preferred Provider (PPO)
  • UMP Puget Sound High Value Network
  • Tricare Prime Standard and Extra N/A Not contracted. This may result in higher out-of-pocket expenses. Contact Tricare for cost share information.
    United Healthcare
  • Charter
  • Choice
  • Core
  • Navigate
  • Options
  • Signature Value
  • Select
  • The Polyclinic uses US Anesthesia Partners (USAP) to provide anesthesia services for some surgeries in our plastic surgery department and at First Hill Surgery Center. USAP is out-of-network with UnitedHealthcare as of September 1, 2019. Please ask your insurer to see how this might affect your coverage.
    Uniform Medical Plan
  • Regence Preferred Provider Organization (PPO)
  • Regence UMP Plus Puget Sound High Value Network*
  • *The Polyclinic is not contracted with UMP Plus UW network


    2020 Washington Health Benefit Exchange Plans Accepted - Updated March 2020

    Insurance Company/Payor Provider Network Additional Information
    Premera
  • EPO Plans
  • Individual Signature Network
  • The Polyclinic accepts all Premera Preferred plans in the Individual Signature network including:
    • Premera Preferred Gold EPO
    • Premera Preferred Silver EPO
    • Premera Preferred Bronze EPO


    Questions to Ask Your Insurance Company

    • Is my Polyclinic doctor included in my insurance plan’s provider network?
    • What hospitals are included in my provider network should I ever need inpatient care?
    • What are my co-pays for primary care visits? What are my co-pays for specialist visits?
    • What preventive care services or well visits are covered on my plan?
    • Do I need a referral from my primary care doctor before seeing a specialist?
    • Do I need prior authorization from the insurance company before scheduling any diagnostic tests such as CT scans, MRI tests, etc.?
    • Do I need prior authorization from the insurance company for any medications that are prescribed for me?
    • Do I need prior authorization from the insurance company before scheduling any procedures including surgery?

    Updated: 3-11-2020