Insurance Accepted

Pacific Medical Centers is committed to making it simple for our valued patients to receive the care they need by offering a full range of primary and specialty services and accepting most major insurance plans.

We accept the following health insurance plans. If you are calling for a Behavioral Health appointment, please check with your insurance carrier for benefits and a listing of their participating network providers. Always check your coverage with your insurance carrier if you have questions.

Health Benefit Exchange

Do you need insurance coverage?

If you need help finding insurance coverage for yourself or loved ones, please visit Washington Healthplanfinder.

Medicaid

  • Molina Managed Care Medicaid – accepting all Molina Managed Apple Health/Medicaid plans. PacMed is not currently accepting Molina Medicare. If you have Molina or other Medicaid eligibility related questions, please call 206.621.4049.

Medicare Advantage at PacMed - 2018

PacMed accepts a variety of Medicare insurance plans, including original Medicare, Medicare supplements and Medicare Advantage.

For 2018, our clinics are contracted with the following Medicare Advantage plans in King, Snohomish and Pierce Counties:

  • Aetna Medicare Advantage PPO
  • AARP Medicare Complete insured through UnitedHealthcare®
  • Community HealthFirst MA Plan (King County Only) - In-Network for DERMATOLOGY ONLY
  • Humana Health Plan, Inc.
  • Humana Insurance Company (not available in Pierce county)
  • Molina Marketplace
  • Premera Blue Cross Medicare Advantage
  • Providence Health Assurance
  • Regence BlueShield (excludes Regence BlueAdvantage HMO)

Contracted Medicare Advantage Special Needs Plans for 2018 for King, Snohomish and Pierce Counties include:

  • United Healthcare
  • Humana Health Plan, Inc. (King and Pierce County Only)

Questions? Please call 206.621.4049.


Tips for saving time and getting the most from your medical insurance

We’ve put together some helpful tips to save you time and help you get the most out of your medical insurance. As with everything, good communication is the key to working well with insurance companies. Because policies vary, it’s important to contact your insurance company directly to confirm how your plan will pay charges for services and to keep records of the conversations.

Prior to calling your insurance company, ask your provider:

  • Is this a routine exam (i.e. an annual exam or physical)?

When you call your insurance company, have a set of questions ready to ask. Some suggestions are:

  • Do I have benefit coverage for (insert service name)?
  • Is a referral or preauthorization necessary to have this service?
  • If yes, your primary care provider must initiate the referral or preauthorization.
  • Do I have a deductible?
  • Following my deductible, how much will I owe?
  • How much am I responsible for paying following the insurance coverage?

To maximize your health insurance benefits, please contact your insurance company's Customer Service department for policy and benefit verification. The Customer Service phone number should be located on the back of your health insurance ID card.

Please check with your insurance carrier for information on required referrals and authorizations and co-payments.

Please bring your insurance card to every appointment.

Questions about the Affordable Healthcare Act? You can find more information here.

If you are unable to pay your full statement balance, please contact the Pacific Medical Centers Patient Accounts department at 206.621.4392 to discuss payment options.