Notes. Does Overlake Medical Center (Hospital) Participate? Clinics (OMC) Participate?

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1 Health Plan Does Overlake Medical Center (Hospital) Participate? Does Overlake Medical Clinics (OMC) Participate? Notes Aetna Overlake Medical Clinics is NOT a designated Aetna Aexcel Physician Group Aetna Whole Health PacMed, PolyClinic, Providence/Swedish, Rainier Health Network No No Altius Health Plans (Coventry - First Health - Aetna) America's Health Plan Assurant Health (First Choice) Asuris Health Plan (Regence) Avizent Beacon Health Options (Formerly Value Options) Beechstreet (First Choice) Berkley Risk Administrators Boeing - BCBS of IL Standard PPO Boeing - BCBS of IL - Preferred Partnership - UW ACN Patients must remain in the University of Washington Accountable Care Network (UW ACN) for referrals to be considered in-network. BlueCross/Blue Shield Out-of-State (BlueCard) Plans access the Bluecard network in WA through Regence or Premera BridgeSpan Health (Regence): RealValue and SimpleConnect Choice Care (Humana Commercial) Christian Brothers (Aetna) Christian Healthcare Ministries No No Community HealthEssentials (Community Health Plan of WA) Access through the First Choice Health Network CIGNA CIGNA Behavioral Health Coordinated Care/Centene Ambetter No No Coventry/CCN (Aetna) Crawford & Co. Definity Health (United Healthcare) Eberle Vivian Employee Benefit Mgmt. Services (First Choice) Fidelity (First Choice) First Choice Health Network

2 First Choice Health Preferred Network First Health (Coventry - Aetna) Gallagher Basset Services Greatwest (CIGNA) Health Payor Organization (HPO) Healthcare Management Administrators (HMA) (Regence) Healthnet (First Choice) Healthsmart Humana Choice Care Humana Behavioral Health NO No INBA (First Choice) Kaiser Foundation Health Plan of Washington - HMO plans- Core, Alliant Select, Options Select Kaiser Foundation Health Plan of Washington - POS plans - Options, Alliant Plus/Connect Only Overlake Medical Clinics (OMC) Primary Care and Urgent Care - Issaquah visits are in network. A referral/ authorization is required for visits to all other OMC Clinics Only Overlake Medical Clinics (OMC) Primary Care and Urgent Care - Issaquah visits are in network. A referral/ authorization is required for visits to all other OMC Clinics Kaiser Foundataion Health Plan of Washington Options, Inc. - PPO plans - Access PPO, Options PPO Although patients can go outside of Kaiser they may have a benefit differential between Kaiser and Non- Kaiser providers Kasier Health Plans (Out of State) A referral/ authorization is required for visits to all OMC Clinics King County Safety & Claims Kitsap Health Plans (First Choice) Liberty Healthshare No No Lifewise of WA (Essential, Connect, Preferred) Accesses the Premera Network Lifewise of OR Accesses the Premera Network Magellan Health Services

3 MHN Behavioral Health Moda Health Plans (First Choice) Molina Marketplace MultiPlan National Preferred Provider Network (NPPN) Pacificsource Preferred Health Network (PHN) Premera Blue Cross Premera PersonalCare Plan - UW Medicine ACN *Patients should remain in the UW ACN for referrals to be considered in-network. Special waiver process required for outside the UW CAN. Premera PersonalCare Plan - EvergreenHealth Partners Covered for OMC Urgent and Specialty Care only. Premera PersonalCare Plan - Multicare No No Premera PersonalCare Plan - Northwest Physicians Network Premera PersonalCare Plan - Everett Clinic No No Visits to OMC Primary Care are not covered. Visits to OMC Urgent and Specialty Care Clinics require a referral or Premera PersonalCare Plan - Virginia Mason Visits to OMC Primary Care are not covered. Visits to OMC Urgent and Specialty Care Clinics require a referral or Private Health Care Systems (PHCS) Regence Group Adminstrators Regence Blue Shield PPO Regence ActiveCare AHN EvergreenHealth Partners/Overlake Regence ActiveCare AHN Everett Clinic No No Regence ActiveCare AHN MultiCare No No Regence ActiveCare AHN Providence/Swedish No No Regence ActiveCare AHN UW Medicine No No Safeway Risk Management Seattle Area Plumbing & Pipefitting (Aetna) Sedgwick CMS Sound Health & Wellness Trust (Aetna)

4 Three Rivers Provider Netowkr (TRPN) Uniform Medical Plan (UMP) Classic UMP Plus - Puget Sound High Value Network Patients should remain in the Puget Sound High Value Network (PSHVN) for referrals to be considered in-network UMP Plus - UW Medicine ACN Patients should remain in the UW ACN for referrals to be considered in-network. UMR (United Healthcare) United Behavioral Health (Optum) United Healthcare PPO, POS, HMO United Healthcare - Charter United Healthcare - Navigate United Payors PPO USA Managed Care MEDICARE PLANS AARP MedicareComplete by United Healthcare Aetna Medicare HMO Aetna Medicare PPO Amerigroup Amerivantage HMO & SNP Amerigroup Amerivantage HMO - Highline No Asuris Health Medicare HMO No No Asuris Health Medicare PPO Cigna Medicare Community HealthFirst Medicare Advantage HMO & SNP Visits to OMC Primary Care are not covered unless the Overlake provider is the patient s assigned primary care provider. Humana Community HMO Humana Gold Plus HMO HumanaChoice PPO Humana Medicare - Polyclinic - PCN Plan is not accepted at

5 Humana Medicare - Northwest Physicians Network Plan is not accepted at Kaiser Foundation Health Plan of Washington Medicare HMO Medicare Railroad Medicare Traditional FFS Molina Medicare Options Plus HMO & SNP Premera Blue Cross Medicare Advantage HMO, HMO-POS Providence Health Plan - Medicare Advanatge Regence BlueAdvantage Medicare HMO No No Regence MedAdvantage PPO Soundpath Health HMO Only Overlake Medical Clinics (OMC) Primary Care and Urgent Care - Issaquah visits are in network. A referral/ authorization is required for visits to all other OMC Clinics SoundPath Health HMO - Highline Plan is not accepted at SoundPath Health HMO - Northwest Physicians Network Plan is not accepted at Soundpath Health HMO - Polyclinic Plan is not accepted at United Healthcare Dual Complete SNP United Healthcare Assisted Living Plan HMO SNP United Healthcare Nursing Home Plan HMO SNP

6 United Healthcare Medicare - Highline Plan is not accepted at United Healthcare Medicare - Northwest Physicians Network Plan is not accepted at United Healthcare Medicare - Polyclinic - PCN Plan is not accepted at Traditional Medicare Supplements (All plans) Please note: if the Medicare Advantage plan listed above requires a primary provider, then Overlake is required to be the patient s assigned primary care provider (PCP) before he or she can be seen in an Overlake primary care clinic. MEDICAID PLANS Amerigroup Apple Health Amerigroup Amerivantage HMO - Highline Plan is not accepted at Community Health Plan of Washington Apple Health Plan is not accepted at Coordinated Care Apple Health No No Molina Healthcare Apple Health United Healthcare Community Plan Apple Health Washington State "Straight" Medicaid/Apple Health (Open Coupon/NON-managed care) For all managed Medicaid plans above, Overlake must be assigned to the member before the patient can be seen in our primary care clinics. GOVERNMENT PLANS Crime Victims Programs (WA L&I) Department of Health Early Intervention Program

7 Indian Health Services King County Project Access Tricare In-process In-process New Contract with Healthnet is in-process with Overlake Medical Clinics Tricare for Life In-process In-process New Contract with Healthnet is in-process with Overlake Medical Clinics US Department of Labor US Family Health Plan (USFHP by PacMed) Plan is not accepted at Veterans Administration Veterans Choice (Veterans Choice Card/VACAA- TriWest) Washington State Labor & Industries Washington State Labor & Industries (Self-insured)