Is Valley Medical Center in Your Health Plan?
Valley Medical Center and its clinics contract with more than two dozen health plans, listed below.*
If we are contracted with your insurance company, we will bill you after your insurance company has processed your claim. Our billing statement lists relevant charges and clearly notes any payments we received from your insurance company.
If you do not have insurance coverage, you will need to make financial arrangements prior to receiving services at VMC; Please read about our Financial Assistance program options.
Notice to Medicare Beneficiaries
To our Medicare population, please review your Medicare benefits carefully. You are responsible to know your Medicare benefits and non-covered services. You will be financially responsible for any non-covered services. An example of a Medicare non-covered service would be any self-administered drugs provided to you during a hospital outpatient hospital visit. If you have Medicare supplemental insurance, VMC will also submit a bill to them for all services, including the non-covered Medicare charges. If no drug coverage exists, or the non-covered services are also denied by your supplemental Medicare plan, payment for those drugs will be your personal financial responsibility.
Pre-authorization
Some procedures may require pre-authorization from your insurance company or making other financial arrangements in advance. Please review Pre-authorization Requirements and read our Guidelines for Preparing for Your Stay at VMC.
Billing
| Health Plan |
Does Valley Medical Center's
hospital participate? |
Does Valley Medical Center's
clinic network participate? |
| Aetna Health |
Yes |
Yes |
| BCE Emergis (includes America's Health Plan, Nations Health Plan, and ProAmerica Managed Care) |
Yes |
No |
| Choice Care |
Yes |
Yes |
| CIGNA (including former Great West and One Health plans) |
Yes |
Yes |
| DSHS |
Yes |
Yes. Patient must have an open DSHS coupon with no entry in the "HMO" column. |
| DSHS Family Planning Only |
Covers only contraception services; excludes all other medical services; excludes infants. |
Covers only contraception services; excludes all other medical services; excludes infants. |
(DSHS) Medicaid Managed Care Plans (listed below)
Amerigroup
Community Health Plan of Washington
Coordinated Care (Centene)
Molina Health Care
UnitedHealthcare Community Health Plan |
See below...
Yes
Yes, but only if primary care provider is on list available at www.chpw.org
Yes
Yes
Yes
|
See below...
Yes
BHP and WHP only
Yes
Yes
Yes
|
| Federal Employees: Aetna Health, Alliance Health Plan, AWPU Health Plan, Blue Cross and Blue Shield, GEHA Benefit Plan, Mail Handlers, and PacifiCare |
Yes |
Yes |
| First Choice Health Network |
Yes |
Yes |
| First Health/Conventry |
Yes |
Yes |
| Group Health Cooperative |
No |
No |
| Group Health Options |
Yes if ID card shows First Choice Health Network. |
Yes if ID card shows First Choice Health Network. |
| Health Care Authority/Uniform Medical Plan |
Yes |
Yes |
| Labor & Industries |
Yes |
Yes |
| Managed Health Network |
Yes |
Yes |
| March Vision |
Yes |
Yes |
| Medicare |
Yes |
Yes |
Medicare Managed Care Plans (listed below)
Aetna Medicare Advantage
Humana / Choice Care PPO
(Medicare Managed Care Plan)
UnitedHealthcare Medicare Managed Care
Plan (including former SecureHorizons
and Evercare plans)
Regence Medicare Advantage
Soundpath Health /
Puget Sound Health Partners
CHPW
|
See below...
Yes
Yes
Yes
Yes
Yes
Yes
|
See below...
Yes
Yes
Yes
Yes
Yes
No
|
| Premera Blue Cross |
Yes |
Yes |
| Private Health Care Systems / Multiplan |
Yes |
Yes |
| Regence Blue Shield |
Yes |
Yes |
| Regence Care |
Yes |
No |
| United Health Care/United Health Networks |
Yes |
Yes |
| Value Options/Value Behavioral Health |
Yes |
Yes |
* The contracted health plans listed above are subject to change.