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.

 GoldenCare Logo Horiz 4C Med

Unraveling the Medicare maze

VMC's GoldenCare health and wellness program for seniors offers informative seminars to help you select your optimal Medicare plan and supplemental insurance.

Learn about GoldenCare's other valuable benefits and download an application

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 (excluding Aexcel) 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-Medicaid-Apple Health Yes Yes
DSHS Family Planning Only Covers only contraception services in clinic; excludes all other medical services; excludes infants. Covers only contraception services in clinic; excludes all other medical services; excludes infants.

(DSHS) Medicaid Managed Care Plans

   Amerigroup

   Community Health Plan of Washington


   Coordinated Care (Centene)

   Molina Health Care

   UnitedHealthcare Community Health Plan

 

Yes

Yes, but only if primary care provider is on list at www.chpw.org

Yes

Yes

Yes

 

Yes

No

 

Yes

Yes

Yes

Exchange Products

    Regence-Bridgespan

    Moda – effective Jan. 1, 2015

 

    Molina-MarketPlace

    CHPW-Community Health Essentials


  

    Premera-Heritage Signature    

    Premera-Lifewise Exchange

 

Yes

Yes, if First Choice logo on ID card
  

Yes

Yes, if First Choice logo on ID card


Yes

Yes

 

Yes

Yes, if First Choice logo on ID card
  

Yes

Yes, if First Choice logo on ID card 


Yes
(except UWP Physicians)

Yes
(except UWP Physicians)

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: Core/Group Health, Alliance, Alliant Select, Options Select, Clear Care HMO No No
Group Health: Options PPO, Options, Alliant Plus, Connect/Alliant Plus, Clear Care PPO Yes as out-of-network benefit. Yes as out-of-network benefit.
Group Health: Access PPO Yes Yes
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

   Aetna Medicare Advantage

   Amerigroup Medicare Advantage
   (effective 1.1.2014) 

   Humana / Choice Care PPO
   (Medicare Managed Care Plan)

   Molina Medicare Options Plus

   Premera Medicare Advantage –
   effective Jan 1, 2015
  

   UnitedHealthcare Medicare Managed Care
   Plan (including former SecureHorizons
   and Evercare plans)

   Regence Blue Advantage HMO
   (effective 1.1.2014)

   Regence Medicare Advantage    

   Soundpath Health /
   Puget Sound Health Partners

   CHPW



Yes

Yes


Yes


Yes

Yes
 
  

Yes

 

Yes


Yes

Yes

Yes



Yes

Yes


Yes


Yes

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
Tricare Yes Yes
Triwest Yes Yes
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.