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Accepted Health Insurance Plans

MultiCare participates in a wide variety of health insurance plans. Most of those plans are listed below. Because plan coverage is frequently updated, it is always a good idea to check with your insurance company for current information about your plan and the coverage it provides for your choice of hospital, physician, service or procedure.

Commercial health plans

  • Aetna
  • Asuris Northwest
  • Blue Cross of Idaho PPO (Rockwood Clinic only)
  • Cigna
  • First Choice Health
  • First Health
  • Kaiser Foundation Health Plan of Washington:
    • Access PPO
    • Options Federal
    • Options POS
    • Summit PPO
    • Mary Bridge Children’s Hospital, Navos and Yakima Region:
      • All above Kaiser plans
      • Elect PPO
      • HMO, AKA “Core”
      • SoundChoice HMO
  • Lifewise Assurance Co
  • Lifewise of WA Preferred
  • MultiPlan*
  • Premera Blue Cross
  • Private Health Care Systems*
  • Personify Health 6 Degrees (Yakima only)
    • Tree Top and Noel Corporation employers only
  • Regence BlueShield
  • Uniform Medical Plan
  • UnitedHealthcare

*Note: MultiCare does not accept discount card, cost sharing, shared ministry programs, or practitioner only and practitioner/ancillary only plans.

Exchange health care plans

  • Ambetter Cascade Care
  • Ambetter Cascade Care Select (Note: Does not include primary care services, is not available in Yakima County)
  • Community Health Plan of Washington – Cascade Care Select (Note: Does not include primary care services)
  • Kaiser Foundation Health Plan of Washington Cascade Care (Note: Mary Bridge Children’s Hospital, Navos and Yakima region only)
  • Lifewise Alpine (Note: Does not include primary care services.
  • Lifewise Primary (Note: Yakima region only)
  • UnitedHealthcare Charter Cascade Care

Government health plans

  • Medicare
    • Part A
    • Part B
    • Railroad
  • Medicaid
  • Triwest
    • Tricare
    • VA/Community Care Network (CCN)
  • U.S. Family Health Plan (USFHP) / PacMed (Puget Sound professional services only)
  • Washington State Department of Labor & Industry

Medicare Advantage health plans

The following Medicare Advantage plans are accepted at MultiCare. Please select your region below.

  • Aetna:
    • Medicare Advantage HMO
    • Group Retiree Medicare Advantage PPO plans
  • SCAN Health Plan
  • United Health Care:
    • Dual Complete HMO
    • AARP / UnitedHealthcare Medicare Advantage HMO
    • Group Retiree Medicare Advantage PPO plans
  • Humana Group Retiree Medicare Advantage PPO plans
  • Regence Group PPO Plans

Specialty Care Referrals are accepted from the following plans (Primary Care is not participating):

  • Community Health Plan of Washington (CHPW) – Medicare Advantage
  • Wellcare Medicare Advantage HMO

  • Aetna:
    • Medicare Advantage HMO
    • Group Retiree Medicare Advantage PPO plans
  • SCAN Health Plan
  • UnitedHealth Care:
    • Dual Complete HMO
    • AARP / UnitedHealthcare Medicare Advantage HMO
    • Group Retiree Medicare Advantage PPO plans
  • Humana Group Retiree Medicare Advantage PPO plans

Specialty Care Referrals are accepted from the following plans (Primary Care is not participating):

  • BlueCross of Idaho – Medicare Advantage
  • Community Health Plan of Washington (CHPW) – Medicare Advantage
  • Wellcare Medicare Advantage HMO

  • United Health Care:
    • Dual Complete HMO
    • AARP / UnitedHealthcare Medicare Advantage HMO
    • Group Retiree Medicare Advantage PPO plans
  • WellCare Medicare Advantage HMO
  • CHPW Dual Complete HMO
  • Humana Medicare Advantage PPO and Group PPO
  • Kaiser Medicare Advantage HMO
  • Regence Medicare Advantage PPO and Group PPO

To see all plans available to you, visit medicare.gov or contact 800-MEDICARE (TTY 877-486-2048), available 24 hours a day, seven days a week.

Medicaid managed health care plans

Please note this is not a complete listing of plans available in your service area. For a complete listing, please consult the Washington State Health Care Authority’s website, hca.wa.gov.

  • Community Health Plan of Washington
  • Coordinated Care
  • Molina Healthcare of Washington
  • UnitedHealthcare
  • Wellpoint

Additional information

If you don’t see your plan or network listed above, please contact your insurance provider to find out what, if any, coverage is available to you when you receive services from MultiCare. The member services phone number is typically listed on your ID card.

For more information about health plans, please contact the plan’s customer service department or the Statewide Health Insurance Benefits Advisors (SHIBA) website or call the helpline at 800-562-6900. The SHIBA is a free service offered by the Washington State Office of the Insurance Commissioner.

Please note: Not all MultiCare-provided services accept insurance or financial aid. Check with your health insurance provider about your specific plan and coverage before rendering services.

Need help with insurance options?

Annual open enrollment support

MultiCare has a team of 30 Washington state-certified patient financial navigators to help you with questions and enrollment for all non-medicare questions. For more information or to schedule an in-person appointment, please call 833-936-0515.

Medicare insurance support

MultiCare partners with two trusted organizations to support you:

  • PSW. Our local, Washington-state based partner offers in-person support. Their licensed agents work with all Medicare insurance carriers accepted by MultiCare and can help you find a plan that fits your needs while keeping your current providers and care team. You can connect with them by phone or online. Call 888-343-1087 or visit the PSW website to learn more.
  • Chapter. Our national Medicare partner provides free expert guidance over the phone or online. Chapter searches every Medicare option available to help you make informed decisions. Schedule your free consultation online or at 800-341-6048.

Both services are available to MultiCare patients at no cost and with no obligation. You’re also free to contact Medicare plans directly, work with any licensed agent, or contact Medicare via their website or phone: 800-MEDICARE (800-633-4227; TTY: 877-486-2048).

Accountable Care Organizations

One of the provisions in the Affordable Care Act (ACA) was the creation of Accountable Care Organizations (ACO). An ACO is a network of doctors and hospitals who share responsibility for providing care to patients. While the ACA’s focus on ACOs was related to Medicare beneficiaries, ACOs are not limited to caring for patients on Medicare.

ACOs make providers jointly accountable for the health of their patients, giving them strong incentives to cooperate and save money by avoiding unnecessary tests and procedures, and instead focusing on helping participating patients get, and stay, healthy.

MultiCare providers and services participate in several ACOs throughout the state of Washington, including:

  • MultiCare Connected Care. The organization was established in 2014. Its clinically integrated network is comprised of doctors and other health care providers, as well as hospitals, clinics and other health care services such as medical imaging, laboratory and pharmacy services. It includes health care professionals in the community, as well as MultiCare providers.
  • Embright. In 2019, MultiCare, UW Medicine, and LifePoint Health formed the clinically integrated network Embright. Embright enables the partners to develop care delivery models that will improve patient care and patient experience at a more affordable cost. Together, the founding organizations represent 14 hospitals, more than 12,000 providers and over 600 outpatient sites of care.