The following is a list of approved insurance carriers we accept at OrthoWashington:

Accepted Insurance

  • AARP Medicare Complete PPO
  • Aetna PPO
  • Aetna Medicare PPO - Except for Dr. Boyer and Amanda Cordes
  • Aetna Medicare HMO - Except for Dr. Boyer and Amanda Cordes. NO REFERRALS REQUIRED IN 2020
  • Anthem Blue Cross - Accepted if it states “send claims to local blue cross blue shield” on the back of the card
  • Asuris Northwest
  • Blue Cross Blue Shield - Accepted if it states “send claims to local blue cross blue shield” on the back of the card and is not a narrow network
  • BridgeSpan - All plans except for narrow networks (example: RealValue)
  • Cigna/Cigna Great West - All commercial plans
  • Empire Blue Cross Blue Shield - Must say submit claims to your local BCBS on back of card
  • Empire United Healthcare
  • First Choice Health Network
  • Group Health Options/Alliant Plus- ONLY through First Choice (Must show First Choice on back of card)
  • HealthNet - ONLY through First Choice (Must show First Choice on back of card)
  • HMA (Healthcare Management Administrators)
  • Kaiser Permanente - ONLY through First Choice (Must show First Choice on back of card)
  • Labor & Industries-Must have accepted commercial insurance or self-pay as back up
  • Liberty Healthshare
  • LifeWise Assurance
  • LifeWise Health Plan of WA Preferred
  • Medicare (Both Medicare and Medicare Railroad)
  • Medicare Supplement Plans
  • Medishare
  • Motor Vehicle Accident (MVA) - PIP only, we do not bill 3rd party (Must have accepted commercial insurance or self-pay as back up)
  • PacifiCare
  • Premera Blue Cross PPO
  • Premera Blue Cross EPO
  • Premera Microsoft Health Connect Heritage, Heritage Signature & Heritage Plus 1
  • Premera Prime/Heritage Network
  • Providence Health (including EHN) - ONLY through First Choice (Must show First Choice on back of card)
  • Regence Blue Shield (including EHN) - All commercial plans except for narrow networks (example: UW, Prov-Swed, PSHVN)
  • Regence Boeing Preferred Partnership ACN (UW ACO/UW ACN)
  • Regence ActiveCare AHN EHN
  • Regence Uniform - All commercial plans except for narrow networks (example: PSHVN)
  • Regence Medicare Advantage - PLEASE NOTE: EVERGREEN HOSPITAL IS OUT OF NETWORK, HIGHER PATIENT RESPONSIBILITY
  • Uniform Medical Plan (UMP) Classic (Regence)-Example SEBB and PEBB
  • Uniform Medical Plan (UMP) Achieve 1, 2 & High-Ded/CDHP (Regence)
  • United Healthcare - Except narrow networks and Medicaid Community Health Plan
  • United Healthcare AllSavers
  • United Healthcare Medicare Community Plan Dual Complete

Accepted Insurance Carriers With Referral

The following is a list of approved insurance carriers we accept with physician referrals:

  • AARP Medicare Complete HMO
  • Premera Evergreen - Referral required for ASC only
  • Molina Medicare - Open Access only
  • TriCare - Patient responsibility to know plan requirements and network limitations - SSN REQUIRED
  • TriWest - Patient responsibility to know plan requirements and network limitations -SSN REQUIRED

Accepted Insurance - Out-of-network

The following insurance plans are *Processed with out-of-network rates, patient will have higher responsibility:

  • Humana POS Open Access - Dr. Bramwell and Dr. Lorimer are IN-NETWORK, all others will have higher rates
  • TriCare - Patient responsibility to know plan requirements and network limitations
  • Bridgespan RealValue
  • United Healthcare Medica

Non-Accepted Insurance

OrthoWashington does not accept the following insurance plans:

  • Aetna Narrow Network
  • Amerigroup
  • AlieraCare
  • Coventry
  • Empire of New York
  • First Health
  • Group Health - Can only take if First Choice is on the back of the card
  • Humana Medicare PPO - Only Dr. Lorimer and WIOC are contracted
  • Humana HMO
  • Kaiser Foundation Health Plan of WA - Only accepted with First Choice on back of card
  • LifeWise Primary (Narrow network EPO)
  • Multiplan
  • Private Health Care Systems (PHCS)
  • Premera Narrow Networks - Premera UW, Premera Prov-Swed, Premera Overlake, etc.
  • Premera Medicare Advantage
  • Prime Health
  • Regence Narrow Networks - Regence EVT, Regence UW, Regence Prov-Swed, Regence Evergreen, Regence ActiveCare AHN Everett Clinic, Regence ActiveCare AHN Multicare, Regence ActiveCare AHN UW Medicine
  • Select Health
  • SoundPath
  • State Funded Plans - APPLE HEALTH, Coordinated Care, UHC Community Health Plan, DSHS/ProviderOne, Molina Medicaid
  • Three Rivers

*THIS LIST IS NOT ALL INCLUSIVE AND NOT GUARANTEED. PLEASE VERIFY WITH YOUR INSURANCE PLAN USING OUR TAX IDENTIFICATION NUMBERS- WASHINGTON SPORTS MEDICINE: 91-1921733 & WASHINGTON INSTITUTE ORTHOPEDIC CENTER: 91-2087449

  • Webber Chirporactic Sports Clinic
  • U Strong Fitness