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Accepted plans

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Notice

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The Polyclinic, dba Optum Care Washington, will stop accepting Apple Health UnitedHealthcare Community plans on 1/1/25. Optum Care Washington will continue accepting United Healthcare Medicare Advantage D-SNP plans.

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We work with nearly every major insurance company in the region. But please confirm with your health insurer that your specific plan includes Optum Care Washington. This will help make sure there are no surprises about your coverage or any costs to you.

Questions to ask your insurer

  • Are Optum Care Washington doctors I want to see in my network? 
  • What hospitals are included in my network?
  • What are my copays for primary and specialty care visits?
  • What preventive care services or wellness visits are covered?
  • Do I need a referral from my primary care doctor to see a specialist?
  • Do I need advance authorization for any tests, medications or procedures, including surgery?

Key dates and contact information

Open enrollment dates for insurance coverage:

  • Public and private employers: Dates vary, but usually in November and December
  • Washington Health Benefit Exchange: Nov. 1–Jan. 31 (you must sign up by Dec. 15, for coverage started Jan. 1) 
  • Medicare: Oct. 15–Dec. 7

For information about:

  • Your insurance or specific plan, contact your company’s HR department or your insurance company 
  • A Medicare or Medicare Advantage plan, contact our Medicare specialists at 1-206-774-5864
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Individual and family plans

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  • Accepted plans:

    • Aetna Aexel Network*
    • Aetna Premier Care Network*
    • Aetna Premier Care Network with Aetna Managed Pharmacy
    • Aetna Whole Health-Puget Sound Network
    • Aetna Whole Health-Puget Sound Network with Aetna Managed Pharmacy Network
    • Elect Choice Network
    • Elect Choice Network with Aetna Managed Pharmacy
    • Managed Choice Network
    • Managed Choice Network with Aetna Managed Pharmacy
    • Open Choice Network
    • Open Choice Network with Aetna Managed Pharmacy Network
    • Washington Value Network
    • Washington Value Network with Aetna Managed Pharmacy Network

    *Aetna Aexel Network is designated for cardiology, gastroenterology and plastic surgery. You may have higher copays and co-insurance if you see a non-designated provider.

    OR

  • Accepted plans:

    • In network through Premera
    OR

  • Accepted plans:

    • In network through Regence Blue Shield

    Not contracted for Asuris EPO/Individual and Family Network

    OR

  • Bridgespan is not in network. If it's offered in your county, some services may be available at out-of-network rates. Contact your provider's office to confirm.

    OR

  • Accepted plans:

    • Washington OAP Direct Network
    • Washington OAP with National Pharmacy Network
    • Washington PPO-PPA Direct Network
    • Washington PPO-PPA Direct with National Pharmacy
    OR

  • Accepted plans:

    • Multiplan
    • First Health
    OR

  • Accepted plans:

    • First Choice Health Preferred Network
    OR

  • Accepted plans:

    • In network through Cigna
    OR

  • Accepted plans:

    • In network through UnitedHealthcare
    OR

  • Accepted plans:

    • Open Access
    • Preferred PPO
    OR

  • In network through UnitedHealthcare.

    OR

  • Accepted plans:

    • Access PPO
    • Omni PPO
    • Options*

    *Patients with Core, Flex or Options plans cannot see our primary care or ob/gyn providers.

    OR

  • Optum Care Washington will accept new L&I claims, including self-insured L&I carriers.

    OR

  • Not applicable. Optum Care Washington works with a number of fishing vessel companies to provide health care coverage to crewmembers covered under The Jones Act.

    OR

  • Optum Care Washington will establish care with new patients after a motor vehicle accident, but we do not bill automotive insurance companies, such as Geico. Instead, we forward claims to patients. You are responsible for forwarding the claim to your MVA insurance company.

    Because we are not contracted with all MVA insurance companies, you may need to pay some out-of-pocket expenses. Please check with your MVA insurance company about this.

    OR

  • Accepted plans:

    • Global
    • Heritage
    • Heritage and Dental Choice
    • Heritage Prime
    • Heritage Signature
    • Heritage Signature and Dental Choice
    • Individual Signature
    • LifeWise Assurance Co. 
    • LifeWise Health Plan of Washington Preferred
    OR

  • Accepted plans:

    • First Health Network
    • Preferred Provider (PPO)
    • Signature Network
    OR

  • Accepted plans:

    • Participating Provider Network (PAR)
    • Preferred Provider (PPO)
    • UMP Puget Sound High Value Network
    OR

  • Not contracted. This may result in higher out-of-pocket expenses. Contact Tricare for cost share information.

    OR

  • Accepted plans:

    • Charter
    • Choice
    • Core
    • Navigate
    • Options
    • Signature Value
    • Select

    Optum Care Washington uses US Anesthesia Partners (USAP) to provide anesthesia services for some surgeries in our plastic surgery department and at First Hill Surgery Center. USAP is out-of-network with UnitedHealthcare as of September 1, 2019. 

    Please ask your insurer to see how this might affect your coverage.

    OR

  • Accepted plans: 

    • Regence Preferred Provider Organization (PPO)
    • Regence UMP Plus Puget Sound High Value Network*

    *Optum Care Washington is not contracted with UMP Plus UW network.

    OR
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Medicare and Medicare Advantage plans

Effective January 1, 2025, Premera is leaving the Medicare Advantage Plan entirely in Washington state. Therefore, The Polyclinic, doing business as, Optum Care Washington can no longer accept the Premera Medicare Advantage plan. We still accept Original Medicare and other Medicare Advantage plans.

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  • Accepted Medicare Advantage plans:

    • Aetna Boeing Retiree Medicare Advantage (HMO, PPO)

    Learn more about Aetna Boeing Retiree Medicare Advantage plan.

    OR

  • Accepted Medicare Advantage plans:

    • Humana Medicare Advantage (HMO)
    • Humana Medicare Advantage (PPO)
    • Humana Medicare Advantage (SNP-DE)

    Learn more about Humana Medicare Advantage plans.

    OR

  • Accepted plans: 

    • Original Medicare Part B, there may be exceptions for some individual practices. For the most updated information, please call the provider’s office directly.
    OR

  • Accepted plans:

    • UnitedHealthcare Medicare Advantage (HMO)
    • UnitedHealthcare Medicare Advantage (PPO)
    • UnitedHealthcare Medicare Advantage (D-SNP)
    • UnitedHealthcare Medicare Advantage (I-SNP)

    Learn more about Medicare Advantage plans from UnitedHealthcare. 

    View plan seminar schedules from UnitedHealthcare Medicare Advantage. 

    OR
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Medicaid

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The Polyclinic, dba Optum Care Washington, will stop accepting Apple Health UnitedHealthcare Community plans on 1/1/25. Optum Care Washington will continue accepting United Healthcare Medicare Advantage D-SNP plans.

To maintain care with Optum Care Washington, we encourage our patients to explore the Medicaid health plan options below:

Additional resources

Washington State Health Care Authority
Phone: 1-800-562-3022 (TRS: 711)
Business hours: Monday - Friday 7 a.m. to 5 p.m. (Pacific)
Washington State Health Care Authority

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Helpful resources

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Disclaimer: Optum Care Washington and The Polyclinic d/b/a Optum Care Washington (the “Practices”) are both physician owned and led practices having complete authority for all medical decision-making and patient care through their physicians and other licensed professionals. Optum, through its management organizations (“Optum”) provides non-clinical administrative services to support the Practices and their physicians. Neither Optum nor its management companies employs, engages, or supervises physicians or other licensed professionals, or determines or sets the methods, standards, or conduct of the practice of medicine or exercise of medical judgment or health care provided by the Practices or by any of their licensed professionals. “Part of Optum” reflects that the practices are part of Optum’s effort to support forward-thinking physician practices in helping their patients live healthier lives.