Resources
Insurance Plans
As of 6/17/2021 – Proliance Surgeons is contracted with the following insurance companies and Government Payors:
AARP Medicare Complete
Aetna U.S. Healthcare
Aetna – Aexcel
Allwell
Ambetter
Apple Health (formerly DSHS)
Asuris
Asuris MedAdvantage
CIGNA
Clinically Integrated Network (Boeing, HCA, Premera, My Connected Care)
Community Health Plan of Washington (CHPW)
Coordinated Care
Crime Victims Compensation Program
Dimensions (Premera)
Eastside Health Network
First Choice Health Network (PPO)
First Health Network
Foundation and Foundation Plus 1 Network
Highline Medical Services Organization (HMSO) (select locations only)
Humana Gold Choice (OCN and SMG ONLY)
Kaiser Options and Access PPO
Kaiser HMO (select locations only)
Kaiser Medicare (select locations only)
Labor and Industries
LifeWise (Premera)
Medicaid
Medicare
Moda Health (WA residents only)
MOLINA
MultiCare Connect (Pacific Source)
MultiPlan / PHCS
Northwest Physicians Network (NPN)
Optum Care Network (OCN)
OWCP (Office of Workers Compensation U.S. Dept of Labor)
PacMed Clinics (US Family Health Plan)
Premera Heritage and Prime
Premera MedAdvantage
Premera UW
Private Healthcare System (PHCS)
Provident Health Plan/ Swedish
Railroad Medicare
Rainier Health Network
Regence (PPO, Selections, Boeing)
Regence MedAdvantage
Regence Uniform
Seoul Medical Group/Seattle Medical Group (SMG)
The Sound Plan
TRI-CARE (Heath Net Federal Services)
United Healthcare
United Healthcare MedAdvantage
UW ACO (Puget Sound High Value)
Regence
Transparency in Coverage
This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
