Insurance Plans Accepted by Swedish

We’ve got you covered. Here you’ll find all the insurance providers and plans accepted by Swedish.

To avoid surprise costs, you should also always check with your insurance before visiting us for care.

Plans may vary by county, and special restrictions or requirements may be part of your plan.

How to Check with Your Insurance

  • Call the number on the back of your insurance card and ask about your coverage and out-of-pocket costs.
  • Be as specific as possible: Ask about the location, doctor’s name and the specific appointment type, procedure, or visit codes (CPT codes) for your upcoming care.
  • Ask for a “call reference number” before you hang up. Writing this down can help if there is a dispute later.

The insurance plans listed below apply to all Swedish campuses, Swedish Medical Group clinics and PET/CT imaging, unless otherwise specified.

How to Check this List

  • Click on your insurance company name below to expand the box. Then see if the name of the insurance plan printed on your insurance card is also listed below.
  • Pay attention to footnotes. Letter codes after your plan name mean there are special rules and restrictions for your plan, listed below.

Insurance Carriers and Plans

  • Plans assigned to: Seattle Medical Group (Seoul), PSW, OCN, ICWA,K     


A. Specialty care only. Primary care is not covered by this plan.

K. Specialty care requires approval from your Independent Physician Organization group before scheduling.

Group/Employer/Health Insurance Marketplace plans
  • Aetna Whole Health- Puget Sound
  • Aetna Standard Plans Open Choice PPO
  • Aetna Standard Plans Managed Choice POS
  • Aetna Standard Plans Select
  • Aetna Standard Plans Affordable Health Choices
  • Aetna Standard Plans (Voluntary Plans)
  • Aetna Open Access Plans Choice POS II
  • Aetna Open Access Plans Select
  • Aetna Open Access Plans Elect Choice EPO
  • Aetna Open Access Plans Managed Choice POS
  • Aetna HealthFund Plans Choice POS II
  • Aetna HealthFund Plans Open Access Elect Choice EPO
  • Aetna HealthFund Plans Open Access Managed Choice POS 
  • Aetna HealthFund Plans Open Access Aetna Select
  • Aetna HealthFund Plans Open Choice PPO
  • Aetna Premier Care Network Plus
  • Aetna Premier Care NetworkQ
Medicare Advantage plans
  • Aetna Medicare PPO Choice
  • Aetna Medicare PPO Eagle
  • Aetna Medicare PPO Preferred
  • Aetna Medicare PPO Select
  • Aetna Medicare PPO SmartFit

  • Aetna Medicare HMO-POS EliteB,D
  • Aetna Medicare HMO-POS Extra Value PlusB,D
  • Aetna Medicare HMO-POS Platinum PlusB,D
  • Aetna Medicare HMO-POS PrimeB,D
  • Aetna Medicare HMO-POS SmartFit EliteB,D
  • Aetna Medicare HMO-POS ValueB,D
  • Aetna Medicare HMO-POS Value PlusB,D


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

D. For specialty care, a referral is required if you receive primary care from a clinician outside of Swedish Medical Group.

Q. The following specialty care services are not covered by this plan: cardiology, cardiothoracic surgery, gastroenterology, general surgery, neurology, neurosurgery, orthopedics, otolaryngology/ENT, and plastic surgery.

All Group/Employer/Health Insurance Marketplace plans through Regence

Excluded.

We do not accept BridgeSpan at this time.

Group/Employer/Health Insurance Marketplace plans
  • Cigna Open Access Plus (OAP)
  • Cigna Exclusive Provider Organization (EPO)
  • Cigna Preferred Provider Organization (PPO)
  • Cigna Medical Indemnity
  • Cigna Medical Network Plan
  • Cigna Medical Network Plan POS
  • Cigna Medical Network Plan Open Access POS
  • Cigna HMO
  • Cigna HMO POS
  • Cigna HMO Open Access
  • Cigna HMO Open Access POS
  • Cigna SureFit Plans
Medicare Advantage plans
  • Cigna Preferred Medicare HMOB,D
  • Cigna True Choice Medicare PPO
Excluded plans (we do not accept)
  • Not accepted: Cigna Local Plus
  • Not accepted: Cigna Local Plus In-Network


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

D. For specialty care, a referral is required if you receive primary care from a clinician outside of Swedish Medical Group.

Group/Employer/Health Insurance Marketplace plans
  • CHPW Cascade Select GoldAA
  • CHPW Cascade Select SilverAA
  • CHPW Cascade Select BronzeAA
Medicare Advantage plans
  • Community Health Plan of WA MA Freedom Plan HMOAA
  • Community Health Plan of WA MA HMO Plan 1,2,3 & 4AA
  • Community Health Plan of WA Dual Plan (HMO D-SNP)AA
  • Community Health Plan of WA Dual Select (HMO D-SNP)AA
Medicaid
  • CHPW Apple Health (HMO)AA


AA. Specialty care only. Primary care is not covered by this plan unless you already have a Swedish PCP assigned.

Group/Employer/Health Insurance Marketplace plans
  • Ambetter Coordinated Care Cascade Gold
  • Ambetter Coordinated Care Cascade Silver
  • Ambetter Coordinated Care Cascade Bronze
  • Ambetter Balanced Care 4
  • Ambetter Care-Essential Care Bronze
  • Ambetter Care-Balance Care Silver
  • Ambetter Coordinated Care-Secure Care Gold
  • Coordinated Care Ambetter Cascade Select GoldA
  • Coordinated Care Ambetter Cascade Select SilverA
  • Coordinated Care Ambetter Cascade Select Plans BronzeA
Medicaid
  • Coordinated Care Core Connections (Foster Care) Apple Health
  • Coordinated Care Apple Health (Non-Foster)C


A. Specialty care only. Primary care is not covered by this plan.

C. For primary care coverage on this plan, please update the PCP listed with your insurance plan to a Swedish clinician.

CorVel Disability Management PPO

All Coventry/First Health plans utilizing the Aetna network

EHN (Employee Health Network)

All First Choice Health network plans

First Health-Coventry PPO

Health Net-TRICARE

Health Smart PPO (formerly Interplan)

Group/Employer/Health Insurance Marketplace plans
  • All plans using the Humana commercial network (including the Choice Care Network)
Medicare Advantage plans
  • Humana Honor (PPO)
  • Humana Choice (PPO)
  • Humana USAA Honor (PPO)
  • Humana Value Plus (HMO)B,F,K
  • Humana Gold Plus (HMO) PlansB,F,K
  • Humana Gold Plus SNP-DE (HMO D-SNP)B,F,K


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

F. For specialty care to be covered, your PCP needs to a submit a referral with a request for authorization. This needs to be complete prior to scheduling you for these services.

K. Specialty care requires approval from your Independent Physician Organization group before scheduling.

Medicare Advantage plan
  • Pace ProgramA,L


A. Specialty care only. Primary care is not covered by this plan.

L. Specialty care requires referral/authorization from ICHS.

Group/Employer/Health Insurance Marketplace plans
  • Kaiser Permanente Flex GoldA,M
  • Kaiser Permanente Flex Silver HDA,M
  • Kaiser Permanente Flex BronzeA,M
  • Kaiser Permanente Virtual Plus Silver XA,M
  • Kaiser Permanente Virtual Plus SilverA,M
  • Kaiser Permanente Virtual Plus BronzeA,M
  • Kaiser Permanente Bronze HSAA,M
  • Kaiser Permanente Bronze HSA XA,M
  • Kaiser Permanente Cascade GoldA,M
  • Kaiser Permanente Cascade SilverA,M
  • Kaiser Permanente Cascade BronzeA,M
  • Kaiser Permanente Basic PlusA,M
  • Kaiser Permanente Access PPO
  • Kaiser Permanente WA PPO Plus (First Choice Network)
  • Kaiser Permanente Options (First Choice Network)
  • Kaiser Permanente Summit PPO (First Choice Network)
Medicare Advantage plans
  • Kaiser Permanente Medicare Advantage Basic (HMO)A,N
  • Kaiser Permanente Medicare  Advantage Optimal (HMO)A,N
  • Kaiser Permanente Medicare  Advantage Essential (HMO)A,N
  • Kaiser Permanente Medicare Advantage Vital (HMO)A,N
  • Kaiser Permanente Medicare Advantage Key (HMO)A,N


A. Specialty care only. Primary care is not covered by this plan.

M. Prior authorization from Kaiser is required before receiving care with us on this plan.

N. Prior authorization from Kaiser is required before receiving care with us on this plan. Providence Swedish is a non-preferred provider for Kaiser Medicare plans, meaning you may pay more for care with us than you would with another provider, except for some specialties. Please inquire with Kaiser before coming for your visit.

All L&I (including self-insured L&I carriers)

Group/Employer/Health Insurance Marketplace plans
  • LifeWise Cascade Care Gold
  • LifeWise Cascade Care Silver
  • LifeWise Cascade Care Bronze
  • LifeWise Cascade Select Gold
  • LifeWise Cascade Select Silver
  • LifeWise Cascade Select Bronze
  • LifeWise Essential Low Deductible
  • LifeWise Essential Bronze
  • LifeWise Essential Bronze HSA
  • LifeWise Essential Gold
  • LifeWise Health Plan of WA Preferred
  • LifeWise Assurance Co.
  • LifeWise Primary
Excluded plans (we do not accept)
  • Not accepted: LifeWise Alpine Cascade Select

  • Medicaid of WA  (WA Apple Health)S
  • Out-of-State MedicaidA,O


A. Specialty care only. Primary care is not covered by this plan.

O. Specialty care requires pre-approval from your out-of-state Medicaid plan.

S. Zip code residential restrictions may apply at some primary care locations. Please check with your insurance to verify coverage before visiting a new clinic location.

  • Medicare Parts A&B
  • Medicare Part A onlyR
  • Medicare Part B onlyRB

Note on other Medicare Parts:

  • Medicare Part D covers prescription drugs, which we do not provide directly. Your pharmacy may accept Medicare Part D.
  • Medicare Part C is also known as Medicare Advantage. You can find Medicare Advantage plans listed under the various carriers on this page. You can also find a complete list of Medicare Advantage plans we accept.


R. If you carry Medicare Part A only, you can be seen at hospitals, but you are not covered for outpatient primary care, specialty care or other clinic-based services.

RB. If you carry only Medicare Part B, that means you can be seen for routine outpatient appointments (both Primary Care and Specialty Care) - but you do NOT have coverage for hospital admissions or stays. Please see your Medicare literature for complete rules.

Note for all plans:

Providence Swedish is not accepting new assignments for new members of these plans. Only patients with existing /current assignment to our practice can be seen at this time.

Group/Employer/Health Insurance Marketplace plans
  • Molina Cascade Gold
  • Molina Cascade Silver
  • Molina Cascade Bronze
  • Molina Constant Care Silver 1
  • Molina Marketplace
Medicare
  • Molina Medicare Choice Care (HMO)C
  • Molina Medicare Complete Care (HMO D-SNP)C
  • Molina Medicare Complete Care Select (HMO D-SNP)C
Medicaid
  • Molina Apple Health WA (HMO)C


C. For primary care coverage on this plan, please update the PCP listed with your insurance plan to a Swedish clinician.

Excluded.

We do not accept MultiPlan/PHCS at this time.

Group/Employer/Health Insurance Marketplace plans
  • Premera Blue Cross Foundation
  • Premera Blue Cross Foundation Plus 1
  • Premera Blue Cross Global
  • Premera Blue Cross Heritage
  • Premera Blue Cross Heritage Signature
  • Premera Blue Cross Cascade Gold
  • Premera Blue Cross Cascade Silver
  • Premera Blue Cross Cascade Bronze
  • Premera Blue Cross Preferred Gold EPO
  • Premera Blue Cross Preferred Silver EPO
  • Premera Blue Cross Preferred Bronze EPO
  • Premera Blue Cross Preferred Bronze HSA EPO
  • Premera Blue Cross Individual Signature
Medicare
  • Premera Blue Cross Medicare Advantage (HMO)B,F,K
  • Premera Blue Cross Medicare Advantage Classic (HMO)B,F,K
Excluded plans (we do not accept)
  • Not accepted: Premera Blue Cross Heritage Prime
  • Not accepted: Premera Blue Cross Heritage Prime HPN
  • Not accepted: Premera Blue Cross Peak Care (Multicare EPO/Tahoma Network)
  • Not accepted: Premera Blue Cross SEBB
  • Not accepted: Premera Blue Cross Sherwood HMO


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

F. For specialty care to be covered, your PCP needs to a submit a referral with a request for authorization. This needs to be complete prior to scheduling you for these services.

K. Specialty care requires approval from your Independent Physician Organization group before scheduling.

Group/Employer/Health Insurance Marketplace plans
  • Providence Health Plan
Medicare
  • Providence Medicare Focus Medical (HMO)
  • Providence Medicare Select Medical (HMO-POS)
  • Providence Medicare Timber + RX (HMO)
  • Providence Medicare Extra + RX (HMO)
  • Providence Medicare Choice + RX (HMO-POS)
  • Providence Medicare Bridge 2 + RX (HMO-POS)
  • Providence Medicare Summit + RX (HMO-POS)
  • Providence Medicare Harbor + RX (HMO)
  • Providence Medicare Cottonwood + RX (HMO-POS)
  • Providence Medicare Pine + RX (HMO)
Excluded plans (we do not accept)
  • Not accepted: Providence Connect Network

Group/Employer/Health Insurance Marketplace plans
  • Regence Blue Shield
  • Regence Uniform Medical Plan
  • Regence Select Network
  • Regence Selections
Medicare
  • Regence BlueAdvantage HMO
  • Regence BlueAdvantage HMO Plus
  • Regence Valiance HMO
  • Regence Valiance PPO
  • Regence MedAdvantage + Rx Enhanced PPO
  • Regence MedAdvantage + Rx Classic PPO
  • Regence MedAdvantage + Rx Core PPO
  • Regence MedAdvantage + Rx Primary PPO
Excluded plans (we do not accept)
  • Not accepted: Regence Cascade Select
  • Not accepted: Regence KingCare Select
  • Not accepted: Regence Individual and Family Network Plans (Bronze Essential Direct, Bronze HSA, Silver, Silver HSA, Gold Direct)
  • Not accepted: Regence UMP Plus Plans (PSHVN, UW Medicine ACN)
  • Not accepted: Regence HPN (High Performance Network)

  • U.S. Family Health Plan (USFHP)G
  • TRICARE PrimeT,H
  • TRICARE SelectT


G. Specialty care services require a referral and prior authorization. Contact your plan for full requirements.

H. To receive full specialty care coverage, a referral and authorization from your PCP is required before visiting specialists.

T. Zip code residential restrictions may apply. Please check with your insurance to verify coverage before visiting a new clinic location.

Group/Employer/Health Insurance Marketplace plans
  • United Healthcare CoreE
  • United Healthcare Choice PlusE
  • United Healthcare NavigateE
Medicare
  • AARP Medicare Advantage (PPO)K
  • AARP Medicare Advantage Patriot No Rx (PPO)K
  • UHC Dual Complete (PPO D-SNP)K
  • UHC Care Advantage WA (PPO I-SNP)K
  • UHC Nursing Home Plan WA (PPO I-SNP)K
  • AARP Medicare Advantage (HMO POS)B,F,K
  • UHC Dual Complete WA (HMO-POS D-SNP)B,F,K
Medicaid
  • United Healthcare Apple Health (HMO)B,K
Excluded plans (we do not accept)
  • Not accepted: United Healthcare Cascade Select


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

E. Specialty care services may require a referral or prior authorization. Contact your plan to verify requirements.

F. For specialty care to be covered, your PCP needs to a submit a referral with a request for authorization. This needs to be complete prior to scheduling you for these services.

K. Specialty care requires approval from your Independent Physician Organization group before scheduling.

All VA plansJ



J. VA authorization is required before receiving care.

Medicare
  • Wellcare Mutual of Omaha No Premium Open (PPO)
  • Wellcare Patriot Giveback Open (PPO)
  • Wellcare Dual Access Open (PPO D-SNP)
  • Wellcare Mutual of Omaha Low Premium Open (PPO)
  • Wellcare Dual Access (HMO D-SNP)B,F,K
  • Wellcare Dual Liberty (HMO D-SNP)B,F,K
  • Wellcare No Premium (HMO)B,F,K
  • Wellcare Giveback (HMO)B,F,K
  • Wellcare Assist (HMO)B,F,K


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

F. For specialty care to be covered, your PCP needs to a submit a referral with a request for authorization. This needs to be complete prior to scheduling you for these services.

K. Specialty care requires approval from your Independent Physician Organization group before scheduling.

Medicare
  • Wellpoint Kidney Care (HMO C-SNP)B,D
  • Wellpoint Dual Advantage (HMO D-SNP)B,D
Medicaid
  • Wellpoint Apple HealthB,D


B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

D. For specialty care, a referral is required if you receive primary care from a clinician outside of Swedish Medical Group.


A. Specialty care only. Primary care is not covered by this plan.

AA. Specialty care only. Primary care is not covered by this plan unless you already have a Swedish PCP assigned.

B. For primary care coverage on this plan, you must update your insurance plan to list a Swedish primary care clinician as your PCP.

C. For primary care coverage on this plan, please update the PCP listed with your insurance plan to a Swedish clinician.

D. For specialty care, a referral is required if you receive primary care from a clinician outside of Swedish Medical Group.

E. Specialty care services may require a referral or prior authorization. Contact your plan to verify requirements.

F. For specialty care to be covered, your PCP needs to a submit a referral with a request for authorization. This needs to be complete prior to scheduling you for these services.

G. Specialty care services require a referral and prior authorization. Contact your plan for full requirements.

H. To receive full specialty care coverage, a referral and authorization from your PCP is required before visiting specialists.

J. VA authorization is required before receiving care.

K. Specialty care requires approval from your Independent Physician Organization group before scheduling.

L. Specialty care requires referral/authorization from ICHS.

M. Prior authorization from Kaiser is required before receiving care with us on this plan.

N. Prior authorization from Kaiser is required before receiving care with us on this plan. Providence Swedish is a non-preferred provider for Kaiser Medicare plans, meaning you may pay more for care with us than you would with another provider, except for some specialties. Please inquire with Kaiser before coming for your visit.

NP. Prior authorization from PacificSource is required before receiving care with us on this plan. Providence Swedish is a non-preferred provider for these plans, meaning you may pay more for care with us than you would with another provider, except for some specialties. Please inquire with PacificSource before coming for your visit.

O. Specialty care requires pre-approval from your out-of-state Medicaid plan.

P. Specialty care only. Exception: Some patients with Medicare may have a Swedish PCP already assigned. Primary care is covered only for those with a PCP assigned.

Q. The following specialty care services are not covered by this plan: cardiology, cardiothoracic surgery, gastroenterology, general surgery, neurology, neurosurgery, orthopedics, otolaryngology/ENT, and plastic surgery.

R. If you carry Medicare Part A only, you can be seen at hospitals, but you are not covered for outpatient primary care, specialty care or other clinic-based services.

RB. If you carry only Medicare Part B, that means you can be seen for routine outpatient appointments (both Primary Care and Specialty Care) - but you do NOT have coverage for hospital admissions or stays. Please see your Medicare literature for complete rules.

S. Zip code residential restrictions may apply at some primary care locations. Please check with your insurance to verify coverage before visiting a new clinic location.

T. Zip code residential restrictions may apply. Please check with your insurance to verify coverage before visiting a new clinic location.