Accountable Health Network

Information regarding accepted Accountable Health Network (AHN) (Offered via Regence) insurance plans.

Insurance Definitions

Accountable Health Network (AHN) Plan Names

May Select or See a Virginia Mason Primary Care Provider (PCP) under the insurance?

Specialty Services Require Insurance Approved Referral Authorization?

 (Applicable to urgent care locations as well)

General Comments

* Please review comments if an asterisk is present.
Evergreen/Virginia Mason Network:

May choose either a Virginia Mason or an EvergreenHealth PCP.

Yes

* No

* Members have the option to select either a Virginia Mason or EvergreenHealth primary care provider (PCP). Upon doing so, may be referred between Virginia Mason and EvergreenHealth with no prior approval. However, if the member is needing care outside of either facility, an approved referral will be necessary. If receiving care outside of Virginia Mason or EvergreenHealth and a prior-approval is not obtained, the member/patient will incur a much greater out-of-pocket expense.

  • Must select either a Virginia Mason or EvergreenHealth PCP.
  • Must receive all possible care within either Virginia Mason or EvergreenHealth.
  • If receiving care outside of Virginia Mason or EvergreenHealth, must have an approved referral. Only care not provided within either facility will be referred out.
  • If members elects to self-refer they will have much greater out-of-pocket expenses.
Other Networks - University of Washington (UW), Multicare or Everett Clinic Networks:

May choose either a UW, Multicare or Everett Clinic PCP

No

* No

* Regence AHN members may also select other AHN's: These other AHN's include University of Washington (UW), Multicare or Everett Clinic. If a UW, Multicare or Everett clinic PCP is selected, the member will be considered as out-of-network should they elect to receive care within Virginia Mason without an approved referral via either UW, Multicare or Everett Clinic.

  • May select either a UW, Multicare or Everett Clinic PCP.
  • Virginia Mason and/or EvergreenHealth will be considered as out-of-network if a UW, Multicare or Everett Clinic PCP is selected.
  • If member elects to self-refer they will have a much greater out-of-pocket expense.

Contact your health insurance plan for information on covered services before your appointment.