Coordinated Care Corporation (Centene)

Information regarding accepted Coordinated Care Corporation (Centene) insurance plans.

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

Coordinated Care Corporation (Centene) Insurance Plans

Healthy Options (HMO)
Can I select a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

Yes

General Comments
  • May not select a Virginia Mason primary care provider (PCP).
  • Virginia Mason is not contracted, but will accept non-Virginia Mason PCP initiated, insurance approved referrals for specialty care. Unless emergency, patient should have authorized referral(s) in place PRIOR to scheduling.
  • No authorization by Coordinated Care, services will not be reimbursed.
  • Notification of hospital admission should be provide to Coordinated Care within 24 hours of the admission, or the next business day if weekend or holiday.
  • Not accepting for psychiatry.
Note for established patients on the Coordinated Care Foster Care program:
  • Even though non-contracted for this program, Coordinated has been allowing these established patients to continue with their Virginia Mason pediatrician at this time. This can change at Coordinated’s discretion however.
Ambetter (HMO Exchange Program)
Accepted Insurance Plans
  • Bronze
  • Silver
  • Gold
Can I select a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

Yes

General Comments
  • May not select a Virginia Mason primary care provider (PCP).
  • Virginia Mason is not contracted, but will accept approved referrals for specialty care. Unless emergency, patient should have authorized referral(s) in place prior to scheduling.
  • Unless emergency, specialty referrals and hospital admissions MUST be authorized by Ambetter.
  • If no authorization by Ambetter, services will not be reimbursed.

 

Insurance Definitions