Medicare Advantage

Information regarding accepted Medicare Advantage (Medicare Advantage programs can be HMO, POS or PPO) insurance plans.

Insurance Definitions

* Medicare Advantage (Medicare Advantage programs can be HMO, POS or PPO)

Can I choose or visit a Virginia Mason primary care provider (PCP) under this insurance plan?

If I need to see a specialist or have a specialty service, does this insurance plan require pre-approved referral authorization?

(Applicable to Urgent Care Locations as Well)

General Comments

* Please review comments if an asterisk is present.

PPO

  • Columbia Community Care
  • Moda Health (formerly ODS)
  • MVP Care
  • New West Medicare
  • Sierra Health and Life Insurance Company (Sierra Optima Choice)
  • Today’s Option PPO and PFFS (by Pyramid)
  • WellCare (Concert, Serenade, Sonata, Melody)

* Yes

No

  • * Virginia Mason is not contracted, but will accept for established primary care patients.
  • * If patient is non-established in primary care - accepting for specialty care referrals only.
  • May be considered as out-of-network if receiving non-emergent care within Virginia Mason.

HMO

  • Amerigroup Amerivantage Classic (HMO)
  • Amerigroup Amerivantage Classic (HMO SNP)
  • Highline Medical Services Organization (HMSO)
  • Molina Medicare Options
  • WindsorSterling Medicare Extra (HMO and SNP)

No

Yes

 

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