Kaiser Permanente/Group Health

Kaiser Permanente/Group Health offers a number of health insurance plans that allow members to continue to receive their care at Virginia Mason.

If you have questions or need assistance, please contact us at (206) 223-6601 or (800) 553-7803.

Information regarding accepted Kaiser Permanente/Group Health Cooperative insurance plans.

Kaiser Permanente/Group Health Cooperative Plan Names

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.

Alliance (HMO)

Yes

* Yes

  •  * May select a Virginia Mason or Group Health primary care provider (PCP).
  • Insurance approved specialty care referral is not required if patient has a Virginia Mason PCP and is receiving care within Virginia Mason.
  • Insurance approved specialty care referral IS required if patient has a Group Health PCP and is receiving care within Virginia Mason.

Options POS

* Yes

No

* Patient may incur higher out-of-pocket expenses if they have a Group Health PCP and have elected to self-refer to Virginia Mason.

Options PPO

* Yes

No

* Virginia Mason is available through our First Choice Health Network.

Group Health Access PPO

* Yes

No

* Virginia Mason is available through our First Choice Health Network.

Group Health Core

No

Yes

* Viriginia Mason is non-contracted, but will accept approved referrals for specialty care. 

Note:

  • Even though referrals for specialty care are accepted by Virginia Mason, Group Health will NOT approve a referral to Virginia Mason unless the services are NOT available within the Group Health preferred provider network.
  • Unless emergency, appointments for specialty care may not be scheduled prior to Group Health approving the referral.
     

Group Health Elect PPO

* Yes

No

* Virginia Mason is available through our First Choice Health Network. 

Group Health Omni PPO

* Yes

No

* Virginia Mason is available through our First Choice Health Network. 

* Kaiser Permanente

No

Yes

* Kaiser is via their reciprocity agreement with Group Health.

PEBB Classic and Value Plan

No

Yes

 

Clear Care Medicare (HMO), Vital, Essential, Optimal, Basic, Harbor, Haven, and Columbia

No

* Yes

 * For all services unless a medical emergency.

Clear Care Medicare (PPO), Prestige

No

No

 

Insurance Definitions

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