Kaiser Permanente/Group Health

Information regarding accepted Kaiser Permanente/Group Health Cooperative insurance plans. Click on a plan below to learn more.

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

Kaiser Permanente/Group Health Insurance Plans

Alliance (HMO)
Can I see a Virginia Mason primary care provider with this insurance plan?

Yes

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

Yes*

General Comments
  • * 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.
Accepted Insurance Plans
  • Vital
  • Essential
  • Optimal
  • Basic
  • Harbor
  • Haven
  • Columbia
Can I see a Virginia Mason primary care provider with this insurance plan?

No

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

Yes*

General Comments

* For all services unless a medical emergency.

Accepted Insurance Plans
  • Prestige
Can I see a Virginia Mason primary care provider with this insurance plan?

No

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

No

Can I see a Virginia Mason primary care provider with this insurance plan?

No

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

Yes

General Comments

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

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.

Can I see a Virginia Mason primary care provider with this insurance plan?

Yes*

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

No

General Comments

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

Can I see a Virginia Mason primary care provider with this insurance plan?

Yes*

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

No

General Comments

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

Can I see a Virginia Mason primary care provider with this insurance plan?

No

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

Yes

General Comments

Kaiser is via their reciprocity agreement with Group Health.

Can I see a Virginia Mason primary care provider with this insurance plan?

Yes*

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

No

General Comments

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

Can I see a Virginia Mason primary care provider with this insurance plan?

Yes*

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

No

General Comments

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

Can I see a Virginia Mason primary care provider with this insurance plan?

No

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

Yes

 

Insurance Definitions