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 Health Plan of Washington (formerly Group Health Cooperative) Insurance Plans

Alliance (HMO) — May select a Virginia Mason or Kaiser Permanente PCP
Can I select a Virginia Mason primary care provider with this insurance plan?

Yes

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

Yes*

General Comments
  • * 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 Kaiser Permanente PCP and is receiving care within Virginia Mason.
Can I select 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 Kaiser Permanente PCP and have elected to self-refer to Virginia Mason.

Can I select 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 Kaiser Permanente PCP and have elected to self-refer to Virginia Mason.

Can I select 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 select 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 select 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 select 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 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

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.

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

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

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

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

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

* For all services unless a medical emergency.

 

Insurance Definitions