Premera Blue Cross
Information regarding accepted Premera Blue Cross insurance plans. Click on a plan to learn more.
Contact your health insurance plan for information on covered services before your appointment.
Premera Blue Cross Insurance Plans
Yes
No
The assigned alpha prefix identifies whether the services are billed under BC/BS.
Yes*
No*
* Including Heritage Networks and Lifewise
Yes*
Yes*
* If patient does not have a Virginia Mason PCP, an approved referral is required for specialty care.
Yes
No
This is a Medigap plan, not the BC/BS Medicare Advantage program. Always secondary to Medicare.
Yes*
* If patient did not select the Virginia Mason PersonalCare Partner System and choose a Virginia Mason, Polyclinic or Edmonds Family Medicine PCP and receives care within Virginia Mason without a referral waiver from their selected PersonalCare Partner System, the patient will be considered as out-of-network and services will not be covered. Patient would have full financial responsibility for serviced denied as out-of-network.
- Virginia Mason
- Polyclinic
Yes
No*
* Patients covered under this program must receive services from primary care providers through Virginia Mason or Polyclinic (if after Jan.1, 2018), and specialty providers through participating organizations, unless services are for an emergency. Approved referrals are not required for care received within the network.
If a patient covered under this plan is in need of a service that is not available through participating organizations, they may also be referred to the Premera Heritage Signature network of providers.
- Northwest Physicians Network (NPN) — their ACO network
No
No*
Virginia Mason is a participant in the NPN ACO network. As Virginia Mason is considered in network for the NPN ACO, patients in the NPN ACO network via the Premera PersonalCare Partner program are not required to have insurance approved referrals.
- Bronze
- Silver
- Gold
Yes
No
Heritage Premier will be on the ID card.
Yes
No
Yes*
No
