Resources

Insurance Plans

Currently Proliance Surgeons is contracted with the following insurance companies and Government Payors:

6 Degrees Health

AARP Medicare Complete

Aetna U.S. Healthcare

Aetna – Aexcel

Ambetter

Amerigroup (changing to Wellpoint 1/1/2024)

Apple Health (formerly DSHS)

Asuris

Asuris MedAdvantage

CIGNA

Clinically Integrated Network (Boeing, HCA, Premera, My Connected Care)

Community Health Plan of Washington (CHPW)

Coordinated Care

Crime Victims Compensation Program

Eastside Health Network

First Choice Health Network (PPO)

First Health Network

Highline Medical Services Organization (HMSO) (select locations only)

Humana (all) Medicare PPO, POS, PFFS and HMO Plans (including OCN, MCC and SMG)

Kaiser Options and Access PPO

Kaiser HMO (select locations only)

Kaiser Medicare (select locations only)

Labor and Industries

LifeWise (Premera)

Medicaid

Medicare

Moda Health (WA residents only)

Molina Exchange

Molina Medicaid

MultiCare Connect (Humana and Pacific Source)

MultiPlan / PHCS

Optum Care Network (OCN)

OWCP (Office of Workers Compensation U.S. Dept of Labor)

PacMed Clinics (US Family Health Plan)

Premera Heritage and Prime

Premera MedAdvantage

Premera UW

Private Healthcare System (PHCS)

Providence Health Plan/ Swedish

Railroad Medicare

Rainier Health Network

Regence (PPO, Selections, Boeing)

Regence Individual and Family

Regence MedAdvantage

Regence Uniform

Seoul Medical Group/Seattle Medical Group (SMG)

The Sound Plan

Tri-Care West (Heath Net Federal Services)

United Healthcare

United Healthcare MedAdvantage

UW ACO (Puget Sound High Value)

Wellpoint (formerly known as Amerigroup)

 Regence

Transparency in Coverage
This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.