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KV Healthcare

KV Healthcare

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Insurance plans accepted at KVH

We’ve got you covered!

Below is a list of all insurance providers and plans accepted by KVH. We recommend verifying that your specific plan covers the care you need at KVH before scheduling an appointment, as coverage details may change from time to time.

The differences in your benefits for care “in-network” and “out-of-network” can be significant. Your health plan benefits documents may describe what is covered when you receive “in-network” and “out-of-network” care.
Some plans only pay for “in-network” services.

In-network: When Kittitas Valley Healthcare is “in-network,” there is a contract with rates for services it provides to you and other members of your health plan.

Out-of-network: When Kittitas Valley Healthcare is “out-of-network” there is no contract in place. Some plans won’t pay for any “out-of-network” services or they will pay lower percentages of charges often leaving the patient with higher cost shares.  

Kittitas Valley Healthcare has contracts with many major health insurance carriers, however not every plan offered by an insurance carrier is contracted. Please contact your health insurance plan directly to confirm that Kittitas Valley Healthcare is “in-network”. Many insurance carriers have a “Find a doctor” tool on their website that will assist you in finding an “in-network” provider/facility.

It is your responsibility to provide Kittitas Valley Healthcare with your insurance coverage information, please bring your insurance and photo ID cards with you to your appointments.

KVH Contracted Insurance Plans

The list below for plans that are contracted with KVH. This list is not extensive, health plans may change their network at any time, please contact your insurance carrier to confirm your health plan is “in-network” with Kittitas Valley Healthcare.

Commercial

Aetna (Elect Choice, HMO, Managed Choice, National Advantage Program, Open Access, Open Choice, Passport, PPO, Select, QPOS, Aetna Signature Administrators)

Other insurance carriers within Aetna Network

  • Allied Benefits System
  • EBMS
  • GEHA ASA
  • Meritain Health
  • Moda Health (urgent/emergent care only)
  • Northwest Sheet Metal Workers
  • Pacific Source
  • Seattle Area Plumbing & Pipefitting
  • Sound Health & Wellness Trust
  • UFCW
  • Web TPA

Ambetter (Essential Care, Balanced Care, Secure Care, Clear Gold, Cascade) *we are not contracted with Cascade Select plans

Cigna (Washington Direct Network PPO-PPA & OAP)

Other insurance carriers within Cigna Network

  • Health Partners
  • NALC Health Benefit Plan

Community Health Plan of Washington (Cascade Care & Cascade Select)

First Choice Health/First Health (PPO)

Other insurance carriers within First Choice Health/First Health network:

  • American Trust Administrators, Inc.
  • HealthNow
  • Providence Health Plan
  • TPSC
  • Trans America Life Insurance Company
  • WFCA

Molina Marketplace

Multiplan/PHCS (PPO & Value Point)

Other insurance carriers within Multiplan/PHCS network:

  • CAS
  • Healthcomp
  • BAS
  • Health Plans, Inc.
  • Lucent Health

Premera Blue Cross (Cascade EPO, Global, Heritage, HMO, Individual Signature, PPO, Preferred EPO)

Other insurance carriers within Premera Blue Cross network:

  • Blue Cross Blue Shield
  • Operating Engineers
  • Premera Federal
  • Lifewise Health Plan of Washington (Essential, Individual Essential, Preferred, Primary, Cascade) *we are not contracted with Lifewise Alpine and Lifewise Cascade Select plans

Regence Blue Shield (Individual & Family, LifeMap Assurance, Option, Participating, Preferred)

Other insurance carriers within Regence network:

  • Asuris Northwest
  • Healthcare Management Administrators
  • Regence Group Administrators
  • Uniform Medical Plan (Classic, CDHP, Select)

United Healthcare (Charter, Choice, Core, Navigate, Options, Select, Signature Value)

Other insurance carriers within United Healthcare network:

  • UMR

Medicaid & Washington Apple Health

Washington State Medicaid

Coordinated Care

Community Health Plan of Washington

Molina Healthy Options

United Health Care Community Plan (this plan is not offered in Kittitas County, however UHC has confirmed that they will process claims for patients who seek care at KVH)

Wellpoint (formerly Amerigroup)

Medicare & Medicare Advantage

After hearing increasing concerns about Medicare Advantage plans, the Washington State Hospital Association (WHSA) developed an educational resource outlining the differences between Medicare plans. Learn more here.

KHV has found that traditional Medicare offers the widest and most stable network among Medicare options.

Medicare open enrollment period is October 15th, 2024 to December 7th, 2024 for coverage effective January 1st, 2025. For any questions, contact your health plan directly.

Medicare

Railroad Medicare

Aetna Medicare Advantage (group plans only)

AARP Medicare Advantage from UHC (PPO & HMO-POS)

CHPW Dual Complete & Dual Select (HMO-DSNP)

HumanaChoice (PPO)

Humana Dual Select (HMO-DSNP)

Humana Gold Plus (HMO-DSNP)

Humana USAA Honor (PPO)

Molina Medicare Complete Care & Complete Care Select (HMO D-SNP)

Regence Medicare Advantage (PPO group plan only)

UHC Medicare Advantage (group plans only)

UHC Dual Complete (PPO DSNP & HMO-DSNP & HMO-POS-DSNP)

We are not contracted with the following Medicare Advantage plans: Allwell, Asuris TruAdvantage, Kaiser Medicare Advantage, Premera Medicare Advantage, Regence Medicare Advantage HMO, Wellcare (this list is not exhaustive).

Government Payers

Tricare

Washington Department of Labor and Industries

Veteran’s Administration/TriWest


Please Note: Kittitas Valley Healthcare does not accept discount cards, cost sharing, medi share, health share, or shared ministry program plans. Patients who are enrolled in these plans will be registered as self-pay as these are not insurance plans.

If you need to obtain a copy of an itemized bill to submit to your plan for reimbursement please contact the Billing department at 509.933.8657. Medical records requests should be directed to the Health Information Management department at 509.962.7307.

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