Changes to Premera’s Heritage Prime Network affects WEA Select Health Plans
On Nov. 1, 2016, the WEA Select EasyChoice Plan B will change from the Premera Heritage network to the Heritage Prime network. Heritage Prime includes major medical facilities and providers across Washington that work closely with Premera to manage healthcare costs and quality.
To help ensure Heritage Prime continues to offer the best combination of choice and value, there will be a change
starting in the New Year. This will affect WEA Select EasyChoice B and Basic Plans.
Some doctors, hospitals, and clinics in the Swedish, Providence, and CHI Franciscan Health systems will no longer be innetwork for Heritage Prime as of January 1, 2017. Some will remain in-network in areas where there are few or no other options to get medical care. (Please see the list on the back page.)
With Heritage Prime, Premera strives to keep health plans affordable while giving access to quality care
High-quality Care — The medical professionals in Heritage Prime share Premera’s commitment to the highest levels of quality, safety, and enrollee experience.
Cost-effective Care — The doctors and hospitals in Heritage Prime have contracts with Premera to keep the total cost of care as low as possible.
Choice — Some of the major medical systems in Heritage Prime include:
- • EvergreenHealth Medical Center
- • The Everett Clinic
- • Overlake Hospital Medical Center
- • UW Medicine
- • Deaconess Hospital (Rockwood
Health System)
• MultiCare Health System
- • Northwest Physicians Network
- • Virginia Mason
Remember, if you choose a doctor or hospital in the network, your out-of-pocket costs will be lower.
Tips
• Beginning January 1, 2017, if you choose to use a provider that will no longer be in Heritage Prime, you could pay higher costs.
• To avoid paying higher costs, use doctors and facilities in Heritage Prime. Use the “Find a Doctor” tool at
premera.com/wea.
• Call Premera’s WEA Select Customer Service at 800-932-9221 if you have questions about the changes to the
Heritage Prime network. We’re here to help.
For questions please call Premera’s WEA Select Customer Service at
800-932-9221.
Heritage Prime Network
Effective January 1, 2017
WesternWashington
In-Network
Seattle
Out-of-Network
Hospitals—Virginia Mason, Northwest, Seattle Children’s, University of Washington, Harborview, Seattle Cancer Care Alliance
Hospitals— Swedish Health Services (First Hill, Cherry Hill, Ballard, Mill Creek, Redmond), Pacific Medical Center
Practices—Polyclinic, Virginia Mason, Northwest Medical Clinics, Practices—Swedish Physicians, Providence Health Systems Children’s University Medical Group
Eastside
- Hospitals—Evergreen, Overlake
- Hospitals—Swedish Issaquah
- Practices—Swedish Physicians
- Practices—Evergreen Medical Group, Overlake Medical Clinic,
Children’s University Medical Group, Overlake Internal Medicine
Snohomish
Hospitals—Cascade, Valley General, Providence Regional Medical Hospitals—Pacific Medical Center Center–Everett (Colby & Pacific), Swedish Edmonds
Practices—The Everett Clinic, Western Washington Medical Group, Cascade Valley Physicians, Edmonds Family Medicine
Practices—Swedish Physicians
South Puget Sound, Pierce and Kitsap Counties
Hospitals—Valley Medical (Renton), MultiCare (Auburn), Harrison Hospitals—Highline Medical Center, St. Francis Hospital, Pacific Medical Center (Bremerton) Medical Center
Practices—Valley Medical Center, MultiCare Professional Groups, Practices—Franciscans Health System Providers and Medical
- Harrison Medical Center, The Doctors Clinic
- Groups
Olympia area
Hospitals—Capital, Providence St. Peter Hospital, Providence Hospital (Centralia)
Hospitals—No change
- Practices—Capital Physicians
- Practices—Providence Medical Groups
CentralWashington
Yakima
Hospitals—Yakima Valley Memorial Hospital, Yakima Regional Medical & Cardiac Center
Hospitals—No change
- Practices—No change
- Practices—Yakima Memorial Physicians
Tri-Cities /WallaWalla
Hospitals—Kennewick General Hospital, Providence St. Mary Medical Center, Walla Walla General
Hospitals—No change
Practices—Kennewick General Hospital Physician Clinics, TriCity Orthopedic, Walla Walla Medical Group
Practices—Kadlec Clinic LLC, Our Lady of Lourdes Medical Clinics, Columbia Basin Oncology & Hematology, Providence SE Washington (Providence Medical Group – Walla Walla)
EasternWashington
Spokane area
Hospitals—CHS (Deaconess and Valley Hospital), Providence St. Joseph’s Hospital (Stevens County), Providence Mt. Carmel Hospital (Ferry County)
Hospitals—Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Kootenai Medical Center
Practices—Rockwood Clinic, Cancer Care Northwest, Pediatrix, Columbia Medical Associates, Spokane Digestive Disease
Practices—Providence Health & Services PMG (Providence Medical Groups) includes Stevens County and Ferry County providers
This is not an exhaustive list of all practices and hospitals participating in the Heritage Prime Network throughout Washington. This
information is subject to change. For additional hospital and practice information please call Premera’s WEA Select Customer Service at 800-932-9221.
Premera Blue Cross is an independent licensee of the Blue Cross Blue Shield Association
037319 (07-2016)
