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Community Health Plans of Washington

Information regarding accepted Community Health Plans of Washington (CHPW) insurance plans. Click on a plan below to learn more.

Contact your health insurance plan for information on covered services before your appointment.

Community Health Plans of Washington Insurance Plans

  • Community HealthFirst Medicare Advantage HMO

    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

  • Healthy Options (HMO)

    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

    • May not select a Virginia Mason primary care provider (PCP)
    • * Virginia Mason is not contracted, but will accept CHPW APPROVED referrals for specialty care. Unless emergency, patient will need to have authorized referral(s) in place PRIOR to scheduling.
    • Note: CHPW may advise they do not require their approval for consultations, however since VM is non-contracted with this program it is our policy to require CHPW approved referrals for all services, including consultations.
    • Not accepting for psychiatry.
  • HealthEssentials PPO (Exchange Program)

    Accepted Insurance Plans

    • Bronze
    • Silver
    • Gold

    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

    * HealthEssentials comes to Virginia Mason via First Choice Health Network.