Insurance & Billing Policies

For any procedure done at EvergreenHealth Surgery Center there will be two (2) separate charges to your insurance:

  1. The professional fee (the doctor’s services) will be billed by EvergreenHealth Professional Billing. If you have any questions, you can reach them by phone at 425.899.3292.
  2. The facility fee (for the surgery center) will be billed by EvergreenHealth Patient Financial Services. If you have any questions, you can reach them by at 425.899.1600.

Please note you may have a co-insurance for both.

Health Insurance

Our clinic participates in many but not all health plans. We will bill participating primary and secondary health plans, but please be aware that insurance coverage is not a guarantee of payment. We will contact your insurance to confirm coverage and benefits, but we cannot guarantee that your insurance will pay for our services. If your insurance does not pay, you will be responsible to pay your bill in a timely manner.

Patient Financial Responsibility after Insurance Payment

Most insurance companies require the patient to pay for a portion of their medical care. The nature and amount of your out-of-pocket expenses will be determined by your health plan when they process our claim. We do bill secondary insurance, so please inform us when scheduling if you have secondary insurance.

Self Pay

If you are paying for our services yourself, we ask that you contact our billing department to discuss payment for the procedure. PLEASE NOTE: there are 2 fees as noted above

3rd Party Claims

We do bill patients PIP insurance. We also require the patient’s private insurance information at time of scheduling in the case that the PIP exhausts.

Lawsuits and Settlements

Our Clinic does not place liens or accept guarantees of payment out of legal settlements. There are no exceptions to this policy under any circumstance. Patients are responsible to make timely payments on their accounts.

Delinquent Accounts

Payment of any amount for which you are responsible is due within 30 days of the date of our bill. Any balance over 30 days will be considered past due and will accrue finance charges. If any portion of the account reaches 90 days past due, the entire balance of the account will be assigned to a collection agency for recovery.

If you have any questions about your insurance coverage, please feel free contact our office at 425.899.1210. We are happy to answer your questions.

Participating Insurance Companies

  • Aetna
  • Cigna
  • Coordinated Care of Washington
    • Healthy Options
    • Basic Health Plans
  • First Choice Network
  • First Choice / CCN / Coventry
  • Healthcare Management
  • Humana
  • Labor & Industries, most private L&I plans
  • Lifewise
    • Washington plans 
    • Oregon plans
  • Medicare and most HMO Medicare plans
  • MultiPlan
  • PIP (Motor Vehicle Accident Claims- 1st party only)
  • Premera
  • Regence
    • Selections
    • PPO
    • Non-PPO
    • Boeing Plans
  • Uniform Medical
  • United Healthcare
    • Commercial plans
    • AARP Medicare (formerly Secure Horizons)
    • Former PacifiCare plans

Other plans may be accepted. Please call our office to confirm your plan is participating.

NOTE: Insurance pre-authorization is not a guarantee of payment. Each procedure is subject to your particular plan's individual provisions and exclusions.