Emergency Room Provider Directory

[Pages:6]Emergency Room Provider Directory

LifeWise Assurance Company Member Plans

Last updated December 1, 2021 To make sure your benefits cover ER services at the highest level, use the following list to see if the ER physicians group serving our participating hospitals is in-network.

The cost to you for receiving ER services from an out-of-network ER physicians group may be higher even when received at an in-network hospital.

LifeWise Assurance Co Network

City

Olympia Leavenworth Arlington Wenatchee Ephrata Astoria Grand Coulee Dayton Ritzville Kirkland Monroe Republic Forks Pomeroy Aberdeen Moscow Seattle Bremerton Anacortes Port Townsend

State

WA WA WA WA WA OR WA WA WA WA WA WA WA WA WA ID WA WA WA WA

In-Network Hospital

Capital Medical Center Cascade Medical Center Cascade Valley Hospital Central Washington Hospital Columbia Basin Hospital Columbia Memorial Hospital Coulee Medical Center Dayton General Hospital East Adams Rural Hospital EvergreenHealth Medical Center EvergreenHealth Monroe Ferry County Memorial Hospital Forks Community Hospital Garfield County Memorial Hospital Grays Harbor Community Hospital Gritman Medical Center Harborview Medical Center Harrison Medical Center Island Hospital Jefferson Healthcare Hospital

ER Physician Group Servicing the Hospital

Thurston Emergency Group Cascade Medical Center Northwest Emergency Physicians Central Washington Hospital Envision Physicians Services Oregon Health & Science University (OHSU) Coulee Medical Center Dayton General Hospital East Adams Rural Hospital Evergreen Emergency Services North Sound Emergency Medicine Ferry County Memorial Hospital Forks Community Hospital Garfield County Memorial Hospital Northwest Emergency Physicians Gritman Medical Center Emergency Department at Harborview West Sound Emergency Physicians Northwest Emergency Physicians Jefferson Healthcare Hospital

ER Physician Group Network Status

In-Network In-Network In-Network In-Network Out-of-Network Out-of-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

LifeWise Health Plan of Washington

039155 (12-01-2021)

1

Emergency Room Provider Directory

LifeWise Assurance Company Member Plans

Last updated December 1, 2021

City

Walla Walla Richland Kennewick Ellensburg Goldendale Coeur D'Alene Chelan Vancouver Davenport Pasco Tacoma Shelton Omak Morton Tacoma Auburn Covington Spokane

Spokane

Puyallup Parkland Tacoma Spokane Newport Tonasket

State

WA WA WA WA WA ID WA WA WA WA WA WA WA WA WA WA WA WA

WA

WA WA WA WA WA WA

In-Network Hospital

Jonathan M Wainwright Memorial VA Medical Center Kadlec Regional Medical Center Kadlec (Free-Standing) Emergency Room in Kennewick Kittitas Valley Community Hospital Klickitat Valley Hospital Kootenai Health Lake Chelan Community Hospital Legacy Salmon Creek Lincoln Hospital Lourdes Medical Center Mary Bridge Children's Hospital and Health Center Mason General Hospital Mid Valley Hospital Morton General Hospital MultiCare Allenmore Hospital MultiCare Auburn Medical Center MultiCare Covington Medical Center MultiCare Deaconess Hospital MultiCare Deaconess North (Free-Standing) Emergency Center MultiCare Good Samaritan Hospital MultiCare Good Samaritan (Free-Standing) Emergency MultiCare Tacoma General Hospital MultiCare Valley Hospital Newport Community Hospital North Valley Hospital

LifeWise Health Plan of Washington 039155 (12-01-2021)

ER Physician Group Servicing the Hospital

ER services are not offered at this facility. Northwest Emergency Physicians Northwest Emergency Physicians Kittitas Valley Community Hospital Klickitat Valley Hospital Kootenai Health Lake Chelan Community Hospital Northwest Acute Care Specialists Lincoln Hospital Lourdes Medical Center Mary Bridge Emergency Department Mason General Hospital Mid Valley Hospital Morton General Hospital Tacoma Emergency Care Physician Cascade Emergency Physicians Tacoma Emergency Care Physician Spokane Emergency Care Physicians

Spokane Emergency Care Physicians

Mt Rainier Emergency Physicians Western Washington Emergency Physicians Tacoma Emergency Care Physician Spokane Emergency Care Physicians Newport Community Hospital North Valley Hospital

ER Physician Group Network Status

In-Network In-Network In-Network In-Network In-Network In-Network Out-of-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network

In-Network In-Network In-Network In-Network In-Network In-Network

2

Emergency Room Provider Directory

LifeWise Assurance Company Member Plans

Last updated December 1, 2021

City

Ilwaco Odessa Port Angeles Othello Bellevue Friday Harbor Vancouver Bellingham

State

WA WA WA WA WA WA WA WA

In-Network Hospital

Ocean Beach Hospital Odessa Memorial Healthcare Center Olympic Medical Center Othello Community Hospital Overlake Hospital Medical Center PeaceHealth Peace Island Medical Center PeaceHealth Southwest Medical Center PeaceHealth St. Joseph Medical Center

Sedro Woolley

WA PeaceHealth United General Hospital

Prosser

WA

Centralia

WA

Spokane

WA

Colville

WA

Everett

WA

Spokane

WA

Chewelah

WA

Walla Walla

WA

Olympia

WA

Pullman

WA

Quincy

WA

Moses Lake

WA

Seattle

WA

Seattle

WA

Toppenish

WA

LifeWise Health Plan of Washington 039155 (12-01-2021)

Prosser Memorial Hospital Providence Centralia Hospital Providence Holy Family Hospital Providence Mount Carmel Hospital Providence Regional Medical Center Everett Colby Campus Providence Sacred Heart Medical Center and Children's Hospital Providence St. Joseph's Hospital Providence St. Mary Medical Center Providence St. Peter Hospital Pullman Regional Hospital Quincy Valley Hospital Samaritan Hospital Seattle Cancer Care Alliance Seattle Children's Hospital SHC Medical Center Toppenish

ER Physician Group Servicing the Hospital

Ocean Beach Hospital Odessa Memorial Healthcare Center Olympic Medical Center Othello Community Hospital Puget Sound Physicians PeaceHealth Peace Island Medical Center Emergency Medicine Associates Northwest Emergency Physicians Sound Physicians of Emergency Medicine of Washington Prosser Memorial Hospital Northwest Emergency Physicians Emergency Physician Services Providence Mount Carmel Hospital

North Sound Emergency Medicine

Spokane Emergency Physicians

Providence St. Joseph's Hospital Providence St. Mary Medical Center Olympia Emergency Service Pullman Regional Hospital Quincy Valley Hospital Samaritan Hospital ER services are not offered at this facility. Seattle Children's Hospital Olney Emergency Group

ER Physician Group Network Status

In-Network In-Network In-Network In-Network In-Network In-Network Out-of-Network In-Network

Out-of-Network

In-Network In-Network In-Network In-Network

In-Network

In-Network

In-Network In-Network In-Network In-Network In-Network In-Network

In-Network In-Network

3

Emergency Room Provider Directory

LifeWise Assurance Company Member Plans

Last updated December 1, 2021

City

Spokane Mount Vernon White Salmon Snoqualmie Spokane Burien Gig Harbor Lakewood Enumclaw Federal Way Longview Tacoma Silverdale Elma Sunnyside Edmonds Seattle Seattle Seattle Issaquah

Mill Creek

Redmond

Brewster Clarkston

State

WA WA WA WA WA WA WA WA WA WA WA WA WA WA WA WA WA WA WA WA

WA

WA

WA WA

In-Network Hospital

Shriners Hospital for Children Skagit Valley Hospital Skyline Hospital Snoqualmie Valley Hospital Spokane VA Medical Center St. Anne Hospital St. Anthony Hospital St. Clare Hospital St. Elizabeth Hospital St. Francis Community Hospital St. John Medical Center St. Joseph Medical Center St. Michael Medical Center Summit Pacific Medical Center Sunnyside Community Hospital Swedish Edmonds Swedish Medical Center Ballard Swedish Medical Center Cherry Hill Swedish Medical Center First Hill Swedish Medical Center Issaquah Swedish Mill Creek Campus (Free-standing Emergency Room) Swedish Redmond Campus (Free-standing Emergency Room) Three Rivers Hospital Tri-State Memorial Hospital

LifeWise Health Plan of Washington 039155 (12-01-2021)

ER Physician Group Servicing the Hospital

ER services are not offered at this facility. Northwest Emergency Physicians Skyline Hospital Snoqualmie Valley Hospital ER services are not offered at this facility. Highline Emergency Physicians Northwest Emergency Physicians Envision Physicians Services Northwest Emergency Physicians Northwest Emergency Physicians St. John's Emergency Physicians Northwest Emergency Physicians West Sound Emergency Physicians Summit Pacific Medical Center Sunnyside Emergency Group California Emergency Physicians Ballard Emergency Physicians Seattle Emergency Physicians Seattle Emergency Physicians Eastside Emergency Physicians

Eastside Emergency Physicians

ER Physician Group Network Status

In-Network In-Network In-Network

In-Network In-Network Out-of-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network

Eastside Emergency Physicians

Three Rivers Hospital Tri-State Memorial Hospital

In-Network

In-Network In-Network

4

Emergency Room Provider Directory

LifeWise Assurance Company Member Plans

Last updated December 1, 2021

City

Kennewick Seattle

Seattle

Tacoma

Seattle Renton Seattle Yakima Wenatchee Coupeville Colfax South Bend

State

WA WA

WA

WA

WA WA WA WA WA WA WA WA

In-Network Hospital

Trios Southridge Hospital University of Washington Medical Center ? Montlake Campus University of Washington Medical Center ? Northwest Campus VA Puget Sound Health Care Services - American Lake Division VA Puget Sound Health Care System - Seattle Valley Medical Center Virginia Mason Hospital and Medical Center Virginia Mason Memorial Hospital Wenatchee Valley Hospital WhidbeyHealth Medical Center Whitman Hospital and Medical Center Willapa Harbor Hospital

ER Physician Group Servicing the Hospital

Columbia Valley Emergency Physicians Emergency Department at UWMC

Emergency Department at UWMC

ER services are not offered at this facility.

ER services are not offered at this facility. Associated Emergency Physicians Virginia Mason Hospital and Medical Center Virginia Mason Memorial Hospital Wenatchee Valley Hospital WhidbeyHealth Medical Center Whitman Hospital and Medical Center Willapa Harbor Hospital

ER Physician Group Network Status

In-Network In-Network

In-Network

In-Network In-Network In-Network In-Network In-Network In-Network In-Network

Disclaimer: LifeWise makes reasonable efforts to validate that the list of providers displayed is up to date and accurate. If possible, please verify with the hospital or the physician that they continue to be a member of the network. A provider listing in the locator website is not an indication that the provider's services are eligible for benefits. Please consult your summary plan description, contact customer service at 800-971-1491, or have the provider submit a benefit advisory to determine available benefits.

Important note: Providers in our network may have more than one medical group affiliation, so a provider's network participation can vary depending upon where he/she is providing services. Be sure to confirm the provider's network participation at the location you plan to visit. Also note, not all members have out-of-area coverage. Please call customer service or check your benefit summary plan to verify.

Balance Billing Protection Act: The Washington state legislature passed the Balance Billing Protection Act in 2019 which prohibits balance billing for emergency services provided by noncontracted providers in Washington, Oregon, and Idaho. This act also prohibits balance billing for covered surgical or ancillary services provided by a non-contracted provider in an in-network facility in Washington. The act is effective January 1, 2020 and applies to Premera members covered under fully-insured plans and self-funded plans that choose to participate.

LifeWise Health Plan of Washington

039155 (12-01-2021)

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