Effective January 1, 2015, Premera’s expanded value-based networks will include Swedish hospital campuses located at First Hill,Cherry Hill, Ballard and Issaquah; ambulatory care centers in Redmond and Mill Creek; all Swedish health care practitioners; and all locations of Swedish Medical Group. Swedish Edmonds will remain in Premera’s value-based networks.
“We are giving our members more choice and flexibility when it comes to choosing a healthcare provider by expanding our collaboration with Swedish to all of their King County facilities,” said Rich Maturi, Premera’s senior vice president for Health Care Delivery Systems. “Swedish shares the commitment of other hospitals and doctors in our network to offer safe, high quality care and managing costs for our members. We are pleased to add them to our value-based networks in 2015.”
These network changes apply to Premera members in the individual market who have the Heritage Signature network as part of their health plan, as well as employer group members who have the Heritage Prime network as part of their health plan. Premera members with these networks will be able to seek medical care at Swedish facilities and with Swedish healthcare practitioners at an in-network benefit level starting next year. This expansion applies to health plans purchased directly through Premera and its affiliates or through the Washington Healthplanfinder.
“We are excited to add Premera’s individual and small group plans to the list of Washington Health Benefit Exchange plans featuring Swedish Health Services,” said Anthony Armada, FACHE, chief executive officer of Swedish Health Services. “This gives patients another option to access our high quality care.”
The Premera family of companies has the most members in the Washington Health Benefit Exchange and the state’s individual market and is committed to providing access to care for its members. In addition to Swedish, Premera members on individual metallic plans under the Affordable Care Act will continue to have access to other leading hospitals in King County, including Virginia Mason Hospital and Medical Center, Overlake Hospital Medical Center, Northwest Hospital and Evergreen Health. Employer group members who have the Heritage Prime network as part of their health plan will also have in-network access to all of these leading hospitals in King County.
Members with questions about how this change impacts them should call the customer service number on the back of their Premera ID card.