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List of Accepted Insurance Plans
We participate with the following healthcare plans. Please note this list does not guarantee coverage, and plans covered are subject to change. Eligibility and coverage may vary by plan and by service. Always check with your insurance company before scheduling an appointment.
Plans we accept
AETNA
As of December 2, 2022, we only accept Aetna commercial plans for established patients only. Due to contract adjustments, we are not able to accept Aetna Commercial Plans for new patients. This do not affect Aetna Medicare Advantage.
- Aetna Choice POS II
- Aetna Medicare Advantage (HMO and PPO)
- Aetna Select
- Aetna Signature Administrators® joint claims administration
- Elect Choice
- Managed Choice POS
- National Advantage
- Open Access Student MC
- Passport to Healthcare®
- Preferred (PPO)
- QPOS
CIGNA
- Open Access Plus (OAP)
- Preferred (PPO)
HUMANA
- Humana Medicare Advantage (HMO and PPO)
KAISER PERMANENTE
Kaiser Permanente Access PPO
MEDICAID
- United Health Community Plan – established and new OB patients only
MEDICARE
- Original Medicare
- Medicare Part B Supplemental Plans A – N and those provided by employer retirement plans
MEDICARE ADVANTAGE
Accepting new patients with the following Medicare Advantage plans:
- Aetna Medicare Advantage (HMO and PPO)
- Humana Medicare Advantage (HMO and PPO)
- Premera Medicare Advantage (HMO)
- Regence Medicare Advantage (PPO)
- UnitedHealthcare Medicare Advantage (Medicare Complete HMO)
- UnitedHealthcare Medicare Advantage PPO
PREMERA
- Global
- Heritage
- Heritage and Dental Choice
- Heritage Prime
- Heritage Signature
- Heritage Signature and Dental Choice
- Individual Signature
- LifeWise Assurance Co.
- LifeWise Health Plan of Washington Preferred
- LifeWise Primary
- Premera Medicare Advantage (HMO)
Please contact Premera to verify your coverage if your insurance plan is not listed above.
REGENCE
- Participating (PAR)
- Preferred (PPO)
- Real Value Network
- Regence Medicare Advantage (HMP and PPO)
- SelectMed
- Uniform Medical Plan (UMP)
- WA Individual and Family
Please contact Regence to verify your coverage if your insurance plan is not listed above.
SCHOOL EMPLOYEES BENEFITS BOARD (SEBB)
- Kaiser Permanente WA Options, Inc.
- Access PPO
- Premera
- Premera High PPO
- Premera Standard PPO
- Uniform Medical Plan (UMP), administered by Regence BlueShield
- UMP Achieve 1
- UMP Achieve 2
- UMP High Deductible
- UMP Plus – Puget Sound High Value Network
UNITEDHEALTHCARE - Established patients only
As of March 1, 2022, we only accept UnitedHealthcare commercial plans for established patients only.
Due to contract adjustments, we are not able to accept UnitedHealthcare Commercial Plans for new patients. This do not affect UHC Medicare Advantage or D-SNP plans.
Commercial Plans below:
- Choice EPO
- Choice HMO
- Choice Plus POS
- Nexus ACO
- Preferred (PPO)
- Select EPO
- Select HMO/Select Plus
- Select Plus POS
- UHC Charter EPO
- UHC Charter HMO
- UHC Charter POS
- UHC Core Choice Plus POS
- UHC Core EPO
- UHC Core HMO
UNITEDHEALTHCARE MEDICARE ADVANTAGE
UnitedHealthcare Medicare Advantage (HMO)
Other Insurance Information
L&I and Worker’s Comp
Effective January 1, 2018, Sound Family Medicine will no longer be contracted with the Department of Labor & Industries.
Sound Family Medicine will no longer be able to care for any workplace injuries for L&I or a self-insured employer. Please note, this does not apply to our Physiatry Specialty, as Dr. Judish has extensive experience caring for work-related injuries.
We understand that the relationship you have with your provider is important. You can continue care with your primary care provider for other health concerns not relating to your L&I case. For L&I, we will refer you to one of the following organizations:
Concentra Urgent Care (formerly Puyallup US HealthWorks) (253) 840-1840
Archie Adams, MD at MultiCare Occupational Medicine (888) 280-5513
MultiCare Referral Line (800) 342-9919
Motor Vehicle Accidents
We accept motor vehicle accident claims for existing patients only.
If you have Personal Injury Protection (PIP) coverage and your account with Sound Family Medicine is in good standing, your auto insurance carrier will be billed for your visit.
If your insurance policy doesn’t have PIP coverage, we are unable to bill your health insurance until we can verify that you have set up subrogation with them for any medical care provided as a result of a motor vehicle accident.
If the other driver is at fault, Sound Family Medicine does not bill auto insurance claims to third parties (other driver’s MVA insurance).
Payment for these visits is due at the time of service or we can bill to your commercial medical insurance if we can verify you have set up subrogation (the assumption by a third party, an insurance company, of another’s legal right to collect a debt or damages).
Washington School Districts
The School Employees Benefits Board (SEBB) Program will administer health insurance and other benefits for eligible school employees and their dependents, coverage beginning January 1, 2020.
Sound Family Medicine is in the network of the following plans:
- Uniform Medical Plan (UMP), administered by Regence BlueShield
- UMP Achieve 1
- UMP Achieve 2
- UMP High Deductible
- UMP Plus – Puget Sound High Value Network
- Kaiser Permanente WA Options, Inc.
- Access PPO
- Premera
- Premera High PPO
- Premera Standard PPO