Forms | Insurance | Billing | Payment
Know Whether We're Contracted and In-Network Before You Visit
This page describes our major insurance carriers. Please remember that your insurance is your tool for helping to make payments for medical services and is ultimately your responsibility. When you are seeing a new doctor, please always call the customer service phone number on the back of your insurance card or visit your insurance carrier's provider directory online to understand whether the doctor is in your network. Although we are contracted where described here, we are not necessarily in every network with that insurance carrier, so it's very important to check.
Premera Blue Cross of Washington
We are in the following networks:
Premera PersonalCare Systems Warning: We are >>NOT<< in any of the following Premera PersonalCare Partner Systems (Accountable Health Systems) Please look at the upper-right area on the front of your Premera insurance card. If you see a heading that says, "PersonalCare Partner System," then look at the Accountable Health System mentioned immediately below. We are NOT a part of any of these AHS's.
Premera may tell you that it is possible for you to go out-of-network with a referral, and that might be true, but these AHS's are really cracking down internally on referring outside when they have their own dermatologists in the network. Please don't try to use this insurance at our office! You will be held responsible for your bill if there are any problems with the claims. You would be better off just seeing a dermatologist in your network or continuing with us as a self-pay patient. We are seeking to join EvergreenHealth Partners, but we do not yet have a timeframe. View the Premera Provider Directory listings for: Susan H Kim MD , Campbell L Stewart MD , or Janie M Leonhardt MD . |
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Regence BlueShield (select counties of Washington)
We are in the following networks:
Warning: We are NOT in any of these narrow networks! Your insurance will not work at our office for the following networks:
Patients are buying these narrow or limited network plans on the WA HealthPlanFinder web site and in many cases are totally unaware of what they are buying! And Regence does not send any remittance response when we send them a claim, so it may take months and months before we even realize you have seen us with insurance that won't pay anything at our office. Further, you will not get the benefit of the Regence negotiated rates for these claims; you will owe the entire charge balance. View the Regence Provider Directory listing for: Lake Washington Dermatology . |
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Medicare
Part B (Original Medicare)
Caution: We do NOT take Railroad Medicare , due to the small patient population, its separate credentialing process, and the fact that provider credentialing expires automatically if no patients are seen for 18 months . View the M edicare Provider Directory listings for: Susan H Kim MD , Campbell L Stewart MD , or Janie M Leonhardt MD . |
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UnitedHealthcare
Caution: We do NOT take UnitedHealthcare Community Plan . This is a Medicaid-based plan. Even if UnitedHealthcare says we do, we don't. View the UnitedHealthcare Provider Directory listings, then select the specific network on your insurance card to see if our providers participate . You cannot view a list of networks from a single provider profile page. |
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First Choice Health
PPO Network
View the First Choice Provider Directory listings. This directory does not allow linking to individual provider profile pages. |
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Aetna
View the A etna Provider Directory listings for: Susan H Kim MD , Campbell L Stewart MD , or Janie M Leonhardt MD . View the Coventry Provider Directory listings. This directory does not allow linking to individual provider profile pages. |
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Cigna
View the Cigna Provider Directory listings, then select the specific network on your insurance card to see if our providers participate . You cannot view a list of networks from a single provider profile page. |
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Kaiser Permanente of Washington (formerly Group Health)
We are in-network for the following Kaiser Permanente plans:
We are *not* part of the HMO and do not take the following plans:
View the Kaiser Permanente Provider Directory listings. |
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MultiPlan
View the MultiPlan Provider Directory listings. |
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Soundpath Health
View the Soundpath Health Provider Directory listings. All of our providers have been contracted with Soundpath Health since December 2015. |
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We are *not* contracted with
Humana
Medicare Plans: Humana Medicare PFFS and Humana Medicare Supplement plans do not require contracts and these patients can see us with full benefits. Humana Medicare PPO patients will have their claims processed as out-of-network and typically will not be denied but will be processed according to the plan's out-of-network benefits. For example, a typical Humana Medicare PPO plan might have a $500 out-of-network deductible and then 40% patient coinsurance after the deductible is met. With this sort of plan you certainly can see us if you accept and acknowledge that you realize you are not receiving your full insurance benefits at our practice. However, please don't attempt to see our providers if you have a Humana Medicare HMO plan. We have never had a successful referral, and patients end up paying 100% of provider charges. |
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We do *not* take Washington Apple Health (Medicaid)
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