Coordinated Care Corporation (Centene)

Information regarding accepted Coordinated Care Corporation (Centene) insurance plans.

Contact your health insurance plan for information on covered services before your appointment.

Coordinated Care Corporation (Centene) Insurance Plans

Healthy Options (HMO)
Can I select a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

Yes

General Comments
  • May not select a Virginia Mason primary care provider (PCP).
  • Virginia Mason is NOT contracted, but will accept Coordinated APPROVED referrals for specialty care.  Unless emergency, patient will need to have an authorized referral(s) in place PRIOR to scheduling.
  • Note: COORDINATED may advise they do not require their approval for consultations, however since VM is non-contracted with this program it is our policy to require Coordinated approved referrals for all services, including consultations.
  • Not accepting for psychiatry.
Ambetter (HMO Exchange Program)
Accepted Insurance Plans
  • Bronze
  • Silver
  • Gold
Can I select a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

Yes

General Comments
  • May not select a Virginia Mason primary care provider (PCP).
  • Virginia Mason is not contracted, but will accept approved referrals for specialty care. Unless emergency, patient should have authorized referral(s) in place prior to scheduling.
  • Unless emergency, specialty referrals and hospital admissions MUST be authorized by Ambetter.
  • If no authorization by Ambetter, services will not be reimbursed.

 

Insurance Definitions