Insurances & Coverage

Overlake Medical Center & Clinics contracts with a number of health plans and insurance carriers for its employed providers and services. Contact your insurer directly to confirm your coverage, deductibles, co-pays and more.

Accepted Insurance Plans

Overlake Hospital Medical Center and Overlake Medical Clinics contract with commercial plans, Medicare FFS & Medicare Advantage plans, Apple Health plans and government plans. To review our contracted payer plans for 2021, please click here.

For additional commercial insurance enrollment questions, please contact Overlake financial counselors at (425) 688-5115, or send us an email.

Notice to Kaiser Permanente Patients

Effective September 16, 2021, Kaiser Permanente will change its agreement with Pediatrix Medical Group (Mednax Services, Inc.), the physician group that provides neonatology and pediatric intensivist hospital-based services at Overlake’s Neonatal Intensive Care Unit. This means Pediatrix will be out of network for Kaiser patients, and neonatology and pediatric intensivist hospital-based services will be billed at out-of-network rates.

However, Washington state’s Balance Billing Protection Act prevents patients from getting a surprise medical bill when they receive emergency care from any hospital or if they have a scheduled procedure at an in-network facility and receive care from an out-of-network provider. Please read the Standard Consumer Notice of Surprise Billing Rights for details.

If you have any questions, please call the phone number on your Kaiser Permanente membership card. For questions about billing, please contact Pediatrix at (206) 526-2600 or visit mednax.com.

Eastside Health Network

Eastside Health Network is a physician-led, formalized business entity between independent physicians and employed physicians from EvergreenHealth and Overlake Medical Center & Clinics. The network develops and implements evidence-based, data driven clinical initiatives to improve outcomes, increase efficiency and reduce costs in the inpatient and outpatient setting. By sharing data and representing a broad cross-section of the community, EHN negotiates value-based payor contracts as a network in order to align payments and incentives with the performance and quality of the care delivered. Find a provider or learn more at eastsidehealthnetwork.com.

How to Get Health Coverage

The Affordable Care Act has provided more opportunities for health insurance coverage through the Washington Health Benefit Exchange. Depending on your income, you may be able to get health coverage for you and your whole family at no cost or low cost. For most people, enrolling is a very simple, very fast process to receive coverage.

You can sign up for health insurance online at wahealthplanfinder.org or call the Washington State Health Benefit Exchange at (855) 923-4633, TTY/TTD (855) 627-9604.

2-1-1 Community Resources

To access links to a variety of health and human services resources available to King County residents, click here.