Billing & Insurance
We’re committed to giving you excellent orthopedic care. Here’s what to know about paying for your care, the insurance plans we accept, and when you need a referral.
- Cards we acceptVisa, Mastercard, Discover and American Express
- No cashCash is not accepted at any Puget Sound Orthopaedics location
- Co-paysDue at the time of service
- Your responsibilityYou are responsible for the charges for your care, even when you have insurance
Questions about a bill? Call our billing department.
Insurance & Referrals
Many plans let you book an appointment without a referral from your primary care provider (PCP). Find your plan below.
NoNo referral neededYesReferral neededSome plansCheck your plan
| Insurance plan | PCP referral needed? |
|---|---|
| Aetna | No |
| Aetna Medicare Advantage | No |
| Ambetter | No |
| Apple Health Medicaid | No |
| Cigna | No |
| Coordinated Care | No |
| First Choice | No |
| Humana Medicare Advantage | Yes |
| Kaiser PPO | No |
| Labor & Industries / Workers’ Comp | No |
| Medicare | Some plans |
| Molina Apple Health | Yes |
| Molina Exchange | No |
| Premera | Some plans |
| Regence | Some plans |
| Tricare West | Yes |
| TriWest / VA | Yes |
| United Healthcare | Some plans |
| United Medicare Advantage | Some plans |
| Wellpoint Medicare Advantage | Some plans |
Not accepted: Kaiser Core, United Community Plan
Your plan says “Some plans”? Check your insurance card or call your insurer to see if you need a referral. You can also call us and we’ll help.
Insurance Authorizations
Special Testing Authorizations
Special testing includes MRI, CT/CAT scans, bone scans, DEXA scans, ultrasound, doppler studies, EMG, and joint and spine injections.
- Processing times vary depending on your insurance.
- Haven’t been contacted within the estimated time frame? Contact your scheduler.
Surgery Authorizations
We will get the surgery authorization from your insurance for you.
- This applies whether your surgery is at our outpatient facility, Puget Sound Surgery Center, or at the hospital.
- Processing times vary depending on your insurance.
Pay Your Bill Online
Pay online
Pay your Puget Sound Orthopaedics bill online
We’re affiliated with Proliance Surgeons, so our secure bill pay portal is on their website.
Questions about a bill? Call (206) 838-7782
Before you pay
Paying two bills? Make two payments.Puget Sound Orthopaedics and Puget Sound Surgery Center statements each have their own account number. Multiple account numbers can’t be paid in the same transaction.
Have your statement readyYou’ll need the account number printed on your statement.
No payments by phoneFor your security, we can’t take payments over the phone.
Financial Assistance
At Proliance Surgeons, we believe everyone should be able to get the care they need, regardless of their ability to pay. Our Financial Assistance Program helps patients who qualify receive care at no cost or a reduced cost.
Who can apply?
You may qualify if:
- Your care was medically necessary (not elective or cosmetic)
- You do not have insurance, or your insurance doesn’t fully cover the services you received
- Your household income falls within the Federal Poverty Guidelines listed below
How to apply
- Download the applicationDownload Application (PDF)
- Gather proof of incomeThis can include:
- Recent tax returns
- Pay stubs
- W-2s
- Unemployment, Social Security, or pension income statements
- Submit your completed formWe’ll review it and let you know within 15 business days whether you qualify and what discount you may receive.
Need help?
Not sure if you qualify, or need help with the application? Our billing team is here for you. We want you to focus on healing, not bills.
Household Size | Income Limit | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 person | Up to $63,840 | |||||||||||||||||
2 people | Up to $86,560 | |||||||||||||||||
3 people | Up to $109,280 | |||||||||||||||||
Add $22,720 for each additional person | ||||||||||||||||||
Puget Sound Surgery Center Billing
If you have surgery, you may get separate statements from these providers:
- Puget Sound Surgery Center
- Proliance Surgeons Inc.
- Puget Sound Orthopaedics
- Pacific Medical
- Anesthesiology
- Lab and/or pathology
These are separate bills, so check each statement for its account number and how to pay.
