Seattle Cancer Care Alliance (SCCA) supports the goals of the Affordable Care Act (ACA) to improve insurance coverage for those who have insurance, to extend affordable coverage to the uninsured, and to improve health care quality and patient safety. In this State, thousands of individuals who do not have health insurance will be able to obtain it through the Washington Health Benefit Exchange. And for most cancer patients, the ACA eliminates the challenge of lifetime maximums, ensures coverage for pre-existing conditions, and improves access to clinical trials.
Unfortunately, when it comes to accessing quality cancer care, some Plans offered on the Washington Healthplanfinder will not provide coverage for cancer treatment at SCCA. Because this may affect you and your family, we wanted to provide you with some information to help you navigate your care options.
Below is a summary of frequently asked questions regarding the Washington Health Benefit Exchange. If you have any personal questions regarding your treatment options, we encourage you to contact your insurance company directly. Our Patient Financial Services team is also available Monday through Friday from 9 am to 5 pm at (800) 304-1763, option 3, to discuss options for receiving your care with us.
Which insurance plans on Washington Healthplanfinder include SCCA?
SCCA is an in-network provider for the following health care plans: Premera Blue Cross, Kaiser Foundation Health Plan of WA and Kaiser Foundation Health Plan of the Northwest* and LifeWise Health Plan of Washington.
*Specialist services are covered, pending permission to see a specialist
What do I do if I am told that my new insurance coverage does not cover my current treatment and care at SCCA?
If your new insurance coverage through Washington Heathplanfinder places SCCA as an out-of-network provider, this may affect your out-of-pocket costs for cancer care. Because each case is unique, it’s important to contact your insurance company to discuss your options. Additionally, our Patient Financial Services team is available discuss options for continuing your care with us. Patient Financial Services is available Monday through Friday from 9 am to 5 pm at (206) 606-6226 or toll free at (800) 304-1763, option 3.
Can I still have treatment at SCCA?
We are committed to providing the best cancer care to all who come to us. However, your individual circumstances and benefits plan may change your coverage, increasing your out-of-pocket costs. To best understand how this change impacts you, we encourage you to contact your insurance company to discuss how your out-of-pocket costs might change.
Does this impact my SCCA treatment at Northwest Hospital/ SCCA at EvergreenHealth?
Changes to your insurance coverage may impact your out-of-pocket costs at these sites. To best understand how this change impacts you, we encourage you to contact your insurance company.
How can I be certain that my doctor is covered by my insurance while I am treated at SCCA?
The best way to understand your coverage is to contact your insurance company and ask them specifically about your doctor. SCCA Patient Financial Services is available to assist you in those conversations as needed.
What if I have already begun my treatment at the SCCA? The continuity of my care is important to me. Can someone help me advocate for coverage after my insurer has declined payment?
It is important to contact your insurance company early to fully understand any changes to your coverage. Each insurance plan has a different set of criteria regarding continuity of care.
Will the new insurance company notify me of any changes to coverage? What recourse do I have when I find out my coverage has changed without being notified?
Your insurance company should contact you about any updates. When discussing any changes, it is important to know details concerning both your provider network as well as benefits plan. Use the following questions as a guide when talking with your insurance company:
- What health care facilities and doctors are considered “in network”?
- What health care facilities and doctors are considered “out of network”?
- What are my out-of-pocket responsibilities for both in-network and out-of-network health care providers?
Who do I contact if I have additional questions?
We recommend that you first call the number on the back of your insurance card in order to understand directly from your insurance company what types of care they now cover. If you have concerns about how you can pay for your care or need any additional assistance, please call Patient Financial Services.
How do I contact SCCA Patient Financial Services with questions or concerns?
Patient Financial Services is available Monday through Friday from 9 am to 5 pm at (800) 304-1763, option 3.