Billing & Insurance

Get Covered: Affordable Health Insurance through the Washington Health Benefit Exchange

Living without health insurance can put your personal and financial health at risk. The Affordable Care Act puts health insurance within reach for nearly everyone. Insurance  premiums are reasonably priced or even free, depending upon your family size and income, and you cannot be denied health insurance coverage due to a pre-existing condition.

Find affordable health insurance. 

INSURANCE OPTIONS FOR STRIKING WORKERS: Workers who have lost their health insurance due to the Boeing strike (and other strikes or labor disputes) are now eligible to apply for health and dental insurance through Washington Healthplanfinder, thanks to a new state law that passed earlier this year.  Learn more and get enrolled.

Valley Medical Center Billing and Payment Procedures

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Thank you for choosing Valley Medical Center for your healthcare needs. It is our mission to improve the overall health and well-being of the community we serve. We want you to understand what can be expected throughout the billing process. In order to provide you with a clear explanation of our billing and payment procedures, view this brochure which explains: Information about Submitting a Claim, Payment Options, Bills From Other Providers and Other Provider Numbers. 

If you have any questions or would like to learn more, please visit esr990.com/patients or call our Patient Financial Services (PFS) department at 1.855.826.1540 or 425.690.3578, option 5. 

We offer several ways to pay your bill.

About the Billing Process

Any services provided by contracted providers—surgeons, radiologists, anesthesiologists, pathologists, etc.—will be billed separately by the physician's billing office. Learn more about bills from contracted providers.

You may receive a bill from Valley Medical Center for the following types of services:

• Hospital services (view list)
• Professional services (view list)
• Services rendered by contracted providers (view list)
• Preventive and Routine Services (view list)

You may receive informational statements while your insurance company processes your claim, but you will not be required to make payment until your portion of the services are determined and sent to you in the form of a bill. In addition, you may receive a letter from Valley Medical Center if your insurance company requires more information to process your claim.

If your visit is the result of a motor vehicle or non-work related accident:

• You will be required to provide all automobile insurance or other third-party liability information within 15 days. VMC will pursue payment for your care from that source before billing your healthcare insurance. Most healthcare insurance policies require that all third parties are billed before they will process your claims. (Valley Medical Center may elect to file a lien on any potential settlement that you may pursue as a result of your injury.)

If your visit is the result of a work-related accident or illness:

• Valley Medical Center will bill the Washington State Department of Labor & Industry, or other Employer Self Insured Workman’s Compensation programs. We will provide information about your accident and health status within the legally required time frames so that you can receive any time loss payments or other benefits associated with work related incidents. If you have any questions regarding statements or bills received, please contact Hospital Patient Financial Services at 1.855.826.1540 or 425.690.3578, option 5. We will be happy to assist in any way we can.

Note About Clinic Bills

Medicare reclassified the VMC clinic office locations below as outpatient hospital departments, requiring VMC to bill in two parts. This means that some patients may receive separate bills for facility fees and healthcare provider fees. Learn More.

• Cascade Clinic | Primary Care
  • Sports Medicine Clinic
• Covington Clinic North | Specialty Care
  • Breast Center
  • Cardiology
  • Diabetes, Thyroid, and Endocrine
  • Ear, Nose and Throat (ENT)
  • Medication Management Clinic
  • Pulmonary & Sleep Disorder
  • Rheumatology Clinic
  • Urology
  • Valley Women's Healthcare (OB/GYN)
• Covington Clinic South | Primary, Urgent, & Specialty Care
  • Podiatry Clinic
  • Behavioral Health Integration Program
• Kent Clinic | Primary & Specialty Care
  
  • Nephrology Clinic 
• Maple Valley | Urgent Care
  • Dermatology
• Medical Arts Center
  • Cardiac & Pulmonary Rehab / Lifestyle Medicine
  • Infectious Disease
  • Maternal Fetal Medicine
  • Medication Management Clinic
  • Rheumatology Clinic
  • Senior Care / Internal Medicine
  • Urology Clinic
• Northwest Pavilion
  • Neuroscience Institute (Adult Neurology)
• Valley Family Medicine
• Valley Professional Center
  • Cascade Primary Care / Sports Medicine 
  • Valley Family Medicine

If you have any questions regarding statements or bills received, please contact the Patient Financial Services Department. We will be happy to assist in any way we can.  

Preventive & Routine Services
(Additional Charges / Split Billing)

Each insurance carrier determines which health services are included in a preventive care visit / routine annual exam at no cost to their covered patients. 

Preventive or routine exam services that are generally covered by insurance plans at no cost to the patient:

• Physical exam, as appropriate for your age, gender, and health status
• Detailed questions about your current health status
• Determination of risk for health problems and diseases
• Recommendations for screening tests/vaccines that are appropriate for your age and gender

During these visits, your provider is also happy to provide other services or discuss additional concerns you may have. However, it is important to know that discussion or management of issues outside of generally covered routine care services may not be covered under your insurance’s preventive care benefits, and you may incur out of pocket expenses in accordance with your insurance plan benefits. 

Services that are generally NOT considered part of preventive coverage:

• Evaluation and management of new or worsening health conditions (i.e. cold symptoms, a rash, muscle pain, or chronic conditions such as cholesterol or diabetes)
• Diagnostic tests to assess a new condition or to monitor an existing medical condition

If you prefer to receive only preventive care during your visit, let your provider know at the beginning of your visit.  To address additional concerns at another time, you are welcome to schedule an appointment with the clinic staff, by calling the Patient Resource Center at 425-690-3535 or via MyChart.

After Your Insurance Has Processed Your Bill

Valley Medical Center will send a statement showing any personal financial amount you will owe after your insurance company had responded with its payment or coverage information. Insured patients who do not have 100% insurance coverage will be offered financial options for remaining balances after insurance payments.

How to pay your bill

Questions About Your Bill

For questions about how to read your statement, click here. If you have questions related to treatment at Valley Medical Center for hospital services, please contact:

Bills From Contracted Providers

Many doctors, ambulance companies, and labs are separate businesses with their own billing and account procedures. Below is a list of groups regularly providing care to VMC patients, and may or may not participate in the same healthcare insurance contracts or offer the same financial options, including financial assistance programs.

If you receive a bill from one of the providers below and have questions, please contact them directly.

What Are Hospital Services?

Hospital services describes charges for facility-related services rendered at Valley Medical Center. This may include inpatient and/or outpatient care, such as:

What Are Professional Services?

Professional services can be described as charges for services rendered by providers (physicians and/or other health care professionals) at Valley Medical Center, such as: