MultiCare may be out-of-network starting March 1, 2024

If you are a member of the Regence KingCare PPO medical plan, and you see medical providers who are part of the MultiCare network, please note the following information about their contract with Regence BlueShield.

Leaders from Regence BlueShield and MultiCare Health Systems are currently in contract negotiations. Both organizations are working to reach an agreement before their current contract ends March 1, 2024. Here is what you need to know:

  • Most provider-health plan contract negotiations are resolved with no service disruptions and no provider network changes.
  • No action is needed by you at this time.
  • You can receive care from MultiCare through Feb. 29, 2024, and services will be paid at the in-network rate.
  • If an agreement between MultiCare and Regence is not reached by March 1, 2024, services received on or after this date by MultiCare providers will be considered out-of-network and will be paid at a lower benefit level. For most out-of-network services, you would pay 40% of the Regence allowed amount after the deductible and copays are met, until you reach the out-of-pocket limit. Out-of-network providers can also bill you amounts that exceed the Regence allowed amount. You will pay less by seeking care from providers who are in-network.
  • Emergency care at any hospital emergency room will be paid at the in-network level.
  • If you are enrolled in the MultiCare KingCare Select plan, it is unclear at this time if MultiCare will become out-of-network in the KingCare Select plan if Regence and MultiCare do not reach an agreement by March 1. More information will be shared when it is received.

Regence recently sent a required notice regarding this potential network disruption to their members who have seen a MultiCare provider in the past year. Additional information will be shared as it becomes available. You may also check the Regence website for updates on the negotiations.

If you have questions or want help finding a different provider, please call Regence BlueShield at 800-376-7926. You can also contact the King County Benefits team at 206-684-1556 or KC Benefits.