Group Health Plans Overview
Group Health provides coverage to employer groups, government programs, individuals, and families through two health carriers — Group Health Cooperative and Group Health Options, Inc.
Also see: Comparison of Group Health Plans
Group Health Cooperative
Group Health Cooperative is a nonprofit membership organization in Washington state that offers HMO (health maintenance organization) plans. With our HMO plans, members select a primary care physician to manage and coordinate their care. The plan pays for covered services when a member receives care from a defined network featuring roughly 10,000 providers across Washington state, including Group Health Physicians who practice at Group Health Medical Centers and area hospitals. Care received outside the defined network is not covered, except for medically necessary urgent and emergency care.
Group Health Options, Inc.
Group Health Options, Inc. (registered in Washington and Idaho) is a for-profit subsidiary of Group Health Cooperative offering point-of-service (POS) and preferred provider organization (PPO) plans.
The Provider Manual is not intended for any use by any party other than as a resource for Group Health Cooperative's contracted providers in fulfilling their obligations under provider contracts. Group Health intends for the manual to be accurate for its intended purpose but doesnt guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.