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Regence is an HMO/PPO/PDP plan with a Medicare contract. Enrollment in Regence depends on contract renewal.
For instance, timeframes for a standard prior authorization decision notice for Medicare Advantage plans and Medicaid managed care plans would shorten from 14 calendar days to 7 calendar days.
Medicare Advantage is an alternative to traditional Medicare offered by private health insurance companies. Medicare Advantage plans cover all the same services under Original Medicare Part A and Part B, but often include prescription drug coverage and extra benefits.
UnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly nine out of every 10 U.S. counties. UnitedHealthcare also partners with AARP, insuring the Medicare products that carry the AARP name.
Regence Blue Shield Health Plan of Washington (aka Regence) is part of the Cambia Health Solutions family of companies. Regence BlueShield offers health and dental coverage to over 1 million members in select counties in Washington State. Regence offers ACA/Obamacare individual/family plans and small group plans.
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Medicare Advantage Plans, sometimes called Part C or MA Plans, are offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D).
A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
See the How to submit a pre-authorization request or notification section above. See the How to submit a pre-authorization request or notification section above. Not available. Please call (877) 624-6219.

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