Please Note: There are several employers who have medical plans available in accordance to their service areas. All employers are eligible for the Aetna PPO Medical Plan.

 

Spanish versions of the below forms are available by clicking the “Spanish” button at the top right corner of the page.



Pre-Authorization:

You must receive approval for hospitalization or chemical dependency treatment before admission or no later than 48 hours following an emergency admission.

For pre-authorization, please call: (800) 327-6845.

Mail completed CLAIM forms to:

South Bay HERE
PO Box 34687
Seattle, WA 98124-1687

Mail all other completed forms to:

Administration Office
PO Box 34203
Seattle, WA 98124-1203