Market overview
Washington's commercial insurance market is served by Premera Blue Cross and Regence BlueShield, alongside the national carriers that maintain networks in the state.
Major commercial carriers
The national carriers — UnitedHealthcare (behavioral health through Optum), Aetna, and Cigna (behavioral health through Evernorth) — maintain networks in Washington.
Profiles: UnitedHealthcare / Optum · Aetna · Cigna / Evernorth
The state's Blue
Premera Blue Cross and Regence BlueShield
Washington is served by two separate Blue licensees.
Kaiser Permanente
Kaiser Permanente operates in Washington as an integrated payer-provider with a closed network. Behavioral health is largely delivered in-house through the Permanente medical groups, so external facility contracting typically happens via single-case agreements rather than network contracts.
More in the West
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