Insurance and Authorizations

Puget Sound Orthopaedics participates in most insurance plans. See the lists below for more details.

PSO contracts with the following major insurance companies:

  • Aetna
  • Amerigroup
  • Cigna
  • First Choice
  • Lifewise
  • Medicare
  • MultiPlan
  • NPN insurance products
  • Premera (Blue Cross Blue Shield)
  • Regence (Blue Cross Blue Shield)
  • United Healthcare
  • United Military (Tricare)
  • WA State Labor and Industries
  • WA State Workers Compensation

PSO does not contract with the following insurance companies.

NOTE: Clinics referring patients with any insurance not contracted with PSO must begin the insurance authorization process directly from the clinic.

  • Humana commercial products
  • First Health Network
  • Kaiser Core HMO
  • United Health Care Blind and Disabled
  • US Family Health Plan




Special testing include MRI, bone scan, doppler studies, joint and spine injections, CT/CAT scans, DEXA scans, ultrasound, and EMG. Insurance processing times vary depending on your insurance. If you have not been contacted within the estimated time frame, then contact the facility where your scan will be done. To receive testing results, schedule a follow-up appointment with your PSO doctor. Review our Special Testing Notification for more information.


If you are having surgery at our outpatient facility, Lakewood Surgery Center, or at the hospital we will obtain the surgery authorization for you from your insurance. Insurance processing times vary depending on your insurance. Review our Surgery Scheduling Checklist for more information.