Evergreen Health

We are actively negotiating in good faith to renew our network relationship with Evergreen Health

We are engaged in good-faith discussions with Evergreen Health (Evergreen) to renew our network relationship. Our goal is to reach an agreement that is affordable for the people and employers we serve while maintaining continued, uninterrupted network access to the health system’s hospitals and physicians.

In the event we are unable to reach an agreement, Evergreen’s providers and facilities in the Seattle area, including Evergreen Health Kirkland Medical Center and Evergreen Health Monroe Medical Center, will be out of network for people enrolled in the following plans, effective March 1, 2026:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP)
  • UnitedHealthcare Community Plan of Washington

Facts you should know

Evergreen is seeking unsustainable rate increases that would increase health care costs for Washington families and employers.

Evergreen’s price demands would result in financial strain for our employers and the members we serve.

Agreeing to Evergreen’s proposed rate increases will drive up premiums and out-of-pocket costs for our members, as well as the cost of doing business for companies in Washington, impacting their ability to offer health care coverage for their employees. 

We are proposing rates that will continue to reimburse Evergreen fairly and similarly to its peers while slowing the unsustainable rise in health care costs.

We have a responsibility to provide the people we serve with access to quality health care while also helping to contain rapidly rising health care costs.

We remain hopeful that Evergreen will work with us to reach an agreement that is affordable for families and customers in Washington.

Our top priority is to reach an agreement that is affordable for consumers and employers while providing continued, uninterrupted network access to Evergreen’s hospitals and providers.

We will remain at the negotiating table with Evergreen for as long as it takes to reach an agreement.

We hope Evergreen shares our commitment and works with us on solutions that are affordable for consumers and employers in Washington.

Frequently asked questions

We are actively meeting with Evergreen in an effort to renew our relationship. We want to keep Evergreen in our network and are committed to engaging in productive negotiation.

We will remain at the negotiating table for as long as it takes to reach an agreement that provides the people we serve continued access to care that is affordable.   

In the event we are unable to reach an agreement, Evergreen’s providers and facilities in the Seattle area, including Evergreen Health Kirkland Medical Center and Evergreen Health Monroe Medical Center, will be out of network for people enrolled in the following plans, effective March 1, 2026:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP)
  • UnitedHealthcare Community Plan of Washington (Medicaid)

The following hospitals will be out of network for people enrolled in employer-sponsored and individual commercial plans, Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP), and UnitedHealthcare Community Plan of Washington (Medicaid) as of March 1, 2026, if we are unable to reach an agreement:

  • Evergreen Health Kirkland Medical Center
  • Evergreen Health Monroe Medical Center

This negotiation impacts members enrolled in the following plans:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP)
  • UnitedHealthcare Community Plan of Washington (Medicaid)

People enrolled in our Medicare Advantage PPO and Group Retiree plans may receive care from an out-of-network provider, if the provider is a Medicare participating provider which accepts the plan.

If people have a Group Retiree PPO plan, their share of the cost is typically the same as if the provider was part of the network.

Members are encouraged to speak with the provider to confirm they will provide care, regardless of their network status.

UnitedHealthcare members will continue to have ample access to in-network care from a broad network of hospitals and physicians across the Seattle area, including:

  • Overlake Medical Center
  • University of Washington Medical Center
  • Seattle Children’s Hospital
  • Swedish Medical Center Ballard
  • Swedish Medical Center Cherry Hills
  • Swedish Medical Center Edmonds
  • Virginia Mason Medical Center

For support finding in-network hospitals, members can call the customer care number on their health plan ID card or visit their plan’s website:

UnitedHealthcare members who are in the middle of treatment at an Evergreen hospital or with an Evergreen health provider may qualify for continuity of care, which provides continued in-network benefits for a specified period of time after a hospital or physician leaves our network.

Examples of conditions that would be eligible for continuity of care include but are not limited to the following:

  • People in active treatment for cancer
  • Individuals in ongoing treatment for transplant services

Any member who believes they need continuity of care should contact UnitedHealthcare to determine if they are eligible.

For information regarding how to apply and whether they might be eligible for continuity of care, members should call the number on their health plan ID card.

In the event of an emergency, UnitedHealthcare members should go to the nearest hospital and will be covered at the in-network benefit level, regardless of whether the hospital participates in our network.

UnitedHealthcare members should always go to the nearest hospital in the event of an emergency. Their services will be covered at the in-network benefit level, regardless of whether the hospital participates in UnitedHealthcare’s network.

For support finding in-network hospitals, members can call the customer care number on their health plan ID card or visit their plan’s website: