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How our programs work

Pierce County Project Access, PCPA, works with over 650+ medical providers who donate a controlled number of appointments per year. Primary care and specialty care are available through the PCPA network.


By spreading the workload fairly, PCPA is ensuring that no single practice or physician is overburdened. PCPA helps take the hassle away from physicians and their staff by ensuring appropriate referrals and reminding patients to arrive on time for appointments. In the end, physicians have the satisfaction of taking a leadership role in improving the health of their communities and their profession. To quantify and measure the amount of volunteer healthcare provided, First Choice Health Network provides mock billing and then this data documents the value of donated services which provides important information to lawmakers, healthcare organizations, and the community. 

Implementation of the Affordable Care Act (ACA) changed the landscape of health insurance and healthcare delivery. Prior to the ACA, there were an estimated 1,000.000 individuals without insurance in Pierce County. PCPA is the avenue to healthcare for those who find themselves still in the gap. Our Premium Assistance program sponsors a silver-level plan for eligible patients through the Washington State Health Benefits Exchange. 

We are honored to continue serving the community and stewarding the generosity and compassion of our physicians. 

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Donated Care

PCPA works with over 650+ medical providers across Pierce County who donate a controlled number of appointments per year. Patients are enrolled and only see physicians in the PCPA network assigned by our wonderful staff. Our program offers access to primary care, ancillary services and 23 specialty care services.

To qualify, patients must meet the following criteria:

Must be a resident of Pierce County for at least three months. Must be at or below 300% of the Federal Poverty Level. Must not have medical insurance. Lack medical insurance

Labs & Imaging






General Surgery



Physical Medicine

Physical & Speed Therapy

Hematology & Oncology


Cardiothoracic Surgery


Ear, Nose & Throat

Podiatry Wound Care

Eye Care

Sleep Disorders



Behavioral Health


Nutrition & Dietary Health

Infectious Disease

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Premium Assistance

PCPA pays the monthly premium of a silver-level plan available on the Washington Health Benefits Exchange for the enrolled individual or family. PCPA pays monthly premiums only, and the enrollee is responsible for co-pays, deductibles, and co-insurance. The enrollee must also file federal income taxes to qualify for a tax subsidy. 

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Premium Assitance FAQ

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