Announcements

Providence Health Assurance Announces 2026 Medicare Advantage Plans

01 October 2025

Annual Enrollment Period Opens October 15

Providence Medicare Advantage Plans continues to offer comprehensive coverage in communities across California, Oregon, and Washington, reinforcing its commitment to serving members with high-quality, accessible healthcare during a time of significant industry change. The Annual Enrollment Period runs from October 15 through December 7, 2025, with coverage beginning January 1, 2026.

Maintaining Quality Coverage Amid Industry Shifts
As the Medicare Advantage landscape experiences unprecedented changes—with rising healthcare costs, increased utilization, and regulatory pressures affecting carriers across the country—Providence Health Assurance remains focused on sustainable, quality coverage in its core service areas.

“At Providence, we understand how important it is to feel supported when making healthcare decisions,” said Don Antonucci, Chief Executive Officer and President. “We are deeply rooted in the communities we serve and remain committed to shaping our plans around what matters most to members, while continuing to provide trusted, high-quality care.”

While making necessary adjustments to ensure long-term sustainability—including focusing resources on markets where Providence maintains the strongest provider partnerships—Providence continues to offer Medicare Advantage plans throughout key counties in California, Oregon, and Washington.

“Medicare Advantage is evolving, and so are we,” said Shannon Drotning, Market President, Consumer and Specialty. “The changes we’ve made position us to continue delivering competitive, high-quality coverage where we can best serve members’ needs, guided by our promise: ‘Know me, care for me, ease my way.’”

Continued Support for Vulnerable Populations
Providence Medicare Advantage Plans maintains its commitment to serving low-income subsidy populations across its service areas, as well as dual-eligible members in Portland and surrounding areas with Dual Eligible Special Needs Plans (D-SNP) providing comprehensive benefits including:

• Enhanced care coordination

• Transportation benefits (24 one-way trips annually)*

• Hearing aid coverage

• Reduced chiropractic costs

• Rollover over-the-counter benefits

• Waived deductibles for blood services

These benefits reflect Providence’s ongoing commitment to advancing health equity and ensuring accessible care for all members.

2026 Plan Availability
Providence Medicare Advantage Plans will be available in multiple counties across:

• California: Orange County

• Oregon: Clackamas, Hood River, Lane, Multnomah, Washington, and Yamhill counties

• Washington: Clark, Snohomish, Spokane, Walla Walla, Benton, and Franklin counties

Each plan provides access to Providence’s award-winning hospitals, clinics, and physicians, along with the flexibility of an open, local network.

Supporting Members Through Changes
For members in areas where plans are changing, Providence is committed to providing comprehensive support and resources. Members affected by any plan changes can access assistance through customer service at 503-574-8000 or 1-800-603-2340 (TTY: 711) or visit TheProvidenceAdvantage.com/Options for additional resources.

Why Medicare Advantage Matters
Medicare Advantage plans combine Original Medicare benefits with valuable extras supporting diverse needs. Many members choose Medicare Advantage for its all-in-one coverage—medical, hospital, and prescription benefits—delivering quality and convenience as affordably as possible.

When evaluating plans during Annual Enrollment, consider:

• Budget and out-of-pocket costs

• Specific health needs

• Provider preferences

• Prescription drug coverage

For More Information, visit providencehealthplan.com/medicare or call 503-574-8000 or 1-800-603-2340 (TTY: 711), 8 a.m. to 8 p.m. (Pacific Time), seven days a week.

*This benefit is part of a special supplemental program for the chronically ill. Members with diabetes mellitus, chronic and disabling mental health conditions, cardiovascular disorders, chronic lung disorders, neurologic disorders, and other eligible conditions not listed may qualify to receive this benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For more details, please contact Customer Service at 503-574-8000 or 1-800-603-2340. (TTY users call 711.) From April 1st to September 30th, the hours are Monday through Friday from 8 a.m. to 8 p.m. (Pacific Time). From October 1st to March 31st, the hours are Sunday through Saturday (7 days a week) from 8 a.m. to 8 p.m. (Pacific Time). This call is free.

Providence Health Assurance is an HMO, HMO-POS and HMO SNP with Medicare and Oregon Health Plan contracts. Enrollment depends on contract renewal. Other providers are available in our network.

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