An important update about your Providence health coverage

Current members will maintain coverage through the 2026 plan year.

Policies will be discontinued effective January 1, 2027. Providence will not offer individual and family plans in 2027 or beyond. 

Members will be able to shop for a new plan during the open enrollment period this fall.

Current members will maintain coverage through the 2026 plan year.

Providence Medicare Advantage members may be able to keep their plan in 2027. We will share more details as they become available.

Members should connect with their agent/broker to explore options for 2027. Members can also research plans on Medicare.gov.

To find an agent:

In Oregon, visit: https://healthcare.oregon.gov/pages/find-help.aspx

In California, visit: https://www.insurance.ca.gov/01-consumers/105-type/findagtbrk.cfm

In Washington, visit: https://www.insurance.wa.gov/agent-and-company-lookup-tool

Medicare Annual Enrollment Period begins October 15.

Coverage for current members remains in effect at this time.

Members will receive individual notice well in advance of changes for 2027.

Coverage will continue through 2026.

Members will continue to be covered by Health Share of Oregon CCO.

Providence is currently evaluating options with Health Share for 2027.

Nothing changes for eligible members as long as coverage is current. Your employer is the best source for information about your benefit options.

Providence Health Plan will not offer new commercial plans in 2027 though some employers may have plans that continue into 2027. All contractual, regulatory, and legal obligations will be honored through the duration of this transition.

Nothing changes for eligible members as long as coverage is current. Your employer is the best source for information about your benefit options.

Current members will maintain coverage in 2026.  

Small group plans will end at the end of 2026, with notice of at least 180 days to the employer group sponsor. 

Nothing changes for members right now. Current members and customers will maintain their coverage through 2026. Members can continue to access medical services, fill their prescriptions and see their doctors just as they do today.

Members and employer policyholders will receive a series of communications to guide them through the transition and support them as they shop for and enroll in a new plan for 2027.

Over the coming weeks and months, you can expect:

• Written notices by mail and/or email
• Clear timelines and next steps
• Information about alternative coverage options

Medicare Advantage members, Medicare Supplement members and Medicaid members will receive additional communication as decisions are finalized.

Written notices may be sent by mail and/or email as required by regulation.
Updates will also be shared at: www.providencehealthplan.com/status-update. 

Yes, if you are a current member, nothing will change in 2026. You can continue to make appointments and fill prescriptions as you have done in the past. If you are shopping for a new plan for 2027, it will be important to ensure your providers are in the new plan’s network.

No. You should continue your care as scheduled in 2026. So long as your coverage remains active in 2026 that coverage will be honored.

No. There is nothing you need to do at this time. Your coverage and service will continue without interruption throughout 2026.

As you begin planning for 2027, the steps you may need to take will depend on your type of coverage:

• Individual and Family members: Your current plan will end on December 31, 2026. While no action is needed now, we recommend asking your doctor's office which health insurance plans they accept so you can make an informed decision when it's time to choose 2027 coverage. 
• Employer Group (Commercial) members: Your employer will receive information about 2027 coverage options as decisions are finalized. Your employer is the best source for information about your future coverage and provider network.      
• Medicare Advantage and Medicare Supplement members: No action is needed at this time. As you consider your options for 2027, we recommend asking your doctor's office which Medicare plans they accept.
• Medicaid members: No action is needed. Members enrolled through Health Share of Oregon will continue to receive coverage through Health Share of Oregon. 

Your coverage remains the same in 2026 and, as long as you are eligible for Medicaid, you will remain covered by Health Share of Oregon in 2027. Providence and Health Share or Oregon will be in contact with you with next steps.

Nothing changes for your coverage right now. Your current plan remains in place through 2026, and you should continue your care as scheduled.

We’ll share updates as they become available at providencehealthplan.com/status-update.

For Individual and Family or Medicaid members, the best thing you can do to avoid a gap in coverage is to keep a close eye out for communications, including USPS mail, email and phone calls, from Providence Health Plan or Providence Health Assurance. If you currently have coverage through your employer, they will be the best source of information for your coverage options beyond 2026.

We will provide you with clear and consistent communications from now through the end of 2026. You will want to pay close attention to any Special Enrollment or Open Enrollment dates, so you do not miss your opportunity to enroll in a new plan for 2027.

Your patients’ current health coverage will continue until the coverage expires or is terminated according to its terms. Most plans will terminate at the end of 2026. You should continue to see and treat your patients at this time, verifying eligibility in the same way you do today. They should continue to attend their medical appointments and fill their prescriptions as they do today.

Yes. Our Customer Service team will continue to be available to support members throughout 2026. Please continue to check this webpage for the most up-to-date information as decisions are finalized and new details become available.