August 26, 2021

Support for Members and Providers Affected by Wildfires

Many individuals and businesses in our Oregon and Washington communities have been devastated by the wildfires in addition to the ongoing impact of COVID-19 and the Delta variant. At Providence, we believe the health of a community rests in the hearts, hands, and minds of its people. When we take care of each other, we tighten the bonds that connect and strengthen us all.

As we did in 2020, Providence is responding to needs of the community by easing member access to care and services if they are impacted by the fires. As a result of the State of Emergency declared in Oregon and Washington, Providence is taking concrete actions in its coverage and operations to support members that live in affected areas.



Additional Information for Our Members


Measures for Oregon and Washington-based members include:

  • Commercial Fully-Insured and Medicare members can access out-of-network providers at their in-network cost share if they are unable to access any in-network providers due to the fires. Please note: To be administered, members need to call customer service and indicate they have been impacted by the fires.
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.

  • Providence will allow refills of diabetic supplies and maintenance medications earlier than scheduled (one time, up to a 90-day supply) through a retail pharmacy or via mail order. Members need to notify the mail order pharmacy if they have had a change in address.
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.

  • Existing prior authorizations for services will be extended on a case by case basis when it is known a member or provider have been affected by the wildfires.
  • Durable Medical Equipment: Medicare members and Commercial Fully-Insured members may replace items (For example, eyeglasses, hearing aids, and orthotics.) that were lost or damaged because of the wildfires. Standard copays and deductible apply. Please note: To be administered, members need to call customer service and indicate they have been impacted by the fires.
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.



Additional Information for Providers


To help providers remain informed and enable you to continue to provide excellent patient care, the following measures are being offered or extended to affected members in Oregon and Washington:

  • Commercial Fully-Insured and Medicare members can access out-of-network providers at their in-network cost share if they are unable to access any in-network providers due to the fires. Claims will be paid at billed charges, protecting the members from balance billing. Please note: To be administered, members need to call customer service and indicate they have been impacted by the fires.
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.

  • Claims submission timeline extended an additional 6 months for services during
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.

  • Special consideration will be given to members and providers impacted by wildfires who are requesting medical services that require prior authorization. If you have questions about a prior authorization, please call 1-800-638-0449.
  • Providence will allow refills of diabetic supplies and maintenance medications earlier than scheduled (one time, up to a 90-day supply) through a retail pharmacy or via mail order. Members need to notify the mail order pharmacy if they have had a change in address.
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.

Existing prior authorizations for services will be extended on a case by case basis when it is known a member or provider have been affected by the wildfires.

  • Durable Medical Equipment: Medicare members and Commercial Fully-Insured members may replace items (For example, eyeglasses, hearing aids, and orthotics.) that were lost or damaged because of the wildfires. Standard copays and deductible apply. Please note: To be administered, members need to call customer service and indicate they have been impacted by the fires.
    • Effective date of service for Oregon: June 30, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.
    • Effective date of service for Washington: July 6, 2021 - Nov 1, 2021 or until the end of the Public Health Emergency.



About Providence Health Plan


Providence Health Plan (PHP) is an integral part of a 160-year-old not-for-profit health care collective that has set the health and well-being standard for the communities we serve. PHP provides high quality, affordable coverage to members via plans for small and large groups, self-insured plan sponsors, Medicare and Medicaid beneficiaries, as well as individuals and families. We offer a range of benefits including comprehensive health care, 24/7 access to telehealth visits, behavioral health resources and personalized health coaching.

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