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Medicare AdvantageShop Plans
Individual or familyShop Plans
Things to know as you consider your coverage
When to apply
Apply during open enrollment from Nov. 1, 2021 through Dec. 31, 2021 for a Jan. 1, 2022 effective date of coverage, or from January 1, 2022 through January 15, 2022 for a February 1, 2022 effective date of coverage. After the open enrollment period ends, you must have a qualifying life event to enroll during the special enrollment period. You can apply or and get health insurance coverage during the special enrollment period if you experience an involuntary loss of minimum essential coverage except for failure to pay the premium or experience certain life events, such as marriage or adoption.
To purchase one of our plans, you must live in the service area and be a resident of the state of Oregon or Washington. In order to be eligible to enroll in the Providence Progressive Dental plan, available only in Oregon, you must enroll in a Providence Health Plan Individual and Family medical plan. Providence is non-duplication with Medicare on Individual and Family plans. Someone who is entitled to Medicare part A and/or enrolled in part B is not eligible to enroll in a PHP Individual and Family plan.
Application and premium payment dates
Your online application must be submitted directly to Providence Health Plan. Use our online shopping and enrollment tool. At the time you submit your online application, you will be directed to submit your initial premium payment.
Monthly premium payment information
After you have been enrolled, your monthly premium payment is due on the first of each month. Providence Health Plan encourages you to visit online payment tool for first time payments. Note: New individual & family applicants (applicants: use your application ID or Washington Healthplanfinder confirmation number if you signed up for individual & family coverage in Washington state).
Current members should set up a recurring payment arrangement through the Providence Health Plan electronic payment system using their 9-digit member ID number. Please note: Providence Health Plan does not accept any premium payments made by an employer or a third party except as permitted by state or federal regulation.
Key health insurance terms
See our online Glossary for explanations and definitions of health insurance terms.
Notice of Privacy Practices
Visit our Providence Health Plan privacy practices page. You may obtain a copy of our Providence Health Plan Notice of Privacy Practices from there or by calling customer service at 503-574-7500 or 1-800-878-445 (TTY: 711) 8 a.m. to 5 p.m. (Pacific Time) Monday through Friday.