Объявления

An important update about your Providence health coverage

20 мая 2026

Providence has announced that Providence Health Plan will transition out of most of its health insurance lines of business beginning in 2027. This includes Individual and Family and Employer Group/Commercial plans.

For Medicare Advantage members, Providence is actively working on a potential new agreement with another health insurance carrier that would allow current members to retain their coverage for 2027. Providence is also evaluating options for transferring the management of our Medicaid program to another organization, with final decisions expected later this year.

It’s important to know that nothing changes for members, customers, or our provider partners right now. Coverage and service will continue without interruption for all current members and customers throughout 2026 and we will honor all contractual, regulatory, and legal obligations through the duration of this transition.

We are committed to communicating openly and often as decisions are confirmed. Members, customers, employers, and broker partners will receive direct communications in the coming months to help them understand their options and plan ahead for 2027.

Our Promise to know, care for and ease the way of those we serve has guided Providence Health Plan’s work for more than 40 years. That commitment does not change. Our focus throughout this transition will be on continuing to serve members and partners with the same care and dedication they have always known from us.

For Members and Customers

Nothing changes for members and customers in 2026. Coverage and service will continue without interruption throughout 2026, and members can continue to access care, fill prescriptions, and see their doctors as they do today.

Beginning in 2027, members enrolled in Individual and Family or Employer Group/Commercial plans will need to find new coverage. Providence Health Plan will share information and resources to help members and employers understand their options and make informed decisions about their coverage for 2027.

Medicare Advantage members may be able to keep their plan in 2027. We are actively working on a potential new agreement with a national carrier, which would allow members to retain their coverage for 2027.

For Medicaid members, coverage will continue through 2026. We are currently evaluating options for transferring the management of our Medicaid program to another organization.

For Providers

This news does not change provider contracts or network relationships in 2026. Providers should continue to deliver services to Providence Health Plan and Providence Health Assurance members as long as their coverage is active and valid.

Claims processing, billing, and prior authorizations will continue normally throughout 2026. Beyond 2026, all necessary operations will be maintained to ensure claims are paid and obligations are met.

We will honor all existing contractual and legal obligations through the duration of this transition and will communicate directly with our provider partners as decisions are finalized. Please refer to the provider portal for updates as we move through this process.

For Brokers and Agents

All existing employer group and commercial contracts will be honored according to their terms. Providence Health Plan will keep broker and agent partners informed as decisions are confirmed. We are committed to providing the resources and support needed to help clients navigate this transition and find the right coverage for 2027.

Here is what members need to know about their coverage

Individual and Family

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.
Medicare Advantage

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.
Medicare Supplement

Coverage for current members remains in effect at this time.

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

Coverage will continue through 2026.

Providence is currently evaluating options for transferring the Medicaid program to another organization.
Large Group, Association and Administrative Services Only (ASO)

Current members will maintain coverage through 2026.

Providence Health Plan will not offer commercial plans in 2027.
Small Group

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.

Frequently Asked Questions

1. Am I still covered? Will my 2026 plan remain active through the end of the year?

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.
2. How will I be updated on what to do next and before the end of the year?
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.
3. Can I keep seeing my current doctors?

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.
4. Do I need to cancel existing medical appointments?

No. You should continue your care as scheduled in 2026. So long as your coverage remains active in 2026 that coverage will be honored.
5. What if I am in active treatment for a complex or long-term medical condition?

Nothing changes for your coverage right now. Your current plan remains in place through 2026, and you should continue your care as scheduled.
6. Who can I contact now with questions?

We’ll share updates as they become available at providencehealthplan.com/status-update.
7. How can I avoid a gap in coverage?

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.
8. As a provider, what does this mean for my patients, and should I continue treating patients with coverage from Providence Health Plan?

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.