Updated October 2026
Here is what members need to know about their coverage
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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.
Individual and Family members will be able to shop for 2027 coverage during the open enrollment period beginning November 1, 2026.
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Medicare Advantage
Current members will maintain coverage through the 2026 plan year.
Policies will be discontinued effective January 1, 2027. Providence will not offer Medicare Advantage plans in 2027 or beyond.
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 is October 15 through December 7.
Member webinars are available to help you understand what the Medicare Advantage changes mean for you and what steps you may need to take for 2027. You can register for an upcoming live webinar or watch an on-demand webinar about the plan closure and your coverage options. Learn more: https://www.providencehealthplan.com/medicare/medicare-advantage-plans/attend-a-meeting/medicare-member-webinars.
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Medicare Supplement
Providence Health Assurance will discontinue all Medicare Supplement plans. Current coverage will remain in effect through March 31, 2027.
Members should begin reviewing their Medicare coverage options now to avoid a gap in coverage. Members may choose a Medicare Supplement plan from another insurance company or enroll in a Medicare Advantage plan, depending on their needs and applicable enrollment periods.
Members are receiving individual notices with additional information about their coverage, important dates and resources to help them compare their options.
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Medicaid
Coverage will continue through 2026. Providence Health Assurance members enrolled through Health Share of Oregon will transition to CareOregon on January 1, 2027, while continuing their Oregon Health Plan coverage.
No action is needed at this time. Health Share will provide additional information about the transition.
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Large Group Fully Insured and Association
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.
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ASO (Administrative Services Only)
Nothing changes for eligible members as long as coverage is current. Your employer is the best source for information about your benefit options.
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Small Group
Current members will maintain coverage through the end of 2026, as long as their coverage remains active.
Small Group plans will end on December 31, 2026. Employers will receive at least 180 days’ notice before coverage ends. Your employer is the best source for information about your 2027 benefit options and next steps.
Frequently Asked Questions
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1. Am I still covered? Will my 2026 plan remain active through the end of the year?
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.
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2. How will I be updated on what to do next and before the end of the year?
Members and employer policyholders will receive communications about their coverage, applicable next steps, and 2027 options. Over the coming weeks and months, you can expect: Written notices by mail and/or email, clear timelines and next steps and information about alternative coverage options. Medicare Advantage members, Medicare Supplement members, and Medicaid members will receive additional communication. 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.
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3. Can I keep seeing my current doctors?
Yes, if you are a current member, 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.
For more information, visit https://blog.providence.org/regional-blog-news/are-you-a-providence-health-plan-member
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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.
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5. What actions do I need to take right now?
Your current coverage remains in place for 2026, so you do not need to make changes to your current plan right now. However, you can begin preparing for 2027. The steps you should take will depend on your type of coverage.
Individual and Family members: Your current plan will end on December 31, 2026. During open enrollment, you will need to select coverage for 2027. Open enrollment begins November 1, 2026. Review available plans and confirm that your preferred doctors, specialists and hospitals participate in the plan you are considering.
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 Members: Your current coverage will continue through the 2026 plan year. You should begin reviewing and selecting a new Medicare plan for 2027 during Medicare Annual Enrollment, October 15 through December 7. You can compare plans on Medicare.gov, talk with an agent or broker and confirm that your preferred providers participate in the plan you are considering.
Medicare Supplement members: Your Providence Medicare Supplement coverage will end March 31, 2027. You should begin reviewing your Medicare coverage options now. You may choose a Medicare Supplement plan from another insurance company or enroll in a Medicare Advantage plan, depending on your needs and applicable enrollment periods. Review your member notice for important dates and additional information about your options.
Medicaid members: Coverage will continue through 2026. Providence Health Assurance members enrolled through Health Share of Oregon will transition to CareOregon on January 1, 2027, while continuing their Oregon Health Plan coverage. No action is needed at this time. Health Share will provide additional information about the transition.
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6. I have Oregon Health Plan (Medicaid), what happens now?
As long as you remain eligible for Oregon Health Plan (OHP), your OHP coverage will continue in 2027. If you are currently enrolled in Providence Health Assurance through Health Share of Oregon, you will transition to CareOregon on January 1, 2027. Health Share will send you additional information about the transition. No action is needed at this time unless otherwise directed in that communication.
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7. What if I am in active treatment for a complex or long-term medical condition?
Your current coverage remains in place according to the terms of your plan. You should continue your care as scheduled while your coverage is active.
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8. Who can I contact now with questions?
We’ll share updates as they become available at providencehealthplan.com/status-update. For questions about your current Providence coverage, contact Customer Service using the number on your member ID card. Medicare members can also visit Medicare.gov or call 1-800-MEDICARE for help comparing Medicare coverage options.
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9. How can I avoid a gap in coverage?
Individual and Family members: Your current plan ends December 31, 2026. Review your 2027 options during open enrollment and make sure you enroll in new coverage for 2027.
Employer Group members: Watch for information from your employer about your 2027 benefits and enrollment requirements. Your employer is the best source for information about your future coverage.
Medicare Advantage members: Review and select your 2027 Medicare coverage during Medicare Annual Enrollment, October 15 through December 7.
Medicare Supplement members: Your current Medicare Supplement coverage ends March 31, 2027. To maintain continuous Medicare Supplement coverage, choose a new Medicare Supplement plan that is effective April 1, 2027. You may also consider Medicare Advantage or other Medicare coverage options. Review your member notice for applicable enrollment periods and additional guidance.
Medicaid members: No action is needed at this time. Providence Health Assurance members enrolled through Health Share of Oregon will transition to CareOregon January 1, 2027. Health Share will provide additional information about the transition.
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10. 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.
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11. Will customer service continue to be available?
Yes. Our Customer Service team will continue to be available to support members. Please continue to check this webpage for the most up-to-date information as decisions are finalized and new details become available.
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12. What happens if I don’t choose new Medicare Supplement coverage?
Your Providence Medicare Supplement coverage will end March 31, 2027. If you remain enrolled in Medicare and do not choose new coverage, you will continue to have Original Medicare beginning April 1, 2027, but you will no longer have a Medicare Supplement policy to help pay deductibles, coinsurance and other out-of-pocket costs.
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