Announcements

An important update about your Providence health coverage

20 August 2026

Updated October 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, Medicare Advantage, Individual Medicare, and Employer Group/Commercial plans.


Providence Health Assurance members enrolled in Health Share of Oregon will continue their current coverage through 2026. Beginning January 1, 2027, these members will transition to CareOregon. No action is needed at this time, and Health Share will provide members with additional information about the transition.


Current coverage and service will continue through the end of 2026 for members whose plans remain active through the year. As we prepare for 2027, members should watch for communications about their coverage, important dates and any actions they may need to take to secure coverage for the new year.


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 updated FAQs click here.


Looking to stay with your Providence provider?


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For Members and Customers


Members can continue to use their current coverage in 2026 according to the terms of their plan, including accessing care, filling prescriptions and seeing their doctors.


Members with an Individual and Family plan, members who receive coverage through their employer, and employer groups have been receiving communications about upcoming coverage changes and will continue to receive updates as new information becomes available.


Providence Health Plan will continue to share information and resources to help members and employers understand their 2027 options and any actions they may need to take. If you receive coverage through your employer, your employer is the best source for details about your 2027 benefits and coverage options.


For Medicaid members enrolled in Providence Health Assurance through Health Share of Oregon, current coverage will continue through 2026. Beginning January 1, 2027, these members will transition to CareOregon. Health Share will provide additional information about the transition.


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.


You can read more Provider FAQ’s here.


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.

Updated October 2026

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.


    Individual and Family members will be able to shop for 2027 coverage during the open enrollment period beginning November 1, 2026.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

  • 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.

  • 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.

  • 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

  • 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 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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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