• Employer-based plans will phase out gradually
• You may still be able to see Providence doctors
• For Medicare Advantage members
• Medicaid coverage is expected to transfer
• Members will get updates

Providence is exiting nearly all of its commercial insurance business.  This includes Individual, Family, and Employer Group/Commercial plans. Members can keep their current health coverage, doctors, and prescription benefits through the end of 2026. Most Providence Health Plan members will need to switch coverage next year.

Employer-based plans will phase out gradually

If you get Providence coverage through work, your timeline depends on when your employer’s contract expires. The insurer will honor existing contracts so that individuals and employers have time to compare options before the changes take effect. It will stop renewing employer group plans and will not offer new ones. Providence covers 65% of Oregon’s 144,000 public employees. They will need to choose between Kaiser Permanente or Moda Health next year.

You may still be able to see Providence doctors

Providence is shutting down insurance plans, not hospitals or clinics. The health system says its doctors, hospitals and clinics will stay open and in other insurers’ networks. Providence is also working to join additional plans so patients may be able to keep seeing Providence providers if they pick coverage that includes them.

For Medicare Advantage members

Providence says it plans to keep its Medicare Advantage business alive through a partnership with a national insurer, though that deal isn’t yet final. The goal is to let those members keep their Providence doctors and care network, even if the insurance card carries a different company’s name.

The Providence shutdown impacts private insurance plans, not Original Medicare (Part A and Part B). Original Medicare is a government-run program and is not going away.

Medicaid coverage is expected to transfer

Many Oregon Health Plan members—people enrolled in the state’s Medicaid program—get their Medicaid coverage through Providence. They plan to hand that business off to another organization but hasn’t identified a partner or timeline yet.

Members will get updates

Over the coming weeks and months, members 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 as decisions are finalized. Written notices may be sent by mail and/or email as required by regulation. Make sure Providence has your most current contact information. Updates will also be shared at providencehealthplan.com/status-update.