What health insurance options will Providence offer in comparison to Medicare Advantage as we approach 2027?
7/10/2026
Providence will be exiting most of its health insurance business, including individual and family plans, at the end of 2026.
The company's future focus will be on its Medicare Advantage plans, which are currently in negotiations for a potential transition to a new partner to ensure continuity of care for its 64,000+ Medicare members.
Here is a comparison between the two types of coverage.
Providence Health Insurance (Individual/Family Plans)
Future Availability - Ending in 2027. These plans will no longer be offered, including ACA marketplace plans.
Who It's For - Individuals, families, and employer groups not yet eligible for Medicare.
Plan Types- Included Standard, Direct, Connect, Columbia, and HSA-qualified plans.
Key Benefits- Often lower premiums with higher deductibles; some plans offered an HSA option.
Cost Structure- Varies by plan; includes deductibles, copays, and out-of-pocket maximums.
Service Area- Historically offered statewide in Oregon and parts of WA, CA, MT.
Providence Medicare Advantage Plans
Future Availability - Potentially continuing. The business is being negotiated for a potential transfer to a national carrier.
Who It's For - Individuals 65 and older or those with qualifying disabilities who are enrolled in Medicare.
Plan Types- Multiple HMO and HMO-POS plan designs, including a Dual Special Needs Plan (D-SNP) for those eligible for both Medicare and Medicaid.
Key Benefits- Extra benefits not in Original Medicare: Dental, Vision, Hearing, Fitness memberships, and OTC allowances.
Cost Structure- Low or $0 premiums. Includes predictable copays. Plans have an annual out-of-pocket maximum, often $0 deductible.
Service Area- Focused in key counties of Oregon, Washington, and California (e.g., Portland metro, Orange County, Spokane).