Insurance and Medicare Information

Learn about the insurance and Medicare plans accepted at The Portland Clinic.

Oregon’s Health Exchange

The Portland Clinic will be participating with the following health plans through the Health Insurance Exchange in 2017:
Bridgespan (Value PPO Network)
PacificSource (SmartChoice Network)
Kaiser Permanente
Moda Health (Beacon Network)
Providence Signature and Providence Choice

Open enrollment begins on November 1, 2016. If you need assistance selecting a plan, please work with an agent (at no cost).  You can find an available agent by going to OregonHealthcare.gov or calling 1-855-268-3767.

Plans Accepted at The Portland Clinic

Aetna
Assurant Health
Bridgespan Value PPO
CareMark PPO
ChoiceCare
Humana PPO
Cigna
First Choice Health
First Health Network
Fortis Healthcare
GEHA
Guardian
HMA (Healthcare Management Administrators)
Health Net of Oregon
– HMO
– PPO
– Community Care
– MedAdvantage
Kaiser Permanente
– Individuals and families
– Senior Advantage (HMO)
– Added Choice (Tier 1)
– Connected Care
– Commercial
LifeWise of Oregon
Medicare (accepting established Portland Clinic patients only)
MHN (Managed HealthCare NW)
Moda Health (formerly ODS)
-Beacon
-Community Care Network (OHSU PPO Only)
-Connexus
-Synergy
Multiplan
Motor vehicle
PacifiCare of Oregon
PacificSource
– PacificSource Smart Health
– PacificSource Student Health
-PacificSource Medicare’s MyCare Rx 22 (HMO) Plan
Providence Health Insurance
– Providence Health Plans of Oregon
– Providence Preferred
– Providence Signature
– Providence Choice
– Providence Medicare Extra
Regence BCBS of Oregon
– Participating (PAR) Network
– Preferred Provider Plan (PPP) Network
– Access Network
– MedAdvantage PPO
– BlueAdvantage HMO
– Value PPO
– BlueCard
– Federal
UHC AARP MedicareComplete HMO – (assigned to The Portland Clinic PCP)
United Healthcare
Oregon Workers’ Compensation Division

What is the Health Exchange?

As of November 15, 2014, anyone wanting to enroll in health insurance through the exchange will need to use the federal website, healthcare.gov, as the Cover Oregon website will no longer be taking enrollment applications. The Health Exchange Marketplace is mandated for all states, based on the Affordable Care Act which was passed into law in 2010 and went into effect in 2014. The law requires most people who can afford health insurance to have coverage or otherwise pay a penalty.

Which Health Exchange plans does The Portland Clinic accept?

As of November 15, 2014, anyone wanting to enroll in health insurance through the exchange will need to use the federal website, healthcare.gov, as the Cover Oregon website will no longer be taking enrollment applications. The Health Exchange Marketplace is mandated for all states, based on the Affordable Care Act which was passed into law in 2010 and went into effect in 2014. The law requires most people who can afford health insurance to have coverage or otherwise pay a penalty.

To view a list of the senior plans we accept, please see Medicare Services.
If your insurance plan is not listed, we may still accept it. Call our business office at 503-221-2189 to check.

Medicare Services

The Portland Clinic will continue to see current established patients enrolled with Original Medicare.  If you are a current patient of The Portland Clinic who is of Medicare age or “aging” into Medicare, you may be seen at The Portland Clinic with Original Medicare coverage.  Please note, our primary care providers no longer accept new patients with Original Medicare.

 Read about Medicare and Medicare Advantage options at The Portland Clinic

STAY UPDATED

Get the latest health news from The Portland Clinic

Open

Friday, 1/20/17, Our Downtown Clinic and surrounding Administrative Offices (Yamhill and Marquam) will be closing at 3:00 p.m. in effort to exercise abundant caution for the safety of our patients and employees in anticipation of mass political gatherings planned in Downtown Portland scheduled at approximately 4:00 p.m.