Open Enrollment- Insurance changes for 2027

Four insurers will offer plans through Oregon’s individual Affordable Care Act (ACA) marketplace in 2027. Valley Med is contracted with Moda Health and Regence BlueCross BlueShield of Oregon and is considered an in-network provider for these plans.

Valley Med is out-of-network with the plans offered by Kaiser and BridgeSpan.

Public Employees’ Benefit Board (PEBB) Members- Valley Med is contracted with Moda Health, and our providers are considered in-network for PEBB members who select a Moda plan.

If you enroll in a Kaiser plan, Valley Med services will be considered out-of-network, and you will not be eligible for in-network benefits. Due to contracting limitations and Providence’s exit from the PEBB, Moda is currently the only plan that provides in-network access to Valley Med.

Atrio Medicare Advantage- Valley Med was unable to reach a mutually agreeable contract with Atrio Medicare Advantage and is not participating in that network.

Valley Med remains contracted and in-network with the following Medicare plans:

• Medicare Part B
• UnitedHealthcare
• AARP Medicare Plans from UnitedHealthcare
• Regence
• Moda Health
• PacificSource
• Wellcare
• Aetna
• Trillium

Third-Party Administrator (TPA) Networks- Beginning in 2027, Valley Med will no longer directly bill insurance plans that utilize the below networks due to ongoing reimbursement and payment concerns. Valley Med is not contracted with the following networks:

• MultiPlan
• PHCS
• 6 Degrees
• C.A.S.
• Cigna Health and Life
• First Health

Patients covered by these networks will receive a claim summary containing the information necessary to submit claims directly to their insurance plan for reimbursement.

Uninsured and Out-of-Network- If you do not have insurance or choose to receive care using an out-of-network insurance plan, payment for services is due at the time of your visit. As a courtesy, Valley Med offers a 20% self-pay discount when payment is made in full at the time services are rendered.