Our negotiations with PacificSource and your care

Standard process underway to renew our contract

Part of our mission is to help all Oregonians get the best care. That includes reviewing insurance contracts, so patients continue to have access to our world-class, compassionate care and services.  

In the coming weeks, OHSU and Hillsboro Medical Center will negotiate agreements with PacificSource for the contracts ending April 30. We value our long relationship with PacificSource and look forward to good-faith discussions.  

What to expect

For now, your care at OHSU and Hillsboro Medical Center has not changed. We hope to renew PacificSource employer and Medicare Advantage plans without impacting patients or appointments. Usually, negotiations go smoothly, but sometimes it’s hard for both sides to agree.  If this happens, PacificSource in-network benefits may end April 30. 

Updates

Check back for updates about our negotiation process

Questions and answers

Do I have to change doctors or care teams? 

You can keep seeing your OHSU providers until April 30. If the contracts expire, your PacificSource plan may no longer cover locations and providers at OHSU. To understand any changes to your care costs, contact PacificSource. If needed, your insurance company can help you find medical providers in your network. 

How will I know if an agreement is reached? 

You will get a letter from your insurance company. You can also check this website for the latest information. 

What if I have an appointment scheduled after April 30?  

Keep your appointment for now, but contact your insurance company to discuss your options. 

What if I recently had surgery or need ongoing care? 

If needed, some PacificSource members may continue their care if they are in treatment for certain conditions, such as cancer or terminal illness. Ask PacificSource’s customer service for "continuity of care" or "transition coverage." These decisions are made by the insurance company. 

Should I contact my provider about this? Can they make an exception for me? 

No, only PacificSource can make the decision for an exception, usually for cases like pregnancy, surgery, cancer care or other specialty needs. You can ask your insurance representative about continuity of care. 

What should I do if my treatment isn’t available anywhere else? 

If there isn’t another option in your region or state for your type of care, ask your insurance company to request a special agreement to allow you to receive ongoing care with our health system. They’ll let you know what is possible. 

What if I am in the hospital at OHSU if or when the agreements end?  

Nothing will change. We will take care of you until you are ready to leave. 

Do I have to change doctors or care teams? 

You can keep seeing your Hillsboro Medical Center providers until April 30. If the contracts expire, your PacificSource plan may no longer cover locations and providers at Hillsboro Medical Center. To understand any changes to your care costs, contact PacificSource. If needed, your insurance company can help you find medical providers in your network. 

How will I know if an agreement is reached? 

You will get a letter from your insurance company. You can also check this website for the latest information. 

What if I have an appointment scheduled after April 30?  

Keep your appointment for now, but contact your insurance company to discuss your options. 

What if I recently had surgery or need ongoing care? 

If needed, some PacificSource members may continue their care if they are in treatment for certain conditions, such as cancer or terminal illness. Ask PacificSource’s customer service for "continuity of care" or "transition coverage." These decisions are made by the insurance company. 

Should I contact my provider about this? Can they make an exception for me? 

No, only PacificSource can make the decision for an exception, usually for cases like pregnancy, surgery, cancer care or other specialty needs. You can ask your insurance representative about continuity of care. 

What should I do if my treatment isn’t available anywhere else? 

If there isn’t another option in your region or state for your type of care, ask your insurance company to request a special agreement to allow you to receive ongoing care with our health system. They’ll let you know what is possible. 

What if I am in the hospital at Hillsboro Medical Center when the agreements end?  

Nothing will change. We will take care of you until you are ready to leave. 

I have a Medicare Advantage plan. What are my options? 

  • Medicare Advantage members can review and choose plans during enrollment periods.
  • You can review the plan you chose for 2026 between Jan. 1 and March 31 with no penalties. Then you can choose a plan for 2027 starting in October.
  • Visit www.medicare.gov or call 1-800-MEDICARE (TTY 1-877-486-2048) or talk to your insurance broker to compare options.
  • Another local resource is Senior Health Insurance Benefits Assistance (SHIBA). You can get a SHIBA appointment over the phone or in person. Call 1-800-722-4134, email shiba.oregon@odhsoha.oregon.gov or visit the website. 

I have traditional Medicare with supplemental Medigap. Should I be worried? 

No, Medigap is different from medical insurance and does not affect where you go for medical care. 

Help us keep you informed. Make sure your contact and insurance information is up to date. 

Call us for help making MyChart changes 

Use MyChart:  

  • Have your insurance card handy.
  • Log into MyChart.
  • From the Menu on the left, scroll down to Insurance Summary. 
  • Click on Update Coverage. 
Multiple languages for the phrase "if you have questions about your insurance coverage"
English (U.S.) If you have questions about your insurance coverage, please call the customer service number on the back of your ID card.
Arabic إذا كانت لديك أي أسئلة حول التغطية التأمينية الخاصة بك، يرُجى الاتصال برقم خدمة العملاء الموجود على ظهر بطاقة معرّف العضوية الخاصة بك.
Cantonese 如果您對您的保險承保範圍有疑問，請致電會員卡背面的客戶服務專線。
Korean 보험 적용 범위에 대해 궁금한 점이 있으시면, ID 카드 뒷면에 기재된 고객 서비스 전화 번호로 문의해 주십시오.
Mandarin 如果您对保险的承保范围有任何疑问，请拨打您会员身份卡背面所示的客户服务电话。
Russian При возникновении вопросов о страховом покрытии звоните по номеру отдела обслуживания клиентов, указанному на обратной стороне вашей идентификационной карты.
Spanish (U.S.) Si tiene preguntas sobre su cobertura de seguro médico, llame al número de servicio al cliente que se encuentra al reverso de su tarjeta de identificación.
Vietnamese Nếu quý vị có bất kỳ câu hỏi nào về phạm vi bảo hiểm của mình, vui lòng gọi đến số dịch vụ khách hàng ở mặt sau thẻ ID của quý vị.

Questions?

Contact PacificSource to learn about your coverage.  

To ask about this webpage, please email or call us.