PeaceHealth’s break with Centene Corporation will go into effect Jan. 1 when Health Net and Trillium Medicare Advantage plans will no longer be accepted by the nonprofit health care system.
While the Medicare Open Enrollment period ended Dec. 7, those who qualified with Trillium or Health Net plans will still be able to switch Medicare Advantage plans or switch from a Medicare Advantage plan to original Medicare between Jan. 1 and March 31.
“Our patients remain our top priority, and we are committed to supporting them during this transition,” a PeaceHealth representative said.
PeaceHealth has confirmed it will continue to accept plans from Moda Health, PacificSource, Providence, Regence and United.
PeaceHealth first started providing Medicare Advantage plans with Health Net back in 2004 and with Trillium in 2012.
In April, a rift developed between PeaceHealth and the insurers when PeaceHealth stated it would not renew its contract with the companies. The details of the split were not clear.
“As a normal course of business, PeaceHealth regularly reviews its payer relationships to ensure patients receive the highest levels of care,” said PeaceHealth in a statement to The Sentinel. “After a careful discernment process, PeaceHealth made changes to its 2020 insurance plan contracts as part of our ongoing strategy to partner with health plans that more closely align with our mission and values.”
In anticipation of the changeover, PeaceHealth has mailed letters to patients and is offering a dedicated Medicare Insurance Helpline at 866-391-7750 where patients can speak with licensed agents who represent PeaceHealth-accepted Medicare plans in 2020.
PeaceHealth told The Sentinel that agents are also available by appointment at various locations or even at patients’ homes if required.
The potential impact of the break from Trillium – a major insurance provider in the region – on local resources remains unclear.
Senior & Disability Services, a Eugene-based social services organization, could not provide details.
“At this time we have no comment on that matter as we have ongoing relationships with both offices and it would be inappropriate to comment,” said a representative from the organization.
Local mental health service South Lane Mental Health did not respond to a request for comment.
For Medicaid Oregon Health Plan (OHP) coverage, PeaceHealth told The Sentinel that all clinics and hospitals in Lane County are accepting PacificSource Coordinated Care Organizations (CCO) and all PeaceHealth hospitals in Lane County will still accept Trillium CCO in 2020.
Residents with OHP may still switch for any reason until Mar. 31 by calling 877-647-0027 or visiting ohp.oregon.gov.
PeaceHealth resources and an updated list of 2020 Medicare plans accepted by PeaceHealth can be found at peacehealth.org/medicare.