Employees, retirees and COBRA participants enrolled in health plans (e.g. CityCore, CityNet, or CityBasic) administered by Moda or provided by Moda will not lose access to Providence Hospitals and Providers and there will be no disruption to the network.
In a recent Oregonian article and on various radio and news coverages, it was announced that Moda and Providence Health would not retain a network contract for individuals who purchase coverage from Moda. This is a decision affecting individual purchasers of insurance and does not affect participants on the City’s healthcare plans. Also misstated within the article, is wording that indicates the current Connexus network of providers would be renamed to Beacon. The Connexus network is not being renamed and will still include Providence hospitals and providers. Moda has provided information that no changes in the Connexus network are taking place. The newly named Beacon network will be available to people who buy coverage through the individual insurance marketplace.
While much of the current information about health insurance and Moda specifically can make you feel on edge; the information in the news is about how Moda will do business in the “Individual Market “ and does not affect the City’s coverage. The City is also not affected by other recent stories about Moda terminating individual plans in Washington and California. The CityCore and CityBasic plans are self-insured plans. These plans are not purchased from Moda. We contract with Moda to process and pay claims on behalf of the City. We also purchase network access from Moda and we will continue to purchase access to the Connexus network that includes OHSU, Legacy, Providence, Portland Adventist and other systems of care.
For our Police Officers covered under the CityNet plan, there is also no change to network access as this plan is purchased as “group coverage” and is not affected by changes in the individual market.
This message does not pertain to participants enrolled in a Kaiser Health Plan.