Legacy Health

We are actively negotiating in good faith to renew our network relationship with Legacy Health in Oregon and Washington

We are engaged in good-faith negotiation with Legacy Health to renew our network relationship. Our goal is to reach an agreement that is affordable for consumers and employers in the Portland, Oregon and Vancouver, Washington metro areas while providing continued access to the health system.

In the event we are unable to reach an agreement, Legacy’s hospitals and providers will be out of network for members enrolled in the following plans, effective Oct. 1, 2026:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP)
  • Community Plan of Washington (Medicaid) plans

Facts you should know

Our goal is to reach an agreement and avoid disruption in care for our members

We are fully committed to engaging in productive, good-faith discussions with Legacy and will remain at the negotiating table for as long as it takes to reach an agreement.

We hope Legacy shares our commitment and works with us on solutions that are affordable and sustainable.

We have a responsibility to provide the people we serve with access to quality health care while also helping to contain rapidly rising health care costs

Unsustainable rate increases have an impact on the cost of premiums as well as out-of-pocket costs for the people we serve, while also driving up the cost to do business for employers.

We are committed to engaging in productive, good-faith negotiation and urge Legacy to provide a proposal that is reasonable and affordable.

We are proposing market competitive rate increases that will continue to reimburse Legacy fairly while slowing the unsustainable rise in health care costs

Maintaining fair and competitive agreements with the providers in our network is critical to our ability to meet this commitment to our members and customers.

We are committed to engaging in productive, good-faith negotiation and are hopeful that Legacy will continue to work with us to reach an agreement that is affordable for consumers and customers in Oregon and Washington.

Frequently asked questions

We have created the following FAQs to ensure you and your family have the information needed regarding next steps as well as details to help meet your health care needs.

We are engaged in good-faith negotiation with Legacy to renew our network relationship. Our goal is to reach an agreement that is affordable for consumers and employers in the Portland, Oregon and Vancouver, Washington metro areas while providing continued access to the health system.

In the event we are unable to reach an agreement, Legacy’s hospitals and providers will be out of network for members enrolled in the following plans, effective Oct. 1, 2026:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP)
  • Community Plan of Washington (Medicaid) plans

If we are unable to reach an agreement, the following Legacy hospitals will be out of network, effective October 1, 2026:

Oregon

  • Legacy Emanuel Medical Center
  • Randall Children’s Hospital at Legacy Emanuel
  • Legacy Meridian Park Medical Center
  • Legacy Mount Hood Medical Center
  • Legacy Good Samaritan Medical Center

Washington

  • Legacy Salmon Creek Medical Center

In the event we are unable to reach an agreement, Legacy’s hospitals and providers will be out of network for members enrolled in the following plans, effective Oct. 1, 2026:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plans (DSNP)
  • Community Plan of Washington (Medicaid) plans

We understand that network changes can be difficult. Our priority is to provide our members access to the care they need through a robust network of hospitals and providers.

If we are unable to renew our agreement with Legacy, the people we are privileged to serve will continue to have access to in-network care from a broad network of providers and hospitals in the Portland, Oregon and Vancouver, Washington metro areas, including but not limited to:

  • OHSU Oregon Health & Science University
  • Peacehealth St John Medical Center
  • Adventist Health
  • Tuality Healthcare
  • American Current Care
  • Northwest Acute Care Specialists

For support finding in-network hospitals, members can call the customer care number on their health plan ID card or visit their plan’s website:

UnitedHealthcare members who are in the middle of treatment at a Legacy hospital or with a Leacy physician may qualify for continuity of care, which provides continued in-network benefits for a specified period of time after a hospital or physician leaves our network.

Examples of conditions that would be eligible for continuity of care include but are not limited to the following:

  • People in active treatment for cancer
  • Individuals in ongoing treatment for transplant services

Any member who believes they need continuity of care should contact UnitedHealthcare to determine if they are eligible.

For information regarding how to apply and whether they might be eligible for continuity of care, members should call the number on their health plan ID card.

In the event of an emergency, UnitedHealthcare members should go to the nearest hospital and will be covered at the in-network benefit level, regardless of whether the hospital participates in our network.

Members enrolled in our Group Retiree Medicare Advantage PPO plans may still receive care from a Legacy provider as an out-of-network provider, if they are a Medicare-approved provider that accepts the plan. Their share of the cost will be the same as if they were part of the network for some or all services.

UnitedHealthcare Group Retiree Medicare Advantage members are encouraged to speak with their physician to confirm they’ll continue to see them, regardless of their network status.

For additional information about our Group Retiree plan as well as information on how to find a provider in their area, UnitedHealthcare members should go to retiree.uhc.com.

UnitedHealthcare members should always go to the nearest hospital in the event of an emergency. Their services will be covered at the in-network benefit level, regardless of whether the hospital participates in UnitedHealthcare’s network.

For support finding in-network hospitals, members can call the customer care number on their health plan ID card or visit their plan’s website: