FAQs about our negotiation with OHSU

We are actively meeting with OHSU in an effort to renew our relationship. We want to keep OHSU in our network and are committed to utilizing the remaining time on our contract to engage in good-faith negotiation.

We will remain at the negotiating table with OHSU for as long as it takes to reach an agreement that ensures the people we serve have continued access to care that is affordable.

If we are unable to reach an agreement, the following providers and hospitals will be out of network for people enrolled in employer-sponsored and individual commercial plans, Medicare Advantage and Group Retiree plans, as well as Dual Special Needs Plans (DSNP), effective April 1, 2025:

  • Oregon Health & Science University Hospital
  • Adventist Portland Hospital
  • Hillsboro Medical Center
  • OHSU Medical Groups
  • Tuality Medical Groups
  • Adventist Medical Groups
  • Tuality Health Plan Services 

The following hospitals will be out of network on April 1, 2025, if we are unable to reach an agreement:

  • Oregon Health & Science University Hospital
  • Adventist Portland Hospital
  • Hillsboro Medical Center

This negotiation impacts people enrolled in the following plans:

  • Employer-sponsored and individual commercial plans
  • Medicare Advantage and Group Retiree plans
  • Dual Special Needs Plans (DSNP)

People enrolled in our Medicare Advantage PPO plans may receive care from an out-of-network provider, if the provider is a Medicare participating provider which accepts the plan.

If people have a Group Retiree PPO plan, their share of the cost is typically the same as if the provider was part of the network.

Members enrolled in our Medicare Advantage and Group Retiree plans are encouraged to speak with the provider to confirm they will provide care, regardless of their network status.

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

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

We understand that network changes can be difficult. Our priority is to ensure the people we serve have access to the care they need through a robust network of hospitals and physicians.

If we are unable to renew our agreement with OHSU, the people we serve should know they continue to have access to a broad network of providers and hospitals across the Portland Metro area, including but not limited to:

  • Legacy Emanuel Hospital
  • Legacy Good Samaritan Medical Center
  • Legacy Meridian Park Hospital
  • Legacy Mount Hood Medical Center
  • Legacy Salmon Creek Hospital
  • Legacy Silverton Medical Center
  • PeaceHealth St. John Medical Center
  • PeaceHealth Southwest Medical Center
  • Providence Milwaukie Hospital
  • Providence Newberg Medical Center
  • Providence Portland Medical Center
  • Providence St. Vincent Medical Center
  • Providence Willamette Falls Medical Center
  • Salem Health
  • Santiam Hospital
  • Shriners Hospitals for Children
  • Willamette Valley Medical Center

For support finding in-network physicians, people 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 an OHSU hospital or from an OHSU 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 patients who may qualify include:

  • Women who are pregnant
  • Patients with newly diagnosed or relapsed cancer, or those currently in active cancer treatment
  • People who have questions about continuity of care should call the number on their health plan ID card

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

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 physicians, people can call the customer care number on their health plan ID card or visit their plan’s website: