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Provider Directory Guidance
for Individual Health Plans
KNOW YOUR PLANS PROVIDER NETWORK NAME:
One of the most challenging aspects of evaluating an insurance plan is understanding the provider network. For 2027 there are 3 main companies you will be searching: Regence, Kaiser and Moda. The shock may be if you use OHSU or Adventist providers and hospitals, they are not covered for 2027.
To search for in-network providers for your insurance company and plan, browse the links by company below:
Note that these links below are for Explore Health Marketplace individual plans, not Medicare plans.
KAISER PERMANENTE
PROVIDER NETWORK:
In-network providers with Kaiser include all of the Kaiser providers in Oregon.
Search Kaiser providers
PROVIDER NETWORKS:
Regence plans for 2027 will offer 3 distinct Networks: Providence (PROV), Legacy (LHP) and the Connect network, which is for those in counties outside the Portland-metro area.
CONTRACTED HOSPITALS:
Providence Network:
The plans will say PROV in the name for this network and the hospitals include the 4 Portland Providence hospitals (not Newberg Providence).
Legacy Network:
This network includes the 4 Legacy Hospitals in the Portland area. (Not OHSU or Adventist).
Search Regence providers
MODA HEALTH PLANS
PROVIDER NETWORK:
In 2026 Moda used a broad network of providers called the Moda Affinity Network in Oregon. For 2027 there are 2 networks:
Select Network:
This is a network only available to people who had the Affinity plan in 2026 and are grandfathered into this plan. It is closed to everyone else in 2027. This network includes OHSU hospital and clinics.
Pathway Network:
This network offers the 4 Portland Providence hospitals and Adventist, but not OHSU.
NEED HELP?
I recognize that looking for doctors that match up with your plans network can be a challenge. I've been using these provider directories for 20 years now and can be of assistance if you need help. Send me an email detailing the problem are having or doctor type you are looking for and can assist you.
If you want to email me a list of doctors (first and last names) to danneils@gmail.com I'd be happy to help you look them up in any of the provider search engines. You can also give me a call at 503-740-0535.
UPDATED 11/01/26
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