2026 Provider Directory Guidance
for Individual Health Plans

ASK THE RIGHT QUESTIONS

One of the most challenging aspects of evaluating an insurance plan is understanding its provider network.

For example, the Providence Individual plans offer 3 different provider networks: Connect, Choice, and Signature. A doctor's office may accept one network (such as the Signature), but not accept the Connect and Choice. Be sure to ask the office if they accept the exact network corresponding with your plan (Is this office contracted for  the Providence Connect Network?).     

Another issue to be aware of is provider changes.   A doctor may be in the network, but not show up in the directory because they were not added by the provider. Keep in mind that all providers in the same office all bill the same insurance plans.    Another issue that can come up is when your doctor leaves the practice, or moves to another practice.

The Links below are for Marketplace individual plans, not commercial or Medicare plans.

KAISER PERMANENTE

PROVIDER NETWORK: 

In-network providers with Kaiser include all of the Kaiser providers in Oregon.   

Search Kaiser providers

MODA HEALTH PLAN

PROVIDER NETWORK:

Moda uses a broad network of providers called the  Moda Affinity Network in Oregon. When you travel outside of Oregon, they use a national network called the Aetna PPO Network for Emergency and Urgent Care.

MEDICAL HOME REQUIREMENT:

When you enroll in a Providence Plan you are required to select a Medical Home Primary Care Clinic, not a specific primary care provider. A Medical Home Clinic is where you go for Primary Care. You can visit specialists in the network without a referral.

NON-CONTRACTED PROVIDERS:  If you have an emergency and are out of your network area, you can visit an Emergency Room, or Urgent Care network nationwide.  The visit will be billed as if you were in network.    However, you will pay more if you do not go to an in-network Urgent Care locally.   

PROVIDER NETWORK:   

Providence plans for 2026 will use one of 3 different provider networks: The Connect, Choice, or Signature. The plan name will indicate what network the plan uses. The Connect Network is the generally the smallest of the 3, but may be appropriate for your needs. The Signature Network offers a national network of providers.  Make sure the doctors you want to use accept the network you are a part of by using the search tool below.

CONTRACTED HOSPITALS: 

In the Portland area the in-network hospitals include Providence Glisan Street, St. Vincent, Milwaukie Community, Willamette Falls, and Newberg Hospital.

Search Providence providers

PACIFICSOURCE HEALTH PLANS

PROVIDER NETWORK: 

The PacificSource Navigator for 2026 is being replaced with the new Core EPO Network, which is very similar and includes Oregon, Washington, Idaho and Montana.  When you travel outside of those 4 states you can use providers in the Aetna Signature Administrators Network  (case of a child in college out of state).

CONTRACTED HOSPITALS:
     You are not required to select a Primary Care Doctor (PCP) when you enroll, and referrals are not required.    Legacy Meridian Park, Good Samaritan, Emmanuel, and Mt. Hood Medical are covered in the Portland area, as well as  Tuality, OHSU and Adventist Hospitals.  (Not Providence)   Silverton and Salem are also in the network.  

Search PacificSource providers

REGENCE INDIVIDUAL PLANS 

PROVIDER NETWORKS:

Regence plans for 2026 will use either the new Individual Connect network, or the Legacy network.   When you click the search link be sure to first select the network, and the area to search in the top right corner of the screen.  

CONTRACTED HOSPITALS:

Legacy Network: The Legacy Network plans work only with Legacy Hospitals: Emanuel, Good Samaritan, Meridian Park, Mt. Hood Medical, and Silverton.

Individual Connect network:  This is the larger network of contracted doctors which includes Adventist, OHSU and Tuality hospitals in addition to the 5 Legacy Hospitals.

Search Regence providers

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 11/14/25