An update regarding our relationship with Legacy Health System in Oregon and Washington

The following hospitals are included in the negotiation for Medicare Advantage and Group Retiree plans:

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

Yes. We are actively meeting with Legacy with the goal of renewing our long-standing relationship so that the members we serve have continued access to Legacy’s hospitals and physicians in the Portland, Oregon and Vancouver, Washington metro areas. We want to keep Legacy in our network and are committed to engaging in productive negotiation.

We will remain at the negotiating table with Legacy as long as it takes to reach an agreement that will ensure the people we serve have continued access to care that is both quality and affordable.  

Members enrolled in our Medicare Advantage PPO and Group Retiree plans may continue to receive care at a Legacy facility and from a Legacy physician, if the provider is Medicare-approved and accepts the plan.

The member’s share of the cost is typically the same as if the provider was part of the network.

Members enrolled in our Medicare Advantage PPO 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, members can call the customer care number on their health plan ID card or visit their plan’s website:

• myuhc.com
• myuhcmedicare.com
• retiree.uhc.com for Group Retiree plans
• uhc.com/communityplan/washington

For now, nothing changes. Members may continue to receive care from their current Legacy physician.

If a member prefers to select their own physician, they can choose a new medical group and PCP from our network at any time.

Members 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 members have a Group Retiree PPO plan, the member’s share of the cost is typically the same as if the provider was part of the network.

• UnitedHealthcare Group Retiree members are encouraged to speak with the provider to confirm they will provide care, regardless of their network status.

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

• myuhc.com
• myuhcmedicare.com
• retiree.uhc.com for Group Retiree plans
• uhc.com/communityplan/washington

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

If we are unable to renew our agreement with Legacy, the members we are privileged to serve will continue to have ample access to in-network care from a broad network of providers and hospitals, including:

• OHSU Adventist Medical Center
• OHSU Oregon Health & Science University
• Peacehealth SW Medical Center

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

• myuhc.com
• myuhcmedicare.com
• retiree.uhc.com for Group Retiree plans
• uhc.com/communityplan/washington

UnitedHealthcare members who are in the middle of treatment at Legacy hospital or from a Legacy 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.
• Members 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.

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

• myuhc.com
• myuhcmedicare.com
• retiree.uhc.com for Group Retiree plans
• uhc.com/communityplan/washington

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.