Does Providence Health Plan contract with Legacy Health System and OHSU in Portland?
Providence does not contract with Legacy Hospitals with the exception of some specialized services at Legacy Emanuel. The same applies to Oregon Health Sciences University. These are the Metro area trauma facilities. Trauma services are considered in-plan services as well as some other specialty services that can’t be provided elsewhere. If your provider feels you require other services at these facilities that can’t be provided elsewhere, they can submit for prior authorization to have services paid in-plan. You may seek elective services at any non-contracted hospital by using your out-of-network benefit, subject to deductible and coinsurance.
