Explore Oregon Medical Group plans

Employer, Individual, and Exchange | Medicare and Medicare Advantage | Medicaid and Managed Medicaid | FAQs

If your insurance plan is not listed, we may still participate through one of our network contracts. Please call our Billing Customer Service Representative at 541-687-4905 for additional information. (Please note: Due to federal government restrictions, we are not allowed to answer questions about specific plans or to make plan recommendations.)

Employer, individual and exchange plans

6 Degrees Health (Exclusions Apply)

The below select Benefit Plans are the only payers that are in-network that utilize this network:

  • Rever Grand
  • Tree Top, Inc.
  • Cascade Living Group
  • JCK Restaurants

Contact your payer directly for any questions regarding covered plans/payers.

Aetna

Accepted plan categories*

  • Aetna Standard Plans
  • Aetna Open Access Plans
  • Aetna HealthFund Plans
  • Aetna Premier Care Network
  • Aetna Premier Care Network Plus
  • Aetna Premier Care Network Plus (APCN Plus) - Multi Tier
  • Aetna with Innovation Health
  • National Advantage Program

* Please refer to Aetna's provider directory for participating plans available under each of the above plan categories.

Cigna Health Care

Accepted plans:

  • OAP
  • Local Plus
  • PPO
First Choice Health Network

Accepted plans utilizing the following networks:

  • First Choice Health Preferred Network
First Health

Accepted plans utilizing the following networks:

  • First Health*

* In-network through Aetna rental agreement.

Health Net

Accepted networks:

  • Commercial EPO
  • Commercial POS
  • Commercial PPO
Moda

Accepted networks:

  • Connexus (PPO)
  • Synergy (CCO)
  • Affinity (Exchange/EPO)
  • OHSU (PPO)
Multiplan/PHCS (rebranded to Claritev)

Multiplan rebranded to Claritev in 2025.

Accepts plans with Primary Networks:

  • PHCS

Accepts plans with Complementary Networks:

  • Multiplan

Claims that utilize complementary networks may pay for Covered Services at an in or out of network benefit level. Contact your payer directly for any questions.

Pacific Source

Accepted networks:

  • Voyage (PPO)
  • Navigator (CCO)*

* Participating with Legacy Employee Health Plan (LEHP) utilizing the Navigator network.

Providence

Accepted networks:

  • Providence Signature Network
  • Providence Choice Network
  • Providence Extend PPO
Regence Blue Cross

Accepted plans utilizing the following Regence Networks:

  • Participating
  • Preferred
  • Premium PPO
  • Individual and Family Network
  • Real Value (Exchange)
  • Individual Connect
  • Individual Value
UnitedHealthcare

Accepted networks:

  • Core
  • Choice
  • Nexus ACO
  • Doctors
  • Options PPO
  • Select
  • Navigate
  • Charter

Medicare and Medicare Advantage plans

Marquis/AgeRight Medicare Advantage (Exclusions Apply)

Exclusions Apply-

Oregon Medical Group is only contracted with Rheumatology specialty only.

Original Medicare (Exclusions Apply)

Oregon Medical Group accepts only established patients with Original Medicare. No new Original Medicare patients will be accepted.

A “new patient” is defined as someone who has not been seen by an Oregon Medical Group provider within the past three years.

Pacific Source Medicare Advantage (Exclusions Apply)

Effective January 1, 2026, Oregon Medical Group will no longer accept new patients with PacificSource Medicare Advantage plans, nor established patients who have newly enrolled in Pacific Source Medicare Advantage.

Providence Medicare Advantage (Exclusions Apply)

Effective January 1, 2026, Oregon Medical Group will no longer accept new patients with PacificSource Medicare Advantage plans, nor established patients who have newly enrolled in Providence Medicare Advantage.

Regence Medicare Advantage

Accepted Networks:

  • Regence MedAdvantage PPO
  • Regence MedAdvantage HMO
UnitedHealthcare Medicare Advantage

UnitedHealthcare Medicare Advantage HMO, PPO, and C-SNP

Medicaid and Managed Medicaid plans

CareOregon Medicaid (Exclusions Apply)

Exclusions Apply-

Portland Providers only

Providence Medicaid

Portland Providers only

Trillium Medicaid

Effective February 01, 2026, Oregon Medical Group is now contracted with Trillium Community Health Plan.