The Cover Oregon is essentially a marketplace for individuals and small businesses with up to 100 employees to shop for health insurance if they do not already have insurance coverage from another source. If they have insurance from another source (such as employment, retirement benefits, or spousal benefits), they do not need to obtain it from the Marketplace.
Providers must contract with each of the plans in the marketplace individually in order to fully participate in the Cover Oregon.
This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider with the plans or companies in the state exchange, or if your patients are experiencing problems with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state office of insurance:
Department of Consumer and Business Services
Oregon Insurance Division
350 Winter St. NE
Salem, OR 97301-3883
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies.
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publicly announced that they will offer plans in the Cover Oregon.
This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.
Atrio Health Plans
Provider Enrollment: Not available
Oregon's Health Co-op
Providence Health Plan