2018 Accepted Insurance Plans and Networks* X = Not Accepted

Insurance Home Medical -Common Plans, Networks, or Home Health Hospice Infusion Services Alternate Names Equipment Aetna All commercial plans All commercial plans All commercial plans All commercial plans (except Strategic Resource (except Strategic Resource (except Strategic Resource (except Strategic Resource Company and most non- company and most non- company and most non- company and most non- -First Health employer based plans such employer based plans such employer based plans such employer based plans such -Coventry as student and individual as student and individual as student and individual as student and individual plans) plans) plans) plans) Atrio Health Plan All plans X X All Medicare plans -Cascade Comprehensive Care Blue Cross Blue Shield All commercial and All commercial and All commercial and Medicare plans with All commercial and Medicare plans with Medicare plans with PPP (Preferred Provider Medicare plans with PPP (Preferred Provider PPP (Preferred Provider Plan), PAR (Participating PPP (Preferred Provider -Anthem of CA Plan), PAR (Participating Plan), PAR (Participating Network) and Plan), PAR (Participating -Benefits Plus Administrators Network) and Oregon Network) and Oregon Network) and Oregon -Bridge Span Select Providence -Healthcare Management Select Providence Select Providence Networks Select Providence Administrators (HMA) Networks Networks Out-of-state plans with Networks -Regence of OR Out-of-state plans with Out-of-state plans with Blue Card PPO only if Out-of-state plans with -Regence Federal Blue Card PPO only if Blue Card PPO only if delivered to OR or Clark Blue Card PPO only if patient address is in OR patient address is in OR County, WA or picked patient address is in OR or Clark County, WA or Clark County, WA up at Providence Home or Clark County, WA Services Care Oregon -Health Share of Oregon All Medicare and All Medicare and All Medicare and All Medicare and -Jackson Care Connect plans Medicaid plans Medicaid plans Medicaid plans -Columbia Pacific CCO -Yamhill CCO CIGNA All commercial plans All commercial plans All commercial plans All commercial plans -William Earhart PPO First Choice Health Network -Alternative Risk Management -Benefit Risk Management -Carpenters Trust -Cement Masons & Plasters -EBMS Aetna Commercial plans with Commercial plans with Commercial plans with Commercial plans with -EBMS First Choice Oregon service area Oregon service area Oregon service area Oregon service area -NW Plumbing and Pipefitters listed on the insurance listed on the insurance listed on the insurance listed on the insurance Trust card card card card -NW Sheet Metal Workers -Painters Trust Fund -Shasta Benefit Administrators -WM Earhart Roofers Local 49 -WPS Group Health -Zenith American Solutions Health Share of Oregon Only Care Oregon Only Care Oregon Only Care Oregon Only Care Oregon Medicaid and Medicaid and Medicaid and Medicaid and -Care Oregon Medicaid Providence Medicaid Providence Medicaid Providence Medicaid Providence Medicaid -Providence Medicaid plans plans plans plans Humana Commercial plans with Commercial plans with Commercial plans with Commercial plans with -ChoiceCare ChoiceCare Network ChoiceCare Network ChoiceCare Network ChoiceCare Network All plans ONLY by Kaiser X X X referral from Kaiser Medicare Original Medicare plan Original Medicare plan X Original Medicare plan Medicaid - Benefit plan dependent Benefit plan dependent Benefit plan dependent Benefit plan dependent -Division of Medical Assistance Programs (DMAP) MidRogue Independent All Medicaid AllCare All Medicaid AllCare Physicians Association Health plans and All All Medicaid AllCare Health plans and All X (IPA) Medicare CareSource Health plans Medicare CareSource -AllCare Health Plan Health plans Health plans MultiPlan Commercial plans with Commercial plans with Commercial plans with Commercial plans with -Private Healthcare Systems PHCS Network PHCS Network PHCS Network PHCS Network Commercial plans in the Commercial plans in the Commercial plans in the Commercial plans in the Connexus Network and Connexus Network and Connexus Network and Connexus Network and Moda Health Plan Medicaid plans in Medicaid plans in Medicaid plans in Medicaid plans in Seaside Newberg, and Seaside Newberg, and Seaside Newberg, and Seaside Newberg, and Medford service areas Medford service areas Medford service areas Medford service areas Moda Medicare All Medicare plans All Medicare plans All Medicare plans All Medicare plans Advantage *Exceptions apply to some plans and networks. Always call the Customer Service phone number on the back of the member’s insurance card to verify benefits and eligibility. 2018 Accepted Insurance Plans and Networks* X = Not Accepted PacificSource Health All commercial plans All commercial plans All commercial plans All commercial plans Plans with PacificSource and with PacificSource and with PacificSource and with PacificSource and Prime Networks. Prime Networks. Prime Networks. Prime Networks. -Clear One Health Plans All Medicare plans. All Medicare plans. All Medicare plans. All Medicare plans. All commercial and All commercial and All commercial and All commercial and Providence Health Plans Medicare plans. All Medicare plans. All Medicare plans. All Medicare plans. All networks. networks. networks. networks.

Providence Preferred All commercial and All commercial and All commercial and All commercial and -A&I Bene Harrison Trust Medicare plans. All Medicare plans. All Medicare plans. All Medicare plans. All -Ameriben Solutions networks. networks. networks. networks. -Cypress Benefit Administrators All plans. All networks. All plans. All networks. X All plans. All networks. United Behavioral Health All plans. All networks. X X X -Optum All Commercial and All Commercial and All Commercial and All Commercial and United Healthcare (UHC) PPO plans PPO plans PPO plans PPO plans United Healthcare All Medicare plans All Medicare plans All Medicare plans All Medicare plans Medicare Advantage (except South Tabor Family (except South Tabor Family (except South Tabor Family (except South Tabor Family -AARP Medicare Complete Medicine Network and Medicine Network and Medicine Network and Medicine Network and -AARP Medicare Complete Medicare Supplemental Medicare Supplemental Medicare Supplemental Medicare Supplemental Choice plans) plans) plans) plans)

Detailed List of Accepted Insurance Plans and Networks

Insurance Group or Network Insurance Plan Insurance Group or Network Insurance Plan (See Insurance Listed Above for (See Insurance Listed Above for Name Name Accepted Plan Notes) Accepted Plan Notes) United Healthcare Medicare AARP Medicare Complete Group Health First Choice First Choice Health Network Advantage AARP Medicare Complete United Healthcare Medicare Care Oregon / Providence Health Share of Oregon Choice Advantage Health Plan Healthcare Management A&I Bene Harrison Trust Providence Preferred Blue Cross Blue Shield Administrators Aetna PPO Groups Providence Preferred Healthsmart Benefit Solutions First Choice Health Network Aetna Select Groups Providence Preferred Jackson Care Connect Care Oregon Alternative Risk Management First Choice Health Network Loomis First Choice First Choice Health Network MidRogue Independent AllCare Health Plans Medicaid Oregon Health Plan Physicians Association (IPA) Ameriben Solutions Providence Preferred National Health Ins Co First Choice Health Network Blue Cross Blue Shield (Blue NW Plumbing and Pipefitters Anthem of CA First Choice Health Network Card PPO Only) Trust Benefits Plus Administrators Blue Cross Blue Shield NW Sheet Metal Workers First Choice Health Network Benefit Risk Management First Choice Health Network Oregon’s Processors Trust First Choice Health Network Bridge Span Blue Cross Blue Shield Pacific Underwriters Providence Preferred Care Oregon Medicaid / Care Health Share of Oregon Painters Trust Fund First Choice Health Network Oregon OHP MidRogue Independent CareSource Health Plans Performance Health Technology First Choice Health Network Physicians Association (IPA) Private Healthcare Systems Carpenters Trust First Choice Health Network MultiPlan PPO (PHCS) Providence Medicaid / Cascade Comprehensive Care Atrio Health Plan Health Share of Oregon Providence OHP Cement Masons & Plasters First Choice Health Network Regence of Oregon Blue Cross Blue Shield ChoiceCare Humana Regence Federal Blue Cross Blue Shield Clear One Health Plans PacificSource Health Plans Samaritan Health Plan FCH First Choice Health Network Columbia Pacific CCO Care Oregon Shasta Benefit Administrators First Choice Health Network Coventry Aetna UMR First Choice First Choice Health Network Cypress Benefit Administrators Providence Preferred United Health Alliance First Choice Health Network Division of Medical Assistance Oregon Health Plan Western Benefits Providence Preferred Programs (DMAP) EBMS Aetna First Choice Health Network William Earhart PPO CIGNA EBMS First Choice First Choice Health Network WM Earhart Roofers Local 49 First Choice Health Network Employee Benefit Management Providence Preferred WPS Group Health First Choice Health Network Services First Health Aetna Yamhill CCO Care Oregon Frontier First Choice Health Network Zenith American Solutions First Choice Health Network Global Care Inc Providence Preferred ZoomCare Direct FCH First Choice Health Network

*Exceptions apply to some plans and networks. Always call the Customer Service phone number on the back of the member’s insurance card to verify benefits and eligibility.