LifeWise Health Plan of Oregon announced on April 21 that we will exit the Oregon market. As a customer, you can be assured we will support you through the duration of your plan, with most plans ending by Dec. 31, 2016.
See below for answers to common questions about this change.
LifeWise Health Plan of Oregon has announced it is leaving the insurance market in Oregon. We are ceasing new sales in the group market and will remain on healthcare.gov in the individual market through the remainder of the year. Our focus is on making this transition as smooth as possible for our customers.
What happens to LifeWise Health Plan of Oregon's customers?
LifeWise will continue to service its customers while they have active coverage with us. For many customers, including those in the individual market, the last date of coverage will be Dec. 31, 2016. Some employer groups may continue into 2017 based on the date of their last renewal.
Does this affect LifeWise Health Plan of Washington?
No, LifeWise Health Plan of Washington is continuing to operate in Washington.
Why is this happening?
LifeWise chose to exit the state after careful and thorough consideration of current and projected market conditions.
Is LifeWise in financial trouble? Will it keep paying claims?
LifeWise has strong financial resources to pay claims and serve our customers well through their last day with us. LifeWise is notifying healthcare professionals, such as hospitals, doctors, and dentists, about this change. LifeWise will continue to pay claims to its existing contracted provider network for customers who have active coverage with us. We want to make this transition as smooth as possible for everyone involved.
What about transitioning care for customers when they change plans?
We plan to work with providers and other insurers as appropriate to support customers in ensuring continuity of care as they transition to new coverage in the coming months.
If I'm an individual customer, can I change plans with LifeWise or move to another health plan right now?
No. You will be able to move to another health insurer during the next open enrollment period, which begins on November 1.
Does this affect other LifeWise affiliates?
Partly. Vivacity will continue to serve their customers in Oregon. LifeWise Assurance Company will work with their clients in Oregon with stop-loss coverage as those employers move to other carriers.
Does this mean there will be layoffs at LifeWise? Is your Portland office closing?
Yes, some employees are immediately impacted, with additional job eliminations by the end of the year. Our Portland office will close later this year as well.
Who do I contact with further questions?
LifeWise customers can call us at 800-596-3440.
Where do I go to find specific information about my plan online?
You can create and register your account on lifewiseor.com. You'll need your member ID number and suffix (see your ID card). First, create an account. Then, log in and associate your account with your health plan by entering your ID number.
By logging in, you'll find specific information about your plan. You can track claims and spending toward your deductible or pay bills. You can also log in to find in-network doctors, dentists, pharmacies, urgent care centers, hospitals, and emergency rooms.
I need to use my health plan, but I don't have my ID card. What should I do?
In-network, hospitals, and pharmacies can confirm your coverage directly with us. You can still get care if you need it, even if you don't have your ID card. You can also call us at 800-596-3440 and we'll give you your ID number.
If you have your member ID number and would like to print a temporary card, log in at lifewiseor.com. Under Member Services, navigate to Manage My Account, then choose Print and Order ID Card.
What is a special enrollment period?
On December 31, 2016, all individual LifeWise medical and dental coverage will end because LifeWise Health Plan of Oregon is leaving the Oregon health plan market.
However, if you qualify, you may be able to apply for 2016 coverage, in a special enrollment period. If you or your family have experienced a qualifying life event such as a marriage or the birth of a child, you may qualify for special enrollment in a 2016 individual health plan.
What should I do if I qualify for a special enrollment?
If you qualify for special enrollment, LifeWise can help you sign up for a health plan. We can also help you learn whether you qualify for financial help with your health plan costs. As part of the application process, you'll be asked to provide proof that you're an Oregon state resident. Call us at 800-596-3440 with any questions.