Legacy to end contract with Humana Medicare Advantage
After careful review of our contract with Humana Medicare Advantage, Legacy has made the difficult decision to terminate our agreement effective April 1, 2027.
This means Humana Medicare Advantage members will need to enroll in Original Medicare or choose a different Medicare Advantage plan to continue services at Legacy.
We recognize the stress this situation creates for our patients. We are sharing this information with you now to help make this a smooth transition.
Medicare Annual Open Enrollment starts on Oct. 15 and ends Dec. 7, 2026. We encourage you to explore your insurance coverage options during this time.
There are many Medicare Advantage plans available that include Legacy Health as part of their network. If you would like to remain in-network with Legacy, you can enroll in Original Medicare or choose a different Medicare Advantage plan. See a list of Medicare Advantage plans we contract with here.
Questions? Find answers to some of the most frequently asked questions (FAQ) below.
Frequently Asked Questions
What is happening between Legacy Health and Humana Medicare Advantage?
When does this change take effect?
Is Legacy negotiating a new contract with Humana Medicare Advantage?
Can I continue to access Legacy services and providers if I have Original Medicare?
Can I still access Legacy hospitals?
How can I continue to see my Legacy providers?
Does Legacy recommend a specific Medicare Advantage plan?
Is there someone I can talk to for help comparing Medicare plans?
Why is Legacy making this change?
Frequently Asked Questions & Answers
What is happening between Legacy Health and Humana Medicare Advantage?
- Legacy will be ending our contract with Humana Medicare Advantage, effective April 1, 2027.
- Legacy providers and facilities will be out of network for patients who have a Humana Medicare Advantage plan. This includes Legacy providers and facilities in Silverton.
When does this change take effect?
- Patients with Humana Medicare Advantage coverage will continue to have in-network access to Legacy facilities, clinics and providers through March 31, 2027.
- The contract termination becomes effective April 1, 2027.
- Now is a good time to review your options for coverage in 2027. The Medicare Annual Open Enrollment period starts Oct. 15 and runs through Dec. 7, 2026. You can enroll in Original Medicare or choose a different Medicare Advantage plan to continue services at Legacy.
Is Legacy negotiating a new contract with Humana Medicare Advantage?
- No. Unlike past contract reviews, this is not a negotiation. The agreement between Legacy Humana Medicare Advantage ends effective April 1, 2027.
Can I continue to access Legacy services and providers if I have Original Medicare?
- Yes. Legacy services and providers are available to patients who are on Original Medicare.
Can I still access Legacy hospitals?
- For emergency care only. Beginning April 1, 2027, all other hospital services will be out of network for patients who have a Humana Medicare Advantage plan.
How can I continue to see my Legacy providers?
- Enroll in Original Medicare or select a Medicare Advantage plan that includes Legacy Health providers and facilities. This will allow you to remain in network with your current Legacy providers.
- You can review your options during the Medicare Annual Open Enrollment period from Oct. 15 to Dec. 7, 2026.
Does Legacy recommend a specific Medicare Advantage plan?
- No. Legacy does not provide recommendations regarding specific insurance plans.
- A list of Medicare Advantage plans that include Legacy providers and facilities is available at legacyhealth.org/insurance.
- If you have specific questions about your coverage with Humana Medicare Advantage, please call the phone number on the back of your member ID card.
Is there someone I can talk to for help comparing Medicare plans?
- Statewide Health Insurance Benefits Advisors (SHIBA) provides free Medicare counseling through certified advisors.
- In Oregon:
Website: shiba.oregon.gov
Phone: 800-722-4134- In Washington:
Website: insurance.wa.gov/shiba
Phone: 800-562-6900 (Insurance Consumer Hotline)Why is Legacy making this change?
- Legacy regularly reviews payer contracts to ensure reimbursement remains financially sustainable for our health system.
- After careful review, Legacy determined that continuing to provide care under the current Humana Medicare Advantage agreement is no longer financially sustainable.
- Sustainable reimbursement rates are necessary to ensure continued access to high-quality care for the communities we serve.
