Washington Medicare Advantage Plan Update

 

Important Update Regarding Medicare Advantage Plans in Skamania and Klickitat Counties

Dear One Community Health Patient, 

Starting January 1, 2026, Medicare Advantage plans offered in Skamania and Klickitat Counties DO NOT include One Community Health as an in-network provider.  

This means that if you have a Medicare Advantage plan, your care is not covered at One Community Health, and you will need to pay out-of-pocket. Contact your plan and ask about your out-of-network coverage. 

You are not impacted if:  

  • You have Original Medicare Parts A and B. 

  • You also have Apple Health (Medicaid) and are enrolled in one of the following Dual-Eligible Special Needs Plans (D-SNP): Molina Medicare D-SNP, Wellpoint D-SNP, Community Health Plan of Washington (CHPW) D-SNP, and UnitedHealthcare D-SNP. 

One Community Health will stay in network for Original Medicare and Dual-Eligible Special Needs Plans.  

Enrollment timelines: 

  • Annual Medicare Enrollment Period: Oct 15–Dec 7, 2025. Any changes take effect Jan 1, 2026. 

  • Medicare Advantage Open Enrollment: Jan 1–Mar 31, 2026. If you start 2026 in a Medicare Advantage plan, you may change plans or return to Original Medicare during this time. 

We’re here to help! One Community Health, Statewide Health Insurance Benefits Advisors (SHIBA), and Saldivar Insurance are hosting a series of free events to help navigate health insurance.  

  • December 2, 9:00 AM-1:00 PM at One Community Health - Hood River 

  • December 4, 9:00 AM-1:00 PM at One Community Health - The Dalles 

You can also get free help from SHIBA by calling (888) 637-6060 or emailing AAADSW.SHIBA@dshs.wa.gov

One Community Health offers a sliding scale discount for patients based on household size and income using Federal Poverty Level (FPL) guidelines. If you qualify, we can lower your out-of-pocket costs. Call us at 509.493.2133 to schedule an appointment. 

Warm regards, 
One Community Health 

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